GALACTORRHOEA: WHAT YOU NEED TO KNOW. | Dr. Yeibake Weriwoyingipre Silver

Galactorrhoea is a medical condition characterized by the spontaneous flow of milk from the breast, unrelated to pregnancy or breastfeeding. This condition can occur in both women and men and may be a symptom of an underlying issue.

There are several potential causes of galactorrhea, many of which are related to hormonal imbalances. One common cause is an overproduction of prolactin, a hormone responsible for stimulating milk production. Prolactinomas, which are noncancerous tumors of the pituitary gland, can also lead to elevated prolactin levels and subsequent galactorrhea.

Other factors that may contribute to galactorrhea include excessive breast stimulation, and certain medications, such as antipsychotics, antidepressants, and some blood pressure drugs. Hypothyroidism, chronic renal failure, and liver cirrhosis are additional conditions that can lead to galactorrhea. In some cases, the cause is unknown. 

Diagnosing the underlying cause of galactorrhea typically involves a thorough medical history, physical examination, and laboratory tests to measure hormone levels. Imaging studies, such as Magnetic Resonance Imaging (MRI) of the brain, may be performed to identify any potential pituitary abnormalities.

Treatment for galactorrhea focuses on addressing the root cause. In cases where elevated prolactin levels are responsible, medications such as dopamine agonists may be prescribed to lower prolactin levels and reduce symptoms. If a medication is the suspected cause, adjusting the dosage or changing to an alternative medication may be recommended.

It is important for individuals experiencing galactorrhoea to seek medical attention, as this symptom can be indicative of an underlying medical problem. A healthcare provider can provide personalized care and guidance to address the specific cause of galactorrhea and manage any associated concerns.

Dr. Yeibake Weriwoyingipre Silver
Senior Registrar, 
Faculty Of Pediatrics, WACP.

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