Pathological Breast Milk Discharge (Galactorrhea): Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification.

  • Small blood count
  • Inflammatory parameters – CRP (C-reactive protein).
  • Hormone diagnostics
    • Stage I
      • Prolactin*
      • Estradiol (E2)
      • Progesterone (only in the second half of the cycle).
      • LH
      • FSH
      • TSH
    • Stage II
      • TRH-TSH test
      • Prolactin stimulation test with MCP
  • Smear – cytological diagnostics (in the case of purulent secretion also microbiological diagnostics).
  • Pregnancy test (quantitative HCG).

Notice. * Values above 200 ng/ml (= μg/L) are almost always conclusive for prolactinoma; elevated prolactin levels up to 200 ng/ml may be due to a microadenoma, among other causes.