Discharge from the nipples of non-breastfeeding women may be due to breast cancer, intraprostatic papilloma and mastopathy. Allocations can be observed from both nipples, more often - from one or several milky ways, according to the Internet edition for girls and women from 14 to 35 years old Pannochka. net When examining a woman, it is necessary to find out the nature of these secretions (serous, hemorrhagic, dairy), they appear only when pressed or stand out independently, their appearance is associated with menstruation or is constantly noted if there is a palpable formation in the breast. An important issue is the use of a patient with hormonal contraception or HRT.
Spontaneous discharge from one nipple, one of the lacteal ducts (serous-hemorrhagic or hemorrhagic) is characteristic of intraprostatic papilloma, and sometimes occurs with intracapsular breast cancer. In this case, the tumor can not be palpated. For diagnostics apply doktografiyu, cytological study of secretions (maloinformativno). As with a benign tumor, and with a suspicion of a malignant process, surgical treatment.
Spontaneous discharge (one- and two-sided) in the reproductive age, which are associated with menstruation, usually occur with mastopathy. Greenish or brown discharge.
In the event that the affected duct is not detected and there is no volume formation in the breast, a mammogram and a weekly palpation of the glands should be prescribed within a month. If the selection does not disappear, a biopsy is performed.
Purulent discharge suggests mastitis.
Galactorrhea is the secretion of milk, colostrum or milk-like fluid from the mammary glands. Galactorrhea is the norm in the case of pregnancy and childbirth and is a pathological condition:.
in the case of a non-pregnant woman and not associated with lactation;.
in case it lasts for 5 months. and more after the end of feeding the child.
It is known that lactation is regulated by several hormones. First of all, it is prolactin. This hormone is released in the pituitary gland - one of the main glands of internal secretion. In the regulation of lactation involved growth hormone (somatotropin), thyroid hormones (thyroxine), insulin, adrenal hormones (cortisol), as well as estrogens that are released in the ovaries.
The galactorrhea can have a different degree of severity - from small periodic discharges (excretion of 1-2 drops from the mammary glands with pressure on the mammary gland is the norm) to permanent and abundant. A galactorrhea can be one-sided.
The causes of galactorrhea.
Given the fact that lactation is regulated by several hormones, there are many reasons for the occurrence of galactorrhea. Nevertheless, the cause of the galactorrhea is often not clear. This type of secretion is called an idiopathic galactorrhea.
Among other causes of this condition is the following:.
tumors of the pituitary gland (prolactinoma, somatotropinoma);.
disorders of the hypothalamus (tumors of the hypothalamus, compression from the outside, trauma);.
long-term use of certain drugs (chlorpromazine, methyldofa, morphine, some oral contraceptives, metoclopramide);.
thyroid disease (hyperthyroidism, hypothyroidism);.
adrenal gland diseases (Addison's disease, adrenal tumors that release estrogens);.
reflex activation (sucking or mechanical stimulation of the mammary glands, stimulation of the breast nerve during operations, after injuries, burns, with shingles, mastitis);.
liver and kidney damage (hepatic and renal insufficiency);.
ovarian diseases (PCOS).
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