What is the reason for a little itch inside the nipple

Patient's question:

My nipple is retracted and doesn't come out. Every once in a while, it feels a bit itchy, and I can squeeze out some white creamy substance. What's going on? I've been quite concerned about it for years.

Doctor's answer:

Analysis of the condition: The areola and nipple areas have a rich supply of sebaceous glands, which secrete substances daily. If they are not cleaned promptly, it can stimulate the local area, causing itching. To improve this symptom, it is mainly recommended to clean the area frequently with warm water.
Advice: The ability to squeeze out a white, creamy substance from the breast indicates the presence of lactation. From a medical perspective, any individual who is not pregnant, has not given birth, yet still produces milk, or continues to lactate more than six months after stopping breastfeeding, regardless of whether they experience other obvious discomforts, falls within the pathological range. This non-breastfeeding milk secretion is called galactorrhea, and common causes include hyperprolactinemia, hyperplasia of the breast tissue, breast fibroadenomas, etc. It is recommended that you visit the gynecology department of a hospital for hormone testing (including six hormones) and a breast ultrasound in the near future to help clarify the diagnosis.

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