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Nipple Discharge

The vast majority of nipple discharges are benign; however, unilateral bloody discharge must always be investigated.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Nipple Discharge?

Nipple discharge is the appearance of fluid from the nipple outside the breastfeeding period. It is common in the general population and is mostly benign. Physiological discharges are usually bilateral, from multiple ducts in both breasts, and usually elicited by stimulation (squeezing, sexual stimulation, friction from clothing).

Pathological discharges are unilateral, from a single duct, spontaneous, yellow-green-bloody in color, and persistent. In galactorrhea, milk-like discharge may be due to elevated prolactin or medication use.

Diagnosis includes detailed history, breast examination, mammography, ultrasonography, and ductography. MRI and ductal excision are planned if needed. Causes include intraductal papilloma, ductal ectasia, breast cancer, and hormonal changes.

Symptoms

Unilateral nipple discharge
Bloody or serous-colored discharge
Spontaneous (occurring on its own) discharge
Persistent discharge from a single duct
Breast pain or mass
Nipple retraction
Axillary lymphadenopathy

Risk Factors

Advanced age
History of previous breast cancer
Hormonal changes
Drugs causing elevated prolactin
Pituitary adenoma
Smoking

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Unilateral, spontaneous bloody discharge
  • Discharge with breast mass
  • Accompanying nipple retraction or skin changes
  • Galactorrhea with menstrual irregularity
  • When axillary lymphadenopathy is detected

Treatment Methods

01
Detailed breast examination
02
Mammography and breast ultrasonography
03
Ductography or breast MRI
04
Prolactin level and pituitary MRI (in galactorrhea)
05
Microdochectomy for intraductal papilloma
06
Biopsy and surgery for suspicious lesions

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.