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Lactating, Never Been Pregnant
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An_249224 posted:
I'm 19 years old and have never been pregnant. I'm not on any type of birth control and use condoms every time I have sex. I have taken more than one pregnancy test in the last week, so I am absolutely positive I am not pregnant. Three years ago, I noticed a small, circular lump (pea sized) in my right breast. I went to my gyno and she said she believed it was a small cyst that was blocking a milk duct and that it would go away with time. I have carefully monitored it for any growth since then and it hasn't seemed to get any larger, but it has never gone away. Recently, creamy/white discharge has been coming from the breast with the cyst in it. The breast is sensitive to touch and has become very uncomfortable. Is there anything I can do to make this go away?
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Jane Harrison Hohner, RN, RNP responded:
Dear An: No, this is not a candidate for self treatment--unless your GYN recommends something like warm/moist packs. Nipple discharge such as you have described can arise from a benign pituitary adenoma in the pituitary gland. Yet usually a pituitary problem will trigger nipple discharge from both breasts.

One can also have nipple discharge from a lesion. The most common lesion would be a galactocele. Here is the best description of this I could find:

http://www.wisegeek.com/what-is-a-galactocele.htm

As you can note An_249224, these are more common after breastfeeding, but can occur without having been pregnant. I would urge you to return to your GYN about the nipple discharge. She can do a blood test for the pituitary cause (if indicated) and/or do an ultrasound of the breast (if indicated). The new onset breast tenderness needs to be evaluated in context with the discharge.

Yours,
Jane


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