Breast Pain and White Discharge: Is It Normal After Birth Control? - Obstetrics and Gynecology

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Breast pain accompanied by white discharge when pressure is applied?


Hello Doctor: I have been experiencing menstrual pain for 10 years, and it is quite severe.
After seeing a doctor, I was prescribed birth control pills to take for about six months to help improve the blood flow issues related to my menstrual pain.
However, after starting the birth control pills, I began to experience pain beneath my breasts, and when I apply pressure, a small amount of milky discharge comes out.
This situation has occurred before I started using the birth control pills as well.
Is this normal? If I need to seek medical attention, should I go to a general obstetrician-gynecologist? Thank you for taking the time to respond, Doctor.

A Pei, 20~29 year old female. Ask Date: 2006/01/01

Dr. Dai Qihan reply Obstetrics and Gynecology


It is recommended to consult with your gynecologist for a prescription and examination.

Reply Date: 2006/01/01

More Info


Breast pain and white discharge after starting birth control can be concerning, especially for someone with a history of menstrual pain and hormonal treatments. It's important to understand the potential causes and implications of these symptoms.

Firstly, breast pain, also known as mastalgia, is a common side effect of hormonal contraceptives. Birth control pills contain hormones that can affect breast tissue, leading to tenderness or pain. This is often due to the hormonal fluctuations that occur when starting or adjusting to a new contraceptive method. The breast tissue may become more sensitive, and some women report experiencing pain in the lower part of the breast, as you have described.

The presence of white discharge when squeezing the breasts can also be related to hormonal changes. This discharge may be a result of residual milk production, especially if you have a history of breastfeeding or if your body is still responding to hormonal signals that stimulate milk production. Prolactin, the hormone responsible for milk production, can sometimes remain elevated even after breastfeeding has stopped, leading to discharge.

While these symptoms can be normal, it is crucial to monitor them closely. If the breast pain becomes severe, if the discharge changes in color or consistency, or if you notice any lumps or other unusual changes in your breasts, it is advisable to seek medical attention. A visit to a gynecologist or a healthcare provider specializing in women's health would be appropriate. They can perform a clinical breast examination and may recommend imaging studies, such as a breast ultrasound, to rule out any underlying issues.

In your case, since you have experienced similar symptoms before starting birth control, it may be a continuation of a pre-existing condition rather than a direct side effect of the contraceptive. However, it is always better to err on the side of caution. If you feel anxious about your symptoms, do not hesitate to consult your healthcare provider. They can provide reassurance and, if necessary, adjust your birth control method or explore other treatment options for your menstrual pain.

In summary, while breast pain and white discharge can be normal side effects of hormonal birth control, it is essential to keep track of your symptoms and consult with a healthcare professional if you have any concerns. Regular check-ups and open communication with your doctor can help ensure that any potential issues are addressed promptly, allowing you to manage your menstrual pain effectively while maintaining your breast health.

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