White Discharge: Is It a Sign of Breast Cancer? - Obstetrics and Gynecology

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Breast


Hello, I recently performed a breast examination on the second day after my menstrual period ended and noticed a white discharge (similar to milk), but I am not pregnant.
Could this be a sign of breast cancer, or could it be due to another reason?

mimi, 20~29 year old female. Ask Date: 2001/02/13

Dr. Zhan Deqin reply Obstetrics and Gynecology


1.
It is not breast cancer.
2.
It may be due to excess secretion of prolactin, which can be determined through a blood test.
3.
Certain medications, such as some gastrointestinal drugs and sedatives, can also cause this.
If there are any concerns, please visit the obstetrics and gynecology outpatient clinic.

Reply Date: 2001/02/13

More Info


When it comes to the concern of white discharge from the breast, especially when it resembles milk and occurs around the time of menstruation, it is important to understand that this is typically not a sign of breast cancer. The presence of white or milky discharge can be attributed to several benign conditions rather than malignancy.

One of the most common causes of such discharge is the hormonal fluctuations that occur during the menstrual cycle. Prolactin, the hormone responsible for milk production, can sometimes be secreted in excess, leading to galactorrhea, which is the term for abnormal milk production not associated with childbirth or nursing. This condition can be influenced by various factors, including stress, certain medications (like antipsychotics or medications for gastrointestinal issues), and hormonal imbalances.
In your case, since you mentioned that the discharge appeared shortly after your menstrual period and you are not pregnant, it is likely related to hormonal changes rather than breast cancer. Breast cancer typically presents with other symptoms, such as a palpable lump, changes in the shape or contour of the breast, skin changes (like dimpling or puckering), or unusual discharge that may be bloody or clear rather than milky.

However, it is always prudent to monitor any changes in your body. If the discharge persists, changes in color or consistency, or if you notice any other unusual symptoms such as lumps or pain, it would be wise to consult a healthcare professional. A thorough evaluation, including a physical examination and possibly imaging studies like a mammogram or ultrasound, can help rule out any serious conditions.

In summary, while white discharge from the breast can be concerning, it is often benign and related to hormonal changes, especially in the context of your menstrual cycle. If you have ongoing concerns or if the discharge continues, seeking advice from a healthcare provider is recommended for peace of mind and appropriate management.

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