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What Could Milky Discharge, Tender Breasts And Fatigue Indicate?
Hi I have had a milky leaking discharge a day ago and I am wondering if I am pregnant cause I m sleepy and breast feel tender, I came on my period in March 31 and the online ovulation test said I would ovulate from the 11-17. I am planning to be pregnant so answers would really help me out??!
Wed, 9 Mar 2016
Hello,
Thanks for writing to us.
If you are trying to be pregnant, then you must undergo one home pregnancy test soon after missed period. It is the most common reason.
On NEGATIVE test, milky nipple discharge is called galactorrhea in medical term. It occurs mostly due to elevation of prolactin hormone and is seen in 5 to 30% women of reproductive age group.
Little amount milky discharge is less significant and quite physiological. If it occurs in large amount or on regular basis or spontaneously, then underlying pathological conditions are needed to investigate properly. 50% of the cases are without any pathology.
COMMON CAUSES:
1) Excessive nipple stimulation or breast massage during sexual excitement.
2) Hormonal causes like hyperprolactinemia & hypothyroid state with elevated levels of TSH or TRH hormones.
3) Certain medications (methyldopa, opiates, antipsychotics, serotonin reuptake inhibitors)
4) pituitary adenomas (causing overproduction of prolactin or compression of the pituitary stalk.
INVESTIGATION: You need to undergo blood test for prolactin level, complete thyroid profile and pelvic ultrasound scan initially as you have missed period.
In addition, one CT scan of brain & ultrasound scan of breast are advisable in case of abnormal report of above mentioned tests.
Kindly, consult with your gynecologist regarding this for proper guidance. Take proper treatment according to test reports.
For future query, you can directly approach me through
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Thanks for writing to us.
If you are trying to be pregnant, then you must undergo one home pregnancy test soon after missed period. It is the most common reason.
On NEGATIVE test, milky nipple discharge is called galactorrhea in medical term. It occurs mostly due to elevation of prolactin hormone and is seen in 5 to 30% women of reproductive age group.
Little amount milky discharge is less significant and quite physiological. If it occurs in large amount or on regular basis or spontaneously, then underlying pathological conditions are needed to investigate properly. 50% of the cases are without any pathology.
COMMON CAUSES:
1) Excessive nipple stimulation or breast massage during sexual excitement.
2) Hormonal causes like hyperprolactinemia & hypothyroid state with elevated levels of TSH or TRH hormones.
3) Certain medications (methyldopa, opiates, antipsychotics, serotonin reuptake inhibitors)
4) pituitary adenomas (causing overproduction of prolactin or compression of the pituitary stalk.
INVESTIGATION: You need to undergo blood test for prolactin level, complete thyroid profile and pelvic ultrasound scan initially as you have missed period.
In addition, one CT scan of brain & ultrasound scan of breast are advisable in case of abnormal report of above mentioned tests.
Kindly, consult with your gynecologist regarding this for proper guidance. Take proper treatment according to test reports.
For future query, you can directly approach me through
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
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