Question
True about galactorrhoea :
| A. |
Found in pregnancy and lactation |
| B. |
Always B/L |
| C. |
Surgery done |
| D. |
A/w adrenal gland tumor |
Show Answer
|
Correct Answer � C Explanation |
 |
Ans. is C. i.e. Surgery done
Galactorrhea refers to the mammary secretion of milky fluid which is not physiological (not related to pregnancy or needs of the child) and is persistent and sometimes excessive.
- Color of fluid: Usually white, but can be yellow/green (local breast disease).
- Hormonally induced secretions come from multiple duct openings in contrast to pathological discharge that usually comes from a single duct.
- lt can be bilateral or unilateral
- Any galactorrhea demands evaluation in a multiparous woman and if at least 12 months have elapsed since the last pregnancy or weaning in a parous woman.
Differential diagnosis of Galactorrhea :
The basic mechanism is increased release of prolactin or depletion of dopamine.
| Due to Disorders | Drug-Induced |
|
|
The clinical problem of Galactorrhea :
The clinical problems related to galactorrhea are related to hyperprolactinemia like :
- Menstrual cycle disturbances leading to oligo-ovulation, corpus luteum insufficiency, and amenorrhea.
- Mild hirsutism.
- HYPerinsulinemia.
Treatment of Galactorrhea :
- Treatment of Choice / Drug of Choice : Dopamine agonists viz Bromocriptine / Pergolide / Cabergoline.
- ln case of pituitary tumors: Treatment of Choice is medical management with dopamine agonist but in case medical management tails, Transsphenoidat resection of the tumor can be done which is more successful
- In the case of Microprolactinomas than larger tumors (Macro Protactinomas)
- Surgery is one of the treatment modalities but not the Treatment of choice and since no other option is correct so, for this question, it is our option of choice.
