Patient's question:
Patient Gender:Patient Age:
Description of Symptoms:
Stopped breastfeeding for 1.5 years, with bilateral multiple nipple discharge, sometimes breast pain
Doctor's answer:
Porous leakage may be physiological, pharmacological, due to systemic benign diseases, or due to hyperplasia of the breast. Bilateral leakage is often physiological, such as in women who still have a small amount of milk secretion within one year of stopping breastfeeding. In the second and third trimesters of pregnancy, some pregnant women may express a small amount of thin colostrum from both breasts. In a few women, transient galactorrhea may occur after intense sexual climax due to highly congested breast blood vessels, breast enlargement, and nipple erection. When women enter menopause, endocrine disorders may cause some women to secrete a small amount of milk. All of these are physiological conditions and not pathological. However, bilateral nipple leakage can also be pathological, such as a condition called hypogonadotropic hypogonadism (HH), which is caused by a pituitary microadenoma. In addition to galactorrhea, it may be accompanied by amenorrhea, headaches, visual field constriction, and elevated prolactin levels in the blood. A CT scan of the brain can confirm the diagnosis. Another type of bilateral nipple leakage is seen in patients with mild hyperplasia of the breast.