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What is galactorrhea?
Galactorrhea occurs when one or both breasts make milk or a milky discharge. It is not related to milk production in breastfeeding. The breasts may leak only when touched, or on their own. It can occur in women or in men, but is less common in men. Rarely, it can occur in newborns.
Symptoms of galactorrhea
The main symptom of galactorrhea is a milky white discharge from one of both nipples. Sometimes, the discharge is yellow or greenish in color. Your doctor may want to check you for cancer. Blood in the discharge is not a symptom of galactorrhea.
Other related symptoms include:
- An absence of menstrual periods or periods that are not regular
- Vision loss
- Decreased sex drive
- Increase in hair growth on your chin or chest
- Erectile dysfunction in men
What causes galactorrhea?
There are many possible causes of galactorrhea. Someone who has it, most likely has an underlying condition.
Possible causes include:
- Oral birth control pills
- Over stimulation of the breasts, such as during sexual activity
- Frequent (daily) breast self-exams
- Clothing that irritates the breasts (may include scratchy wool shirts or bras that don’t fit well)
- Often they are located in the pituitary gland in the brain. Most tumors are benign, or not cancerous.
- Certain medicines. These can include hormones, antidepressants, blood pressure medicines, and sedatives.
- Herbal supplements. These can include nettle, fennel, blessed thistle, anise, and fenugreek seed.
- Drugs, such as marijuana, cocaine, and opiates
- Kidney disease
- An underactive thyroid (hypothyroidism). The thyroid is a gland that produces hormones.
- Injury or trauma to your chest or spinal cord
In some cases, the cause of galactorrhea is unknown.
How is galactorrhea diagnosed?
Your doctor will do a physical exam and review your symptoms. They will ask about your health history and lifestyle, and what medicines you take. The doctor may order blood tests to check your hormone levels. For women, they may order a pregnancy test. If the doctor suspects a tumor, they can order an MRI (magnetic resonance imaging). This test scans your head to see if you have a tumor or defect of the pituitary gland. To check for breast cancer, the doctor can order a mammogram and/or ultrasound.
Can galactorrhea be prevented or avoided?
You cannot prevent galactorrhea. However, once you know the cause, you may be able to avoid it.
Treatment depends on the cause of galactorrhea. Benign tumors can be treated with medicine or surgery. Medicine can help if your body is producing too much of a hormone, such as prolactin. It also helps treat problems, such as hypothyroidism. If a certain medicine causes galactorrhea, your doctor may prescribe a different medicine.
Living with galactorrhea
In many cases, no treatment is necessary. Over time, the condition may go away on its own. Until then, there are some things you can do to help.
- Avoid stimulating your breasts.
- Avoid touching your nipples during sexual activity.
- Don’t do breast self-exams more than once a month.
- Avoid clothes that are too tight or rub and irritate your skin.
- Wear pads in your bra, for women, to absorb the milky discharge.
Questions to ask your doctor
- How do tests help diagnose galactorrhea?
- What is the likely cause of my condition?
- If I have galactorrhea, what is my risk of having cancer?
- What treatment options do you recommend?
- Are there any lifestyle changes I can make to help relieve my symptoms?
Copyright © American Academy of Family Physicians
This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.