Nipple discharge, Obstetrics and Gynecology FAQ - Page 2

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Should You See a Doctor for Brown Nipple Discharge?

Should I see a doctor for this? Hello Dr. Wang, I would like to ask you about something. While showering, I noticed that when I apply pressure to my breasts, there is a discharge from my nipples that is dark brown and resembles blood, but the amount is small and only appears when...


Dr. Wang Gongliang Reply:
In general, when a non-lactating woman produces milk, the first consideration should be the issue of excessive secretion of prolactin. Therefore, a blood test to check the prolactin levels is necessary. If the levels are elevated (normal value < 35), it is often due to hyperse...

[Read More] Should You See a Doctor for Brown Nipple Discharge?


Understanding Nipple and Areola Issues: Itchy Skin, Cysts, and Menstrual Pain

Areola and cyst? Hello Doctor: (1) I have noticed that since I was almost 20 years old, my nipples and areolas frequently itch, scab, and then peel. After healing, the areolas become darker and have a honeycomb appearance, and there are small bumps on the areolas. What could this...


Dr. Huang Jianxun Reply:
1. Based on your description, it may be folliculitis around the areola. Pay attention to the breathability of your underwear and the suitability for your skin. Additionally, monitor for any abnormal nipple discharge or breast lumps. 2. A transvaginal ultrasound can confirm what...

[Read More] Understanding Nipple and Areola Issues: Itchy Skin, Cysts, and Menstrual Pain


Understanding Nipple Discharge During Pregnancy: What to Know

Pregnancy issues Hello Doctor: My wife is currently about 26 weeks pregnant, and we have noticed some fluid leaking from her nipples in the past few days. The amount is not much, just a little bit, but we are unsure what it is. Could you please let us know? Thank you, Doctor.


Dr. Lü Lizheng Reply:
The discharge from the nipple is likely just normal breast milk. However, if there is a lump, it is important to consult a breast surgeon for an examination. Sincerely, Lu Li-Zheng.

[Read More] Understanding Nipple Discharge During Pregnancy: What to Know


Concerns About Asymmetrical Breasts and Vaginal Discharge: What to Know

Please ask your question? Hello Doctor, I would like to ask about my left breast being larger than my right, including the areola, and I have white vaginal discharge. Could this indicate any potential issues?


Dr. Yan Mingxian Reply:
In general, adult women's breast and nipple sizes are not always perfectly symmetrical; most women have one breast that is larger than the other. As long as the difference is not significant enough to affect appearance, breastfeeding, or psychological well-being, there is us...

[Read More] Concerns About Asymmetrical Breasts and Vaginal Discharge: What to Know


Understanding Nipple Discharge: When to Seek Medical Advice

Nipple discharge Hello, I would like to ask if it is normal to have colorless discharge from my right nipple. If I need to see a doctor for an examination, which specialty should I consult? Thank you.


Dr. Chen Xunche Reply:
Hello! Clear discharge is usually caused by duct obstruction. If it is not excessive, there should be no major concern. If there are any issues, please consult a breast surgeon. Thank you.

[Read More] Understanding Nipple Discharge: When to Seek Medical Advice


Understanding Elevated Prolactin Levels and Their Impact on Fertility

Prolactin In late February, I went to a health check-up center for a pre-marital health examination. At that time, the results showed that my prolactin level was slightly elevated (44.1). I am unsure if the delay in my menstrual period that month and being busy with wedding prepa...


Dr. Peng Yiguo Reply:
A prolactin level of 44.1 is somewhat elevated, which can cause delayed menstruation. However, treatment is not necessarily required unless there are significant menstrual irregularities or if there is nipple discharge. Additionally, medications for peptic ulcers or psychiatric c...

[Read More] Understanding Elevated Prolactin Levels and Their Impact on Fertility


Is Nipple Discharge Normal After Years of Breastfeeding?

About the nipple? Hello. I apologize for taking up your time. Recently, I noticed that when I apply pressure to my breasts, a small amount of milk is secreted from my nipples. I am not pregnant, and my daughter is already 8 years old. Is this normal? Thank you for your help.


Dr. Li Guanghan Reply:
Hello: You may have hyperprolactinemia, which could be due to a pituitary disorder, but most cases are normal. Therefore, you need to go to the hospital to have your prolactin levels tested for differential diagnosis. Dr. Cheng Jin-He, Hsinchu Hospital.

[Read More] Is Nipple Discharge Normal After Years of Breastfeeding?


Understanding Fibrocystic Breast Changes: Symptoms and Relief Options

Fibrocystic breast changes Fibrocystic breast changes can cause breast tenderness, chest pain, and back pain. Symptoms may include lumpiness in the breasts, swelling, and discomfort that may fluctuate with the menstrual cycle. To alleviate these bothersome issues, options include...


Dr. Chen Fuhao Reply:
Dear Ms. Liwen, Among all breast diseases in women, fibrocystic breast disease is the most common. Approximately 1 in 6 women aged 35 to 50 is affected by this condition. It can occur unilaterally or bilaterally (in about 20% of cases) and is not limited to any specific part of ...

[Read More] Understanding Fibrocystic Breast Changes: Symptoms and Relief Options


Are Skin Changes on the Breast Signs of Breast Disease?

Are skin abnormalities on the breast indicative of breast disease? Hello Dr. Wu: During my self-examination on the date, I found a spot on my right outer breast near the armpit that feels like chicken skin! Is this one of the signs of breast pathology? Or is it only the orange pe...


Dr. Wu Zongcheng Reply:
Upon examination, a lump was found in the right outer breast near the axilla, which feels like "chicken skin." Sometimes, skin changes can cause hard lumps in the breast, flattening, and peau d'orange (including the breast and nipple). Abnormal nipple discharge and...

[Read More] Are Skin Changes on the Breast Signs of Breast Disease?


Understanding Amenorrhea: Why Your Period Might Be Missing and What to Do

MC has not come for a long time? Since last July, I haven't had my period, and I'm not pregnant. My health is good, so why hasn't it come? What should I do?


Dr. Peng Yiguo Reply:
Based on the information provided, prior to July of last year, menstruation was likely normal, indicating secondary amenorrhea. If there is no pregnancy, a progestin injection or oral progestin can be administered for three to four days, followed by observation for any uterine bl...

[Read More] Understanding Amenorrhea: Why Your Period Might Be Missing and What to Do


Concerns About Nipple Discharge During Pregnancy: What to Know

Breast I am seven months pregnant, but recently while taking a shower, I noticed blood-stained discharge from my nipple, and it is coming from the same milk duct. I went to the hospital for an ultrasound, but no masses were found. However, the discharge has continued for the past...


Dr. Lü Lizheng Reply:
The most common cause is the presence of a papilloma within the breast, which is benign. It is recommended to observe the situation for now and conduct regular follow-ups. After delivery, if it has not improved, a biopsy can be performed. Generally, this condition does not affect...

[Read More] Concerns About Nipple Discharge During Pregnancy: What to Know


Nipple Discharge After Abortion: Causes and Concerns Explained

Nipple discharge may occur? I underwent a surgical abortion on May 25th (at 6 weeks gestation). The procedure went smoothly, and the follow-up check a week later showed no issues. On June 10th, I noticed itching in my right nipple, and when I squeezed it, a light milky discharge ...


Dr. Xu Junzheng Reply:
Nipple discharge is more likely to be caused by mastitis or elevated prolactin levels. Generally, physicians do not consider breast cancer as a possibility, since the likelihood of breast cancer at the age of 20 is quite low. Thank you.

[Read More] Nipple Discharge After Abortion: Causes and Concerns Explained


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