Why am I having milky and clumpy discharge from my breast?

Hello,

Welcome to icliniq.com.

I understand your concern.

Let me give you basic facts about PCOD (polycystic ovarian disease). This is a congenital condition; I mean it is a genetically programmed condition. You get it from your parents. When you suddenly put on weight, this cholesterol is converted into the estrogen hormone. In your body too, when fat, which is a store for tomorrow, is more than normal, this is converted to the hormone that tips the balance between FSH (from the brain) and the ovarian hormone. FSH (follicle-stimulating hormone), as the name suggests, stimulates the follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused, and follicle growth stops early at a smaller follicle size and will not rupture. At the next scan, you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly.

You develop that extra pad of fat around the mid-segment of the body, especially the waist, thigh, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast. May have a family history of diabetes, especially father or his family. This will not allow ovulation to occur at any time and so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. But this has a solution.

Once you reduce weight to the normal range, you will not need any medicine to get periods or to get pregnant and pregnancy will be healthy.

To reduce weight -

1. Avoid junk food, fast foods, and red meat, reduce snacks in between meals, never overeat, and eat a lot of raw fruits and vegetables. Cooking will break their fibers (fibers will reduce cholesterol).
2. Have low calories food, high proteins, egg white, sprouts, chicken meat only (no fat or liver, etc), and milk without cream.
3. Practice regular exercise aerobics, yoga, and brisk walking.
4. Give exercise to those parts of the body where you feel the fat is more. So any exercise of your choice can be done.

In this condition, there will be thyroid hormone abnormality, which indirectly alters the prolactin hormone and can stimulate milk production. As your blood level of prolactin was normal, just forget it. No need for follow-up, reduce weight, and do not keep checking on and off if any milk is coming. Use a tight bra, so that breasts do not sag. It will be gone in a few weeks. Can have vitamin E capsules.

Your ovaries are bulky, not PCOD.

Before treatment confirm that you are not pregnant.

1. Take a tablet Fluconazole 150 mg after lunch.
2. Take tablet Azithromycin 1 gm of before lunch.
3. Take tablet Secnidazole forte (nitroimidazole anti-infective) 2 tablets after dinner.

Adenomyosis- Every month as blood comes out of the cervix in periods, some amount enters the wall of the uterus, and gradually the size of the uterus increases. Pain and bleeding during periods also gradually increase. If you have no symptoms and only a scan finding, just forget it. Once periods stop, this will disappear. Have a tablet of Sevista 60 mg twice a week for 5 to 10 years; by then you will enter menopause. This medicine has no side effects and is not costly.

Hope I have clarified your query. Do write back if any more queries.

Thank you.