What is the reason for fluid leaking from the nipple during menstruation?

Patient's question:

Female, 28 years old, no children. After her period came yesterday, she noticed one breast is larger than the other with fluid leaking today. She washed clothes and took a bath yesterday, and had severe stomach pain at night. Is there a problem?

Doctor's answer:

Medical Analysis: Hello, if there is fluid leakage when gently squeezing the breast, this situation should be considered for the possibility of elevated prolactin and dilated breast ducts. Just after the menstrual period, excessive fatigue can stimulate uterine contractions, leading to abdominal pain.
Advice: For your condition, it is recommended that you check your prolactin levels and have an ultrasound performed. Based on the results, you can then consider whether treatment is necessary. Regarding the abdominal pain, if it only disappears after resting for a while, there is no issue. It is likely related to excessive physical activity.
Doctor's Inquiry: Is your menstrual cycle normal? How is the amount of your menstrual flow?

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