Patient's question:
Within the past year, I had two medical abortions at formal hospitals in April and September. For the first few months, my menstruation was normal. However, starting from February and March this year, my period became irregular and unpredictable (this year's menstruation dates: March 5, May 29, August 2). I haven't had a period, but I have cyclic leukorrhea, and when I squeeze my breasts, there is milky discharge, which is light in color. Hospital ultrasound tests showed no abnormalities. For the past six months, I haven't been using contraception, and I've had frequent sexual activity, yet I haven't become pregnant. What could be the cause, and what should I check?Doctor's answer:
Hello: Abnormal leukorrhea can be detected through a secretion test.In non-pregnant and non-lactating periods, if fluid is released when the nipple is squeezed, it is called nipple discharge. Nipple discharge is one of the common symptoms of breast diseases. Statistics show that 3% to 14% of patients with breast diseases visit clinics primarily due to nipple discharge, making it the second most common symptom after breast lumps and breast pain. If the nipple discharge is from a single nipple, it is often associated with breast diseases such as dilated breast duct syndrome, intraductal papillary tumor, or breast cystic hyperplasia. Among these, breast cystic hyperplasia has two additional characteristics besides bloody nipple discharge:
1. It is characterized by cyclical breast pain, which tends to worsen before menstruation. Mild cases may go unnoticed by patients, while severe cases can affect work and daily life.
2. Breast lumps are often multiple and can appear on one or both sides, or be confined to a part of the breast or scattered throughout. The lumps are nodular, of varying sizes, firm but not hard, not attached to the skin, and have unclear boundaries with surrounding tissues. The lumps may shrink after menstruation.
Given your age and reproductive status, it is highly possible that you have breast cystic hyperplasia, but cancer cannot be ruled out either.
It is recommended to undergo a gynecological examination to identify the underlying cause before proceeding with treatment.