Breast pain & Bloody nipple discharge

I'm hoping someone can give me some guidance or input as I feel like I'm running out of options.

Let me start by saying I'm only 32 years old I'm not pregnant. No kids. Not breastfeeding.

I'm high risk due to family history and I have heterogeneously dense tissue. I'm supposed to go for routine screenings every 6 months. A few years ago, I had an awful experience with a male doctor telling me "you're just being paranoid based on your family history," which was uncalled for but it made me quite frustrated so I stopped going.

Last summer, I started experiencing breast pain and noticed swelling near the side of my breast and underarm. It progressively got worse in the fall. My 3-D screening mammogram appeared normal. Shortly after, the pain became so bad that I was immediately in tears. I've monitored things. The pain is much less around the time of my period. I've tried eliminating caffeine, alcohol, etc. I've tried primrose tea & vitamins. Anything they suggest, I've tried it. Nothing seems to help.

Around the end of October, I started noticing bloody nipple discharge and I've had it everyday since. Some days are worse than others but I'm forced to keep bandaids on hand. After that, I started keep track of the odd symptoms I was noticing on a daily basis. It seemed like there was something new everyday. I finally found a GYN who could squeeze me in as every other place had a 2-3 month waiting list. The GYN immediately referred me to a breast specialist/surgeon for an MRI.

As time went by, I was noticing red spots/rash, I was itchy, the skin appeared dented in a few areas, and I had an uncomfortable burning sensation in my breast and nipple that was incredibly painful. I had weeks where I would lose my appetite, become dizzy and nauseous, and constantly felt fatigued. In the midst of everything else, I received abnormal test results from my GYN on December 3 indicating significant cell changes putting me at a higher risk for cervical cancer so I now have to go in May to retest and monitor things. My head is spinning.

The breast surgeon decided to start over and sent me for another 3D mammogram & Ultrasound. Both appeared normal. The surgeon performed a punch biopsy. Normal. But she still wasn't ruling anything out.

She started to push me to consider surgery: duct ectasia. She wanted to remove the ducts and more tissue to get further testing. I have continued to put that off as I wanted to see about an MRI. She was onboard and referred me. I was so hopeful that we'd get answers & this nightmare would finally be over. Unfortunately, no answers were provided.

I received a letter last month stating that my dr is leaving April 7. She has yet to say that to me and I have no idea what dr I might have to transition to or what to do next.

My doctor has now given me the following options to consider:

1. Continue to monitor things for 3-6 months & redo imaging
2. Surgery

The first option concerns me as I'm still in pain and bleeding everyday. I'm scared to wait that long. I'm not confident in the procedure and find it concerning that nothing is being seen in these tests / images. I believe there are a few other options though:

Additional options:

1. Take a break from appts to breathe for a minute. I'm getting overwhelmed and not sleeping very well.
2. Prophylactic mastectomy, cut my high percentage rate & eliminate the need to do imaging every 6 months. (I'm only 32!)
3. Get a second opinion of my images - not sure how that works though ?

I'm hoping someone can give me some input. Anyone who might have experienced something similar or has suggestions for what I can do or look into at this point. I just want to know what's going on and end this nightmare.

Thank you in advance!

Kris