Patient's question:
The other day, because of pain in the upper left corner of my right breast, my left nipple could secrete a milky white fluid with a slight yellow tint, but there was none from my right nipple.Doctor's answer:
Nipple discharge is classified as either physiological or pathological nipple discharge. Pathological nipple discharge can be divided into two major categories: systemic causes and breast-related lesions. Systemic causes are commonly associated with endocrine dysfunction in women or a history of long-term contraceptive medication use, recent sedative use, or pituitary prolactinoma. Based on your condition, systemic causes can be largely ruled out.Epithelial hyperplasia, increased secretion, inflammation, bleeding, necrosis, and tumors in the breast ducts or acini can all lead to nipple discharge, usually resulting from a single, unilateral breast duct lesion. Surgical treatment is typically required. That's why I asked whether your discharge was single-lobed or multiple-lobed.
Physiological nipple discharge refers to the presence of a small amount of milk secretion in both breasts after weaning, which may persist for months or even years in some cases. It is primarily caused by frequent stimulation such as touching or sucking, without other symptoms like menstrual cessation, and normal prolactin levels in serum tests. As long as cleanliness is maintained and bacterial infection does not occur, clinical treatment is generally not needed. Therefore, it is recommended to recheck prolactin levels. If the efficacy of self-healing herb ( ) is unsatisfactory, a comprehensive integrated Chinese and Western medicine approach can be considered.
Top hospitals in Xi'an: Xijing Hospital, Xi'an Fourth People's Hospital, and Shaanxi Provincial People's Hospital.