Milky nipple discharge not associated with gestation or present >1 year after weaning. Galactorrhea does not include serous, purulent, or bloody nipple discharge.
Findings vary with causes.
Look for signs/symptoms of associated conditions:
Polycystic ovarian syndrome
Chest wall conditions
Avoid excess nipple stimulation.
Idiopathic galactorrhea (normal prolactin levels) does not require treatment.
Discontinue causative medications, if possible.
If SSRI is implicated, trial of mi...
Outpatient care unless pituitary resection required
Bromocriptine patients need adequate hydration.
Dopamine agonist therapy should be discontinued in pregnancy.
Lake M, Krook L, Cruz V. Pituitary adenomas: an overview. Am Fam Physician. 2013;88(5):319–327.
Patel BK, Falcon S, Drukteinis J. Management of nipple discharge and the associa...
N64.3 Galactorrhea not associated with childbirth
N64.52 Nipple discharge
611.6 Galactorrhea not associated with childbirth
611.79 Other signs and symptoms in breast
Galactorrhea is a common disorder, affecting up to 50% of reproductive-age women.
Common causes include idiopathic, from excess nipple stimulation, dopamine-suppressing medications, or ...
Sign up for a 10-day FREE Trial now and receive full access to all content.