Breast Discharge: When to Consult an Endocrinologist - Breast and Thyroid

More Info

---

When it comes to breast discharge, particularly when it involves unusual secretions from the areola or nipple area, it is essential to approach the situation with a thorough understanding of the underlying causes and the appropriate medical specialists to consult. In your case, you have reported experiencing a yellowish discharge from the areola since middle school, which has caused discomfort and even bleeding when pulling on your bra. You have also mentioned that a previous visit to a gynecologist revealed elevated prolactin levels, although they were within a safe range, and you were advised not to worry.

Given your symptoms and history, it is prudent to consider consulting an endocrinologist. Prolactin is a hormone produced by the pituitary gland, and elevated levels can lead to various symptoms, including breast discharge. While your current prolactin levels are deemed safe, persistent discharge and discomfort warrant further investigation. An endocrinologist specializes in hormonal disorders and can provide a more comprehensive evaluation of your hormonal balance, including the potential causes of elevated prolactin levels.

When you visit the endocrinologist, it is important to communicate your symptoms clearly. Here are some points to consider discussing:
1. History of Symptoms: Explain that you have experienced yellowish discharge from the areola since middle school. Describe how the discharge affects your daily life, including any discomfort or bleeding when wearing bras.

2. Previous Medical Evaluations: Mention your visit to the gynecologist and the results of your prolactin level tests. Provide details about the levels and any other relevant tests that were conducted.

3. Concerns About Hormonal Imbalance: Express your concerns regarding hormonal imbalances and how they may relate to your symptoms. Ask if further testing is necessary to evaluate your prolactin levels or other hormones.

4. Family History: If there is any family history of hormonal disorders or breast-related issues, be sure to mention this, as it may provide additional context for your endocrinologist.

5. Request for Further Testing: Inquire about the possibility of additional tests, such as imaging studies (like an MRI) to check for any abnormalities in the pituitary gland, which could be contributing to your symptoms.

6. Understanding Treatment Options: Ask about potential treatment options if hormonal imbalances are confirmed. This could include medication to regulate prolactin levels or other interventions based on the findings.

It is also worth noting that while you have been advised not to worry, persistent symptoms such as yours should not be dismissed. The connection between elevated prolactin levels and potential underlying conditions, including pituitary tumors, should be explored further to rule out any serious issues.

In summary, consulting an endocrinologist is a sensible next step in addressing your breast discharge and any associated hormonal concerns. Be prepared to discuss your symptoms in detail, and do not hesitate to ask questions about your condition and potential treatment options. Your health and well-being are paramount, and seeking specialized care can help you find the answers and relief you need.