Post-Weaning Breast Issues: When to Seek Medical Advice - Obstetrics and Gynecology

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Issues After Weaning


Hello Doctor: I have been breastfeeding for 7 years (two pregnancies) and have been weaning for 8 months.
Recently, I suddenly noticed that when I compress my right breast, milk is expressed from the nipple.
The color varies from milky white to a light transparent yellow, and sometimes a thicker yellow.
However, it does not appear unless I apply pressure.
The breast feels normal to the touch.
Should I seek medical evaluation? Thank you for your response.

Ms. Zhang, 30~39 year old female. Ask Date: 2022/10/07

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, there seems to be something unusual.
It is recommended to visit a hospital and consult with an obstetrician-gynecologist or a breast surgeon.
Wishing you good health.

Reply Date: 2022/10/07

More Info


Post-weaning breast issues can be concerning, especially when unexpected symptoms arise. In your case, the fact that you are experiencing milk secretion from your right breast eight months after weaning is noteworthy. While it is not uncommon for some women to experience residual milk production for a period after stopping breastfeeding, there are several factors to consider that may warrant a medical evaluation.

Firstly, it is essential to understand that the secretion of milk-like fluid from the breast after weaning can occur due to hormonal changes. Prolactin, the hormone responsible for milk production, can sometimes remain elevated for a while after breastfeeding has stopped. This can lead to the continued production of milk or milk-like substances. However, if the discharge is accompanied by other symptoms such as pain, swelling, or changes in the breast tissue, it is crucial to seek medical advice.

The different colors of the discharge you mentioned—milky, transparent yellow, and thicker yellow—can also provide clues. While milky discharge can be normal, yellow or bloody discharge may indicate other underlying issues that should be evaluated. For instance, yellow discharge could be related to infections or other benign conditions, while bloody discharge could be a sign of more serious conditions, including breast cancer or other pathologies.

Given that you have been breastfeeding for an extended period and have recently stopped, it is advisable to consult with a healthcare professional, preferably a breast specialist or a gynecologist. They can perform a thorough examination and may recommend imaging studies, such as a mammogram or ultrasound, to rule out any abnormalities in the breast tissue. Additionally, they may suggest blood tests to check hormone levels, particularly prolactin, to determine if there is an underlying hormonal imbalance.

It is also important to monitor any changes in your breast health. If you notice any lumps, changes in breast shape or size, persistent pain, or any other unusual symptoms, these should be reported to your healthcare provider promptly. Regular breast self-exams are encouraged, as they can help you become familiar with your breast tissue and identify any changes early on.

In summary, while some residual milk production after weaning can be normal, the presence of discharge, especially if it varies in color and consistency, should not be ignored. Seeking medical advice is a prudent step to ensure that any potential issues are addressed early. Your health and peace of mind are paramount, and a healthcare professional can provide the necessary guidance and reassurance.

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