Do I need to treat nipple discharge?

Patient's question:

I took emergency contraception on February 3rd for the first time. My period arrived on the 28th, delayed by a week, and it hasn't finished yet. This time, I don't know what's going on because it started with very little flow, but it's mostly gone now.
Do I need treatment for nipple discharge?

Doctor's answer:

Nipple discharge can recur in many non-lactating women, with the most common cause being intraductal papilloma, followed by breast cystic disease and mammary duct ectasia. Approximately 15% of cases are malignant inflammation. It is worth noting that not all nipple discharge requires surgical treatment. The key lies in understanding the cause of nipple discharge and being vigilant about the possibility of breast cancer. The diagnosis of nipple discharge is relatively difficult, and patients must seek follow-up treatment at a specialized hospital. The main procedures include breast ultrasound, cytological examination of the discharge smear, and ductography. Hospitals with the necessary conditions can also perform ductoscopy. Treatment options should be selected after the cause is clearly identified.

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