HomeAnswersObstetrics and Gynecologynipple dischargeI have nipple discharge due to high prolactin. Please help.

Why is there a persistent nipple discharge despite taking medication for high prolactin levels?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At April 21, 2023
Reviewed AtJanuary 30, 2024

Patient's Query

Hello doctor,

I have been trying to conceive for two years now. I also have a nipple discharge due to high prolactin. I did a hormonal profile and HSG recently, and the result shows I have a slightly elevated prolactin. I was placed on Bromegon for 30 days, but my nipple still discharges clear liquid. Could this be the cause of my delay in conceiving? My HSG stated that there was no problem with my tubes.

Answered by Dr. Uzma Arqam

Hello,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

As you have already taken medications for high prolactin levels, still after medication, you are experiencing breast discharge. So, it is better to consult an endocrinologist to either recheck prolactin or its excessive secretions and breast discharge and get treatment accordingly. In cases of high prolactin, if not drug-induced, mostly an endocrinologist's advice is to do an MRI (magnetic resonance imaging) brain to exclude any space-occupying lesions in the brain. So if all other hormonal tests are normal, other hormonal imbalances might be present. I suggest the following:

  • You would need an MRI of the brain to check for any tumor or any space-occupying lesion that is the cause of increased prolactin.
  • Try to have normal regular cycles even for one or two cycles. I suggest you can have combined oral contraceptive pills (COCP) if you want to regulate cycles, but they will act as contraceptives. You can only try for conception after stopping COCPs.
  • Have sex in fertile periods of the cycle.
  • Folic acid daily 0.4 mg if there are no chronic health issues. If yes, then you can have 5 mg daily.
  • Follow a healthy diet with lots of fruits, vegetables, and water with less salt, sugar, oil, and spice.
  • Follow regular walking and yoga to have a normal BMI (body mass index) and weight.
  • Engage in recreational activities and quit recreational drugs as a couple, as these reduce fertility and increase the risk of congenital anomalies.
  • If there are any other health issues, try to have full treatment for them.
  • Continued check-ups and consultations with endocrinologists are required in case prolactin increases.

I hope you get my point.

Best of luck.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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