GALACTORRHOEA

DR.Abdiaziz Hakiye MBBS AU

6/8/2020 DR.Abdiaziz Hakiye

MBBS AU
• ♦ It is secretion of milk not related to pregnancy or
lactation.
• ♦ It is always bilateral.

6/8/2020 DR.Abdiaziz Hakiye

MBBS AU
 Primary galactorrhoea is due to:

• Stress and other factors.

• It is physiological in puberty or menopause.
• Reassurance is the treatment.

6/8/2020 DR.Abdiaziz Hakiye

MBBS AU
 Secondary galactorrhoea is due to:

• Drugs (Dopamine receptor blocking agents):

 haloperidol,
 methyldopa,
 chlorpromazine,
 metoclopramide or

6/8/2020 DR.Abdiaziz Hakiye

MBBS AU
• Drugs like :

 oral contraceptives,
 atenolol,
 clonidine,
 ranitidine.

6/8/2020 DR.Abdiaziz Hakiye

MBBS AU
• TUMORS : like pituitary tumours : Hyperprolactinaemia .
(It enhances the prolactin activity.)
• Ectopic prolactin secreting tumours usually from lungs
(bronchogenic carcinoma).

6/8/2020 DR.Abdiaziz Hakiye

MBBS AU
• Medical conditions:

• Chronic renal failure.

• Hypothyroidism.

6/8/2020 DR.Abdiaziz Hakiye

MBBS AU
 Management

• Estimation of serum prolactin, T3, T4, TSH,

• CT/MRI head.
• Bromocriptine therapy.

6/8/2020 DR.Abdiaziz Hakiye

MBBS AU
• Treatment of cause.
• Causative drug should be stopped and
• different drugs should be used for the needed condition.

6/8/2020 DR.Abdiaziz Hakiye

MBBS AU
•THE END
6/8/2020 DR.Abdiaziz Hakiye
MBBS AU