galactorrhea
Definition
abnormal discharge of milk from the breast in the absence of pregnancy or lactation
Clinical context
A 28-year-old woman presents to the clinic complaining of milky discharge from both breasts for the past 3 weeks. She is not pregnant and has not given birth, and her last menstrual period was 6 weeks ago. She denies any trauma to the chest and reports no pain with the discharge. On examination, clear discharge can be expressed from both nipples with gentle compression.
Mnemonic
GALACTORRHEA - Good Always Lactates After Cesarean, But Actually Has Hyperprolactinemia