White Discharge from Breasts: Causes and Concerns - Breast and Thyroid

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White milk-like fluid


Recently, I noticed that when I accidentally press on my chest and nipples while showering, a white milky fluid comes out.
I'm not sure why this is happening.
My child is over 10 months old, and I breastfed for six months.
I'm worried that there might be something wrong with my breasts!

Haipa, 30~39 year old female. Ask Date: 2014/11/09

Dr. Zhou Jiazhen reply Breast and Thyroid


Hello, generally, ductal hyperplasia can cause milk secretion, and sometimes there are fibrocystic changes.
If there are any changes in color or odor, it is advisable to seek an outpatient examination as soon as possible.
Wishing you peace and health.
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare, Zhou Jiazhen.

Reply Date: 2014/11/09

More Info


The presence of white discharge from the breasts, especially in a context where you have recently stopped breastfeeding, can be concerning and warrants a closer look. In your case, since you mentioned that your child is over 10 months old and you breastfed for about six months, the discharge could be related to several factors.

Firstly, it is important to understand that the breast tissue is highly responsive to hormonal changes. After weaning, it is not uncommon for some women to continue to express a small amount of milk or milk-like fluid for a period of time. This phenomenon is known as galactorrhea, which can occur even months after breastfeeding has ceased. Galactorrhea can be caused by elevated levels of prolactin, the hormone responsible for milk production, which may remain high due to various reasons, including stress, certain medications, or hormonal imbalances.

In addition to hormonal factors, the presence of white discharge could also indicate a blockage in the milk ducts. If the ducts are not fully cleared after weaning, they can become clogged, leading to the accumulation of fluid that may be expressed as a white discharge. This can sometimes be accompanied by discomfort or a feeling of fullness in the breasts, which you mentioned experiencing.

Another consideration is the possibility of an infection or inflammation, such as mastitis or a breast abscess, particularly if there is pain, redness, or swelling associated with the discharge. However, if the discharge is the only symptom and there is no accompanying pain or other signs of infection, it may be less likely to be an infectious process.

While the discharge itself may not be indicative of a serious condition, it is essential to monitor any changes in your breasts. If you notice any of the following symptoms, it would be prudent to seek medical attention:
1. Persistent or worsening discharge: If the white discharge continues or increases in volume.

2. Pain or discomfort: If you experience significant pain, especially if it is localized to one area of the breast.

3. Changes in breast appearance: Any new lumps, swelling, or changes in the skin texture or color of the breast.

4. Fever or systemic symptoms: If you develop fever, chills, or other systemic symptoms that may suggest an infection.

Given your concerns about potential breast changes, it would be advisable to consult with a healthcare provider, such as a breast specialist or an endocrinologist. They may recommend blood tests to check hormone levels, imaging studies like a breast ultrasound, or a physical examination to evaluate the discharge and any other symptoms you may have.

In summary, while white discharge from the breasts after weaning can be a common occurrence due to hormonal changes or ductal blockages, it is essential to remain vigilant and consult a healthcare professional if you have any concerns. Early evaluation can help rule out any serious conditions and provide peace of mind.

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