Pathological Breast Milk Discharge (Galactorrhea): Medical History

Medical history (history of illness) represents an important component in the diagnosis of galactorrhea (abnormal breast milk discharge).

Family history

Social history

  • Is there any evidence of psychosocial stress or based on your family situation?

Current medical history/systemic history (somatic and psychological complaints).

  • How long has the discharge been present?
  • What does the discharge look like? Clear, purulent, bloody, multicolored?
  • Is the breast increased tenderness?
  • Does the discharge occur on both sides?
  • When was your last menstrual period? At what intervals does your period occur?
  • Is your libido affected?
  • Do you experience headaches or visual disturbances* ? If so, do these occur regularly?
  • Do you suffer from nausea and vomiting?
  • Do you suffer from fatigue, adynamia?
  • Have you noticed any other symptoms such as pain, fever or changes in the chest?

Vegetative history including nutritional history.

  • Have you gained body weight unintentionally?

Self history including medication history.

  • Pre-existing conditions (diseases of the breast, hormonal disorders, chronic renal insufficiency (kidney weakness)).
  • Operations
  • Radiotherapy
  • Vaccination status
  • Allergies
  • Pregnancies
  • Medication history

Medications that may lead to hyperprolactinemia (There is no claim to completeness!):