10.07.2021 – 07:10
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Patients: What is galactorrhea and how is it treated?
Doctor:Non-puerperal galactorrhea is a condition characterized by the appearance of milk secretions from the breast, outside the physiological context of breastfeeding.
We must keep in mind that it is a symptom, not a disease, and can also affect men and children.
The occurrence of galactorrhea is strongly associated with hyperprolactinemia, or an overproduction of prolactin, (the hormone that is normally responsible for milk production after pregnancy; there are three main causes:
Prolactinoma (benign pituitary tumor)
Side effects of any medicine (antidepressants, contraceptives, antipsychotics, anti-ulcer etc…)
Excessive breast stimulation
Other pathologies such as chronic renal failure, epilepsy, hypothyroidism, cirrhosis.
It may itself be the cause of the increased circulating prolactin level in idiopathic cases, i.e., without cause.
It is more common in women, but latent secretions can also occur in men, generally as a result of increased circulating prolactin in cases of unexplained galactorrhea.
Decreased testosterone (often accompanied by gynecomastia.
The development of galactorrhea in the newborn is associated with a large amount of estrogen that has crossed the placenta and reached the circulation in the newborn. In this case it is a temporary symptom that resolves quickly spontaneously.
Galactorrhea is most common in women between the ages of 20-35.
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