Postpartum Breast Health: How to Check for Milk Cysts Safely - Surgery

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Breast examination


Hello, I would like to ask about my current situation.
I have just given birth and am breastfeeding.
There is a history of breast cancer in my family, and because I did not wean properly after my first child, I currently have residual milk lumps in my breasts.
After a lactation consultant helped to clear some of it, I would like to confirm whether the old milk lumps have been fully cleared.
How should I go about this? Which department should I register at the hospital? What kind of examinations are needed? Can it be confirmed with an X-ray? Will there be any minor surgeries or incisions involved?

Nana.lin, 30~39 year old female. Ask Date: 2020/05/18

Dr. Li Zhonghuai reply Surgery


Hello! Please visit the breast surgery department for an ultrasound examination.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/05/18

More Info


Postpartum breast health is a crucial aspect of recovery for new mothers, especially for those with a family history of breast cancer. If you suspect that you have milk cysts or retained milk, it is essential to approach this matter with care and seek appropriate medical advice.

To check for milk cysts safely, the first step is to consult a healthcare professional. You should schedule an appointment with a breast specialist or a lactation consultant who can provide guidance tailored to your situation. In many hospitals, you can find a breast clinic or a women's health center that specializes in postpartum care. They will have the expertise to assess your condition accurately.

During your appointment, the healthcare provider will likely perform a physical examination of your breasts. They will check for any lumps, tenderness, or signs of infection. If there are concerns about retained milk or cysts, they may recommend imaging studies such as an ultrasound. An ultrasound is a non-invasive procedure that uses sound waves to create images of the inside of your breast. This method is particularly useful for differentiating between fluid-filled cysts and solid masses.

In some cases, if the ultrasound indicates the presence of a cyst, the doctor may perform a procedure called aspiration. This involves using a thin needle to draw out the fluid from the cyst, which can provide immediate relief and help confirm the diagnosis. Aspiration is typically done in the office and does not require surgery or significant recovery time. However, if there are solid masses or other concerning findings, further evaluation, including a mammogram or biopsy, may be necessary.

It's important to note that while milk cysts are generally benign and can occur due to engorgement or blocked milk ducts, any persistent lumps or changes in your breast should be evaluated, especially given your family history of breast cancer. Regular self-examinations and being aware of any changes in your breasts can help you catch potential issues early.

In summary, to check for milk cysts safely, follow these steps:
1. Consult a Specialist: Schedule an appointment with a breast specialist or lactation consultant.

2. Physical Examination: Expect a thorough examination of your breasts.

3. Imaging Studies: Be prepared for an ultrasound if there are concerns about cysts or lumps.

4. Aspiration if Needed: Understand that aspiration may be performed to relieve symptoms and confirm the diagnosis.

5. Follow-Up: Keep regular follow-up appointments to monitor your breast health, especially with your family history.

Maintaining open communication with your healthcare provider and addressing any concerns promptly is vital for your health and peace of mind during this postpartum period. Remember, your well-being is paramount, and seeking help is a proactive step in ensuring a healthy recovery.

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