Epistemis

Galactorrhea

Specialty: Endocrine and metabolic.

  • discharge from the nipple
  • milk outside of breastfeeding

Why it occurs

  • Hyperprolactinemia (prolactinoma)
  • Drugs (antipsychotics, metoclopramide)
  • Hypothyroidism
  • Breast stimulation

Initial workup

Pregnancy, prolactin and TSH test; review medications; Pituitary MRI if prolactin is very high.

red flags

Galactorrhea with amenorrhea and visual field alteration (macroprolactinoma).

Standard management

  • Dopamine agonist — cabergoline in prolactinoma
  • Review/remove offending drugs

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousCushingoid Facies
Area
Endocrine and metabolic
Listed causes
4
Treatment options
2
Download Epistemis