Yellowish Transparent Discharge from the Areola - Breast and Thyroid

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The areola may have yellowish transparent discharge?


Recently, I have noticed a transparent, slightly yellow discharge on my areola, and sometimes it becomes crusty and itchy.
When the crusted skin falls off, it appears somewhat transparent.
Could this be due to the hot and humid weather inside my bra, or is it eczema?

Mu Mu, 10~19 year old female. Ask Date: 2015/07/27

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Madam,
Hello, it may be eczema.
If symptoms persist, it is recommended to seek outpatient examination.

Wishing you safety and health,
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare
Zhou Jiazhen

Reply Date: 2015/07/27

More Info


The presence of yellowish transparent discharge from the areola, especially when accompanied by itching and crusting, can be concerning and warrants a thorough evaluation. While it is essential to consider various potential causes, the symptoms you describe may be indicative of a few different conditions.

One possibility is that the discharge is related to a benign condition known as mammary duct ectasia. This occurs when a milk duct beneath the nipple dilates, fills with fluid, and thickens, which can lead to discharge that may be yellowish or greenish in color. This condition is more common in women who are approaching menopause and can sometimes be associated with inflammation or infection of the duct.

Another potential cause could be a skin condition such as eczema or dermatitis. These conditions can lead to inflammation of the skin around the nipple, resulting in itching, redness, and discharge. The heat and moisture from wearing tight or non-breathable clothing, especially in hot weather, can exacerbate these skin conditions, leading to increased irritation and discharge.

Infections, such as a bacterial or fungal infection, could also be responsible for the symptoms you are experiencing. Infections can cause discharge, crusting, and itching, and they may require treatment with antibiotics or antifungal medications.

It is also important to consider the possibility of a more serious condition, such as a breast abscess or, in rare cases, breast cancer. While these conditions are less common, any persistent or unusual discharge from the nipple should be evaluated by a healthcare professional to rule out serious underlying issues.

Given the variety of potential causes, it is crucial to seek medical advice. A healthcare provider will likely perform a physical examination and may recommend imaging studies, such as a mammogram or ultrasound, to assess the breast tissue. They may also consider taking a sample of the discharge for laboratory analysis to identify any infectious agents or other abnormalities.

In the meantime, here are some general recommendations to manage your symptoms:
1. Maintain Hygiene: Keep the area clean and dry. Use mild soap and water to wash the area, and avoid harsh soaps or fragrances that could irritate the skin further.

2. Wear Breathable Fabrics: Opt for loose-fitting clothing made from natural fibers to reduce moisture buildup and irritation.

3. Avoid Irritants: If you suspect that certain products (such as lotions or detergents) may be causing irritation, consider discontinuing their use.

4. Monitor Symptoms: Keep track of any changes in the discharge, such as color, consistency, or the presence of blood, as well as any associated symptoms like pain or swelling.

5. Consult a Healthcare Provider: Given the symptoms you are experiencing, it is advisable to schedule an appointment with a healthcare professional for a thorough evaluation and appropriate management.

In summary, while the yellowish transparent discharge from the areola could be due to benign conditions, it is essential to seek medical evaluation to determine the exact cause and receive appropriate treatment. Early intervention can help address any underlying issues and alleviate your symptoms effectively.

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