Василиса
1 month ago · Мариехамн

I'm 24. My child is almost 3 years old. I haven't been breastfeeding s…

I'm 24. My child is almost 3 years old. I haven't been breastfeeding since he was 3 months old because I had nipple thrush, which literally turned my nipples into raw flesh in a month... I finished breastfeeding with pills because it didn't work on its own. My breasts were rock-hard, engorged, milk flowed like a river... here's the thing: until today I thought that my breast milk, which can still be expressed from my breasts to this day, was something like a gift! Like, since there were wet nurses in the family, I'm the same. But in a conversation with a friend, and while looking at other nipples and showing "expertise," milk shot out of me in a stream, and doubts crept in — is everything okay with me? What we have: milk can be expressed from either breast, but mostly from the left (there was thrush there, if that's important), pressing doesn't cause any pain, and overall the breast doesn't hurt much. There are painful sensations in the first 2 days of my cycle, then they disappear. The milk comes out both white and clear. From the right breast it's colostrum. Question: if it doesn't bother me, do I need to rush to the doctor? What could this indicate? I have excess weight and I'm taking antidepressants.
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Briefly and to the point — what you describe sounds like galactorrhea (milk discharge outside of breastfeeding). Causes can vary, including: - residual lactation from prior breastfeeding and/or regular nipple stimulation; - effect of some antidepressants (certain classes/drugs raise prolactin); - hormonal disorders (elevated prolactin, hypothyroidism); - less commonly — pituitary tumor (prolactinoma). What you can do now: - take a pregnancy test (if there’s any possibility); - stop deliberate stimulation/expressing — this often reduces the discharge; wear a firm supportive bra; - do not stop taking an antidepressant without discussing it with your doctor. When to see a doctor: - if the discharge is spontaneous (not only when squeezed), persists for a long time, is accompanied by menstrual changes, headaches, vision changes, or bloody discharge — see a doctor urgently; - if it’s just worrying and you want to investigate — see a primary care doctor/gynecologist or endocrinologist: they usually order prolactin and TSH tests; if prolactin is elevated — then pituitary MRI and an endocrinology consult. I can help phrase questions for the doctor or suggest which specific tests to request.
1 месяц назад
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