Patient's question:
The nipple often has a small amount of white milk, sometimes a little can be squeezed out,I want to ask if it's a disease. First question supplement: The nipple has a small amount of white solid milk, both nipples are affected, there is no discomfort or pain in the breast, it washes off in the shower, and it appears again after about 6 or 7 days. I want to ask what specific disease it is and how to treat it. Second question supplement: It's better to detect the disease early for better treatment. (Age 31)
Doctor's answer:
Hello, many women in their normal reproductive period experience cyclical breast pain, which generally worsens gradually before menstruation and disappears after the period. This is a result of hormonal effects on the breasts. Except for lactating women, the nipples of other women should not secrete fluid. If nipple discharge occurs, it is mostly caused by a disease. The incidence of disease among women with nipple discharge is as follows: one-third of women under the age of 30 with nipple discharge have a pathological condition, while 50% of women approaching menopause with nipple discharge have a pathological condition.Based on the nature of the discharge, it can be preliminarily determined whether the condition is due to an endocrine disorder or a breast-related disease. If both nipples frequently secrete milk-like discharge, it may indicate an endocrine disorder, and the possibility of a pituitary tumor should be suspected. However, breast stimulation, sexual activity, or stress may also cause milk-like discharge, so it is important to differentiate between these cases. In addition to milk-like discharge, other types of discharge suggest a pathological condition, especially unilateral discharge. Serous fluid discharge indicates breast epithelial hyperplasia; mixed fluid discharge suggests breast degeneration and ductal ectasia; and bloody fluid discharge is a sign of breast cancer, requiring increased vigilance.
Younger women with nipple discharge are more likely to have endocrine disorders, while older women are more likely to have pituitary tumors. Except for tumors, other breast discharges do not require treatment, but the specific condition must be diagnosed after medical examination.