Persistent Milk Secretion After Childbirth: What to Know

Q: Persistent Milk Secretion After Childbirth: What to Know

Hello Ms. <br>Chen： <br>It has been three years and two months since you gave birth, and you are still experiencing milk secretion. <br>Based on your description, the results of your prolactin, thyroid hormone, and breast ultrasound tests are all normal. <br>Generally, normal pro

Issues with milk secretion?

Hello Doctor: I am 32 years old and it has been three years and two months since I gave birth to my second child.
However, if I manually squeeze my nipples, I can still express milk; if I do not intentionally squeeze, there is no milk.
I have visited different hospitals and doctors, and I have had blood tests for prolactin levels, thyroid issues, and breast ultrasounds, all of which came back normal.
The last doctor advised me not to worry.
I have taken medication to suppress lactation, which stopped the milk production, but I am unsure if it is because I took a herbal remedy (which is known to promote milk production) after my menstrual period.
Out of curiosity, I squeezed my breasts while showering, and milk reappeared.
Since all my tests have been normal, I wonder if my frequent squeezing of my breasts during showers after giving birth has led to continued stimulation and thus prevented complete weaning.
Should I still seek further evaluation at a hospital? I am very concerned that this could be related to a brain issue.
Which specialist should I consult? Thank you, Doctor.
Sincerely, a worried person.

Ms. Chen, 30~39 year old female. Ask Date: 2002/06/03

Dr. Huang Jianxun reply Obstetrics and Gynecology

Hello Ms.
Chen:
It has been three years and two months since you gave birth, and you are still experiencing milk secretion.
Based on your description, the results of your prolactin, thyroid hormone, and breast ultrasound tests are all normal.
Generally, normal prolactin levels usually rule out a prolactin-secreting pituitary adenoma.
As a principle, it is not recommended to continue stimulating the breasts, as increased stimulation can lead to more milk secretion, making it harder for the condition to resolve.
In addition to consulting with obstetrics and gynecology, you may also consider seeing a breast surgeon to check for any tumor presence in the breast.
Obstetrics and Gynecology: Dr.
Huang Jian-Hsun

Reply Date: 2002/06/03

More Info

Dear Concerned Mother,
Thank you for reaching out with your question regarding persistent milk secretion after childbirth. It’s understandable to have concerns about any unusual bodily changes, especially after the significant experience of childbirth. Let’s delve into your situation and clarify some important points.

Firstly, it’s important to recognize that lactation can persist for some time after breastfeeding has ceased. In your case, it has been over three years since your second child was born, and you are still able to express milk by manual stimulation. This phenomenon can occur for several reasons, even when hormonal levels appear normal.
The primary hormone responsible for milk production is prolactin, which is secreted by the pituitary gland. Elevated levels of prolactin can lead to continued milk secretion. However, since you have undergone multiple blood tests that have returned normal results for prolactin and thyroid hormones, it suggests that your body is functioning within normal parameters.
The act of manually stimulating your breasts can indeed trigger the release of milk, as it mimics the suckling action of a baby. This stimulation can lead to a reflex that causes milk to be expressed, even if you are not actively breastfeeding. It is also worth noting that certain medications, such as those used to suppress lactation, can have varying effects on individuals. If you have taken lactation-inducing substances, such as herbal remedies, this could also contribute to your experience.

Regarding your concern about potential underlying issues, such as a brain problem, it is essential to remember that persistent milk secretion is not typically indicative of a serious condition, especially when other tests have ruled out major hormonal imbalances. However, if you continue to have concerns, it may be beneficial to consult with an endocrinologist, a specialist in hormonal disorders, who can provide further insight into your condition.

Additionally, if you are experiencing any other symptoms, such as changes in your menstrual cycle, headaches, or vision changes, it would be prudent to mention these to your healthcare provider, as they could provide additional context for your situation.

In summary, while it is not uncommon for some women to experience milk secretion long after breastfeeding has stopped, it is always wise to stay informed and consult with healthcare professionals if you have ongoing concerns. If your healthcare provider has advised you that no further action is necessary, it may be helpful to trust their expertise while remaining vigilant about any changes in your health.

If you feel the need for further evaluation, consider seeking a second opinion from a specialist in endocrinology or a lactation consultant who can provide tailored advice based on your unique situation.
Take care of yourself, and remember that your health and peace of mind are paramount.
Best wishes,
Doctor Q&A Teams

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