Can a cyst in the right breast cause pain and discharge?

Question

Hi doctor,

For the past two months, I have had ongoing right breast pain. It first began as sharp stabbing pain that would last only a few seconds. Now I am getting some nipple discharge and a burning sensation. When I spoke with my doctor about it, she said it might happen sometimes. I had some blood work done for my hormones, which confirmed my testosterone was high. I have attached my hormone test report for your reference. I am taking now Estradiol 2 mg, Progesterone 80 mg, and Testosterone 2 mg, applying 1 cc to the inner thigh daily.

My previous history includes a complex ovarian cyst, hypertrophy of the uterus, dysmenorrhea, menorrhagia, and hair loss. Should I get further testing from another doctor? Last year, it was confirmed on ultrasound that I have two cysts in my right breast. Could this be the cause of my issues? Sometimes, applying a heat pad to my right breast helps. At times, it swells up so large that I feel like it is going to burst. This is concerning me.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com. Breast pain, nipple discharge, and cysts could be due to hyperprolactinemia. I do not see a prolactin level in your report (attachment removed to protect patient identity). Do you have a family history of breast cancer? Do these cysts develop even when you are off the hormones? Did the breast discharge start after you took the hormones?

I would suggest being seen by an endocrinologist for hyperprolactinemia. This test should be done off hormones since they can alter the result. You may also benefit from draining the breast cyst if you still have them, and sending it for further testing. This is typically done by an intervention radiologist, ultrasound-guided guided or by a breast surgeon. Check prolactin level and repeat ultrasound of the breast (if the last one was more than six months ago). Try vitamin E, and also continue other medications.

I hope this helps.

Thank you.