What is the reason for the milky white fluid discharge from the nipples when menstruation does not come?

Patient's question:

Within the past year, I had two medical abortions at hospitals in April and September. For the first few months, my periods were normal. After my period came in early March this year, I started planning to have a child. In April, my period didn't come, and I thought I was pregnant, but the pregnancy test was negative. By the end of May, my period arrived again, and then it came again in early August. Since then, it hasn't come at all, and I haven't been pregnant. It's irregular(My periods this year: March 5, May 29, August 2). During this process, when my period didn't come, I had cyclic leukorrhea, and when I squeezed my nipples, there was a light, white, and small amount of milk leakage (I had the same situation even before getting married). In the afternoon, my waist often aches, and I had a hospital ultrasound examination.

Doctor's answer:

Hello, lactation is regulated under the control of the nervous system by a reproductive endocrine axis consisting of three main links: the hypothalamus-pituitary-ovary axis, which modulates prolactin secretion. Endocrine disorders, pituitary dysfunction, and drug factors can all lead to increased prolactin secretion. It is recommended to seek medical attention promptly for examination and treatment based on the identified cause.
Do not be overly anxious. It is suggested to actively undergo a sex hormone test tomorrow. Wishing you early diagnosis and relief from your condition.

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