Because of chest swelling and pain. I went to the thoracic surgery and the doctor found that there was nipple overflow and did an ultrasound. The ultrasound was done, but it was still lobular enlargement. The doctor said the overflow was not related. After a while, I had a massage at home and found that there was no more overflow. Do you really think it is okay? If a woman has nipple overflow during the non-lactation period, she should look for the cause. If there is still a small amount of milk secretion in both breasts for several months or even years after stopping breastfeeding, and there is no menstrual abnormality and normal lactogen, no special treatment is usually needed. For long term use of contraceptives and before and after menopause may also cause nipple discharge. The most important thing to be aware of is nipple overflow caused by hyperprolactin or breast disease. Generally speaking, nipple overflow caused by hyperprolactin is mostly secretory, i.e. similar to the overflow of breastfeeding. The surgeon should have made a preliminary diagnosis based on your problem and can check the lactogen again, if it is normal you can follow up temporarily and not deal with it. Can hyperprolactinemia or pituitary microadenoma cause headaches? There are many causes of hyperprolactinemia, but in general, elevated prolactin levels or pituitary microadenomas that are not caused by pituitary tumors do not cause headaches. However, if hyperprolactinemia is caused by pituitary macroadenoma or macroadenoma, it can cause headaches due to the tumor’s occupying effect. I am 21 years old and a student. My period is only 2 days long and I have bruising. Today I had a hormone 6 test and my prolactin was 85.83ng|ml. The doctor suggested an enhanced brain CT and the results were impressions: pituitary somatic bulge and slightly high height. The doctor prescribed me: bromocriptine mesylate tablets and VB6. I want to know, is hyperprolactinism curable? Do I have a tumor or not? Your question is rather common. Generally speaking if lab tests reveal an increase in serum prolactin, especially an increase in prolactin between 9-11 am, hyperprolactinemia can be diagnosed. According to your lab results and the general normal reference range, it may have been higher than normal and hyperprolactinemia can be diagnosed. However, there are many causes of hyperprolactinemia, and pituitary prolactinoma is only one of them. At this time, for patients like you whose prolactin level has not reached 100ng/ml, careful history taking, physical examination, some hormone tests, gastric stimulation test (a method to identify whether it is a prolactinoma by drug stimulation) and pituitary MRI enhancement examination may be needed to further understand the cause of the disease. CT alone may not be sufficient. If there is no macroadenoma in the pituitary gland, no menstrual disorders (referring to cycle disorders, often reflecting ovulation), lactation, etc., you can follow up temporarily. We suggest you to come to the hospital for examination. The previous months’ menstrual flow suddenly decreased, and something like milk came out from both breasts when squeezed. I went to the hospital for sex hormone 6 test and the results were prolactin 30.79ng/ml, estradiol >4300pg/ml, testosterone 2.58ng/ml, progesterone 0.82ng/ml, luteinizing hormone 2.51mIU/ml, follicle stimulating hormone 9.90mIU/ml. why is this? I want to have a baby, can I be cured? From the laboratory values according to our empirical reference range, the prolactin should not be high. If there is a decrease in menstrual flow, especially a disturbance of the cycle, it is recommended to visit the obstetrics and gynecology department for further consultation and treatment. For breast overflow the cause has been mentioned before, it is recommended to come to the hospital for examination. Hello doctor, are there any other distinctive features of hyperprolactinemia besides unmarried milk secretion? In women, hyperprolactinemia may manifest clinically as menstrual changes and infertility, breast overflow, usually accompanied by weight gain, and in a few patients, hirsutism, seborrhea and acne. In addition to women, men can also have hyperprolactinemia, which is often characterized by erectile dysfunction, decreased libido, spermatorrhea, male infertility, decreased secondary sexual characteristics including slower growth of the beard, forward movement of the hairline, thinning of pubic hair, softening of the testicles, muscle relaxation, and in many cases, male breast development. In addition, hyperprolactinemia caused by pituitary tumors may manifest as headaches, vision loss, visual field defects and other cranial nerve compression symptoms, seizures, and nasal leakage of hydrocephalus due to the tumor’s occupying effect. Is there any danger of high prolactin in women? Is it directly related to hyperprolactinemia? When prolactin is mildly elevated, recurrent spontaneous abortions can occur due to luteal insufficiency, and with further elevation of serum prolactin levels, ovulation disorders can occur, with clinical manifestations of dysfunctional uterine bleeding, menstrual sparseness or amenorrhea, and infertility. In addition, hyperprolactinemia may also manifest as breast milk overflow during non-pregnancy and non-lactation periods. It is usually accompanied by weight gain and, in rare cases, hirsutism, seborrhea and acne. Prolonged hyperprolactinemia can also lead to progressive bone pain, decreased bone mineral density, and osteoporosis due to low estrogen levels. In addition, recent studies have shown that it may also be associated with a number of metabolic disorders. All of these hazards are directly related to hyperprolactinemia.