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What Causes Clear White Nipple Discharge While Treating PCOS?

Posted on Wed, 6 Apr 2016

Question: 39 woman 315lbs diagnosed with PCOS. I take lexapro for anxiety, omnapralzol (spell?) for acid reflux or something like that, medroxyprogesterone to bring on period every couple months. Previous fasting labs high liver enzymes, insulin high. What causes clear white milk like nipple discharge when I squeeze nipples? Both nipples do it sometimes

Answered by Dr. Ramadevi Wani (43 minutes later)

Brief Answer:
Get your prolactin and thyroid hormones tested.

Detailed Answer:
Hi,
Welcome to Healthcare magic.
I am Dr Ramadevi Wani. I will be answering your concerns today.
You need to get your prolactin hormone checked. Increased prolactin secretion( hyperprilactinemia) can cause milk secretion from the breast.
Usually women with PCOS have increased possibility of having decreased thyroid function ( hypothyroidism). This can also cause increased prolactin secretion resulting in milk secretion from the breast. So get your thyroid hormones tested.

The medications you are using for anxiety and acid reflux can also cause milk secretion from the breast. Discuss with your doctor and shift to safer alternatives.
I hope this is helpful. If you have further concerns do write to me. I will be happy to answer.
Best wishes
Dr Rama

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ramadevi Wani (7 minutes later)

my medications can cause that? Previous labs showed high liver enzymes (75), high insulin, normal thyroid and everything else. Can pcos cause? my age? I have 3 kids. Do I still have PCOS with normal vaginal ultrasound? Should I freak out?

Answered by Dr. Ramadevi Wani (12 minutes later)

Brief Answer:
Details below

Detailed Answer:
Hi
Welcome back.
Yes the medicines you are taking can cause milk secretion from the breast.
Which liver enzymes were high? and how high are they?
It is good to know that you have normal thyroid function. Check the prolactin hormone.
Yes one can have PCOD with normal ultrasound of the ovary.
There is no need to freak out. What is your BMI? First reduce your weight. Follow a healthy life style. Reducing the weight sets many things right for PCOD women. Do check your blood sugar by oral glucose tolerance test every year as women with PCOD are more prone to develop diabetes.
If you have further queries, do write to me.
Best wishes
Dr Rama

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ramadevi Wani (3 hours later)

XXXXXXX labs fasting ALT 76 Insulin 46
July labs not fasting ALT 106 AST 76 Glucose 150

Answered by Dr. Ramadevi Wani (8 hours later)

Brief Answer:
Reduce weight.

Detailed Answer:
Hi,
Welcome back.

Your insulin level is high. It suggests that you are at risk of developing diabetes. Please get a oral glucose tolerance test done along with fasting lipid profile.

The liver enzymes are slightly high but not significant. This could be due to obesity too. Get started with your determination to reduce weight. Follow healthy lifestyle. Repeat the liver function tests after 3 months. Based on those results I can tell you whether you need further tests or follow up.

I hope this is helpful.
Best wishes,
Dr Rama

Above answer was peer-reviewed by : Dr. Deepak