Breast and Vaginal Concerns: Common Questions Answered

Breast issues

Hello doctor, I would like to ask a few questions:
1.
Recently, I have noticed purplish-red veins around my areola (on both sides).
A few days ago, I only noticed the veins without any pain, but tonight while showering, I felt an unexplained swelling and pain in my left breast, and my nipple also feels swollen and painful.
The right side is completely fine, just with noticeable veins.
Is this something concerning? I can't feel any lumps, should I still seek medical attention?
2.
A long time ago, I discovered that if I apply slight pressure to my breasts, clear and milky fluid is secreted.
When I engage in intimate activities with my partner, my breasts also become wet with secretions.
Is this normal?
3.
While showering, I felt something in my lower region that doesn't bother me unless I touch it, which causes intense itching.
Is this normal, or could there be something unusual? This has been going on for quite some time.
Thank you for your answers!

Xiao Xiao, 20~29 year old female. Ask Date: 2018/03/12

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
I recently noticed purplish-red veins around my areolas (on both sides).
A few days ago, I only noticed the veins without any pain, but tonight while showering, I felt unexplained swelling and pain in my left breast, and my nipple also feels swollen and painful.
The right side is completely fine, just with noticeable veins.
Is this a cause for concern? Since I can't feel any lumps, should I seek medical attention? Answer: You need to see a doctor for an examination.
2.
I have noticed for a long time that when I apply slight pressure to my breasts, a clear and milky fluid is secreted.
When I engage in intimate activities with my partner, my breasts also become wet with this fluid.
Is this normal? Answer: The secretion of clear and milky fluid with slight pressure on the breasts also requires a medical examination.
3.
While showering, I felt something in my genital area; it doesn't bother me when I don't touch it, but it becomes very itchy when I do.
Is this normal, or could there be something unusual? This has been going on for a long time.
Answer: A visual examination is needed to identify the area.

Reply Date: 2018/03/12

More Info

When it comes to breast and vaginal health, many women experience a variety of concerns that can be both confusing and distressing. Your questions touch on several important issues, including breast pain, changes in breast tissue, and vaginal discomfort. Let’s address each of your concerns in detail.

1. Purple-Red Blood Vessels and Breast Pain: The appearance of purple-red blood vessels around the areola, coupled with sudden breast pain, can be concerning. While it’s not uncommon for women to notice changes in their breast tissue due to hormonal fluctuations, especially around menstruation, the presence of new or unusual symptoms warrants a medical evaluation. Breast pain can be caused by various factors, including hormonal changes, cysts, or even infections. It’s essential to consult a healthcare provider, preferably a specialist in breast health, to rule out any serious conditions. They may perform a clinical breast exam and possibly imaging studies, such as a mammogram or ultrasound, to assess the situation further.

2. Nipple Discharge: The discharge of clear or milky fluid from the nipples upon pressure can be normal in some cases, especially if it is not accompanied by other symptoms like pain or a lump. However, any persistent or spontaneous discharge should be evaluated by a healthcare professional. Conditions such as galactorrhea (a non-lactational milk secretion) can occur due to hormonal imbalances, medications, or other underlying health issues. It’s crucial to discuss this symptom with your doctor to determine if further investigation is necessary.

3. Vaginal Discomfort and Lumps: The sensation of a lump in the vaginal area that causes itching when touched could indicate several conditions, including cysts, infections, or even skin conditions like vulvar dermatitis. It’s important to have this evaluated by a gynecologist, who can perform a physical examination and possibly take samples if needed. Itching and discomfort in the vaginal area can also be related to yeast infections, bacterial vaginosis, or sexually transmitted infections, all of which require appropriate treatment.

In summary, while some of the symptoms you describe can be common and related to hormonal changes, it is essential to seek medical advice for a thorough evaluation. A healthcare provider can help determine the underlying causes of your symptoms and recommend appropriate treatments.
Additionally, regarding your concern about finding specialized clinics, many hospitals and health systems have dedicated women’s health clinics or gynecological services that focus on female-specific health issues. If you are located in central Taiwan, I recommend checking with local hospitals or health centers to see if they offer such services. These clinics often have a team of specialists who can provide comprehensive care tailored to women’s health needs.

Remember, it’s crucial to advocate for your health. If you feel that your concerns are not being adequately addressed, don’t hesitate to seek a second opinion or ask for a referral to a specialist. Your health and comfort are paramount, and you deserve to receive the care and attention necessary to address your concerns effectively.

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