Patient's question:
Medical Description: I am 33 years old, and since giving birth to my child nine years ago, I have had milk in both breasts. Does this require treatment?History of Treatment and Effect: No treatment has been administered.
Help Needed: Which level of hospital should I go to, and what tests should I undergo?
Doctor's answer:
Hyperprolactinemia can be treated with a cyclical regimen of estrogen and progesterone, which can induce menstruation, reduce the atrophy of sexual organs, and inhibit prolactin secretion.L-dopa: It can inhibit prolactin secretion and stop galactorrhea. The usual dosage is 0.5 grams, taken four times daily orally.
Surgical treatment: If hyperprolactinemia is caused by a pituitary tumor and the tumor is confirmed, surgical removal of the pituitary tumor should be performed, especially when intracranial pressure increases or vision changes. For pituitary microadenomas that only manifest as galactorrhea, L-dopa or bromocriptine can be used to delay surgery.
Symptomatic treatment: In cases of drug-induced hyperprolactinemia, galactorrhea may stop on its own within 3 to 6 months after discontinuing the medication.