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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Excretion Of Milk From Breasts?

i am 26 had my 3rd child 2 and a half years ago i did not breast feed i am producing milk now for about 3 months i am not pregnant done a test my doctor has done a blood test for hormones which are normal i have the mirena coil fitted 4 months ago what can cause this?
Tue, 25 Aug 2020
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OBGYN 's  Response
Hi,

According to the description I am assuming that you might have undergone investigations like thyroid profile and serum prolactin levels with your doctor's advice and they are normal. The other possible factors for your galactorrhea are:
- Rarely intrauterine contraceptive devices like Mirena which contain levonorgestrel may lead to galactorrhea by affecting the dopamine levels.
- Continuous friction on the nipple and areola due to the tight fitted clothes or frequently checking for the discharge can also lead to secretion and its persistence.

The possible factors that can help you are: clinical examination and investigations like serum prolactin levels, serum dopamine levels and sonomammography can help to find out the possible cause of the problem. In case of abnormal dopamine levels dopamine agonists can help in treating the problem. So, please discuss these things with your doctor and proceed accordingly.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sree Gouri S. R., OBGYN
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What Causes Excretion Of Milk From Breasts?

Hi, According to the description I am assuming that you might have undergone investigations like thyroid profile and serum prolactin levels with your doctor s advice and they are normal. The other possible factors for your galactorrhea are: - Rarely intrauterine contraceptive devices like Mirena which contain levonorgestrel may lead to galactorrhea by affecting the dopamine levels. - Continuous friction on the nipple and areola due to the tight fitted clothes or frequently checking for the discharge can also lead to secretion and its persistence. The possible factors that can help you are: clinical examination and investigations like serum prolactin levels, serum dopamine levels and sonomammography can help to find out the possible cause of the problem. In case of abnormal dopamine levels dopamine agonists can help in treating the problem. So, please discuss these things with your doctor and proceed accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sree Gouri S. R., OBGYN