Increased Discharge During Breastfeeding: Is It Normal or a Concern?

Increased secretion during lactation?

Hello Doctor: I have been exclusively breastfeeding for 10 months since giving birth.
However, starting last week, I have noticed an increase in discharge that is clear to slightly white in color, occasionally light yellow-green, and sometimes thicker in consistency (similar to a jelly-like texture after straining during a bowel movement, with some stringy discharge visible on my underwear).
At times, it is more watery (causing my underwear to feel wet), but there is no unusual odor, itching, or discomfort.
Is this a normal phenomenon related to breastfeeding, or should I consult a gynecologist? Thank you.

Er Bao Ma, 20~29 year old female. Ask Date: 2022/04/19

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description of symptoms, it is likely that you are experiencing the phenomenon of ovarian hormone recovery postpartum.
It is recommended to maintain cleanliness and dryness in the perineal area, avoid tight-fitting clothing, ensure adequate sleep, consume a light diet, and avoid stress and prolonged sitting.
You may soak in a tub while bathing to prevent infection.
If you have any symptoms or require a diagnosis and treatment, please consult a physician.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2022/04/19

More Info

Increased discharge during breastfeeding can be a common concern for many new mothers. Based on your description, it seems that you are experiencing a variety of discharge characteristics, including transparent to white, occasionally yellowish-green, and varying in consistency from jelly-like to watery. Importantly, you noted that there is no accompanying odor, itching, or discomfort, which are key indicators of potential infection or other issues.

During breastfeeding, hormonal changes, particularly the influence of prolactin, can lead to increased milk production and, consequently, discharge. Prolactin is the hormone responsible for milk synthesis, and its levels can fluctuate based on various factors, including stress, hydration, and overall health. The discharge you are experiencing could be a normal physiological response to these hormonal changes, especially since you are exclusively breastfeeding.

However, it is essential to differentiate between normal discharge and signs of potential complications. Normal discharge during breastfeeding can include milk leakage, which may appear as a clear or slightly milky fluid. The jelly-like consistency you described could be related to the presence of colostrum or foremilk, which can sometimes be thicker than mature milk. This is particularly common in the early months of breastfeeding but can persist as the body continues to adjust to the demands of nursing.

On the other hand, if the discharge were to change in color to a more pronounced yellow or green, or if it were to develop an unpleasant odor, these could be signs of an infection, such as mastitis or a blocked milk duct. Mastitis is an infection of the breast tissue that can occur during breastfeeding, characterized by symptoms such as localized pain, swelling, redness, and sometimes fever. If you were to experience any of these symptoms, it would be advisable to seek medical attention promptly.

Given that you have been breastfeeding for ten months and are experiencing an increase in discharge without any other concerning symptoms, it is likely that this is a normal occurrence. However, if you have any doubts or if the discharge continues to change in nature or if you develop any new symptoms, it would be prudent to consult with a healthcare provider, such as a lactation consultant or an obstetrician. They can provide a thorough examination and reassurance, as well as guidance on breastfeeding techniques and managing any potential issues.

In summary, while increased discharge during breastfeeding can be normal, it is always best to stay vigilant and consult with a healthcare professional if you notice any significant changes or if you have concerns about your health or your baby's health. Regular check-ups and open communication with your healthcare provider can help ensure that both you and your baby remain healthy during this important time.

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