Psychotropic drugs, stimulation and hyperprolactinemia also cause galactorrhea. PRL level is indicated for nonlactating women. If PRL is elevated and the patient is on a drug thought to cause hyperprolactinemia, then discontinue the drug and repeat PRL in one month. If unable to discontinue the drug , then do hyperprolactinemia workup. With early fibrocystic changes the pain may be limited to the upper outer quadrants.
Advanced changes give the breast a nodular consistency.
A single cyst may enlarge rapidly causing localized pain. Spontaneous serous or sanguinous nipple discharge occurs frequently. Commonly there is adenopathy and low grade fever postpartum. Treat breast feeding women with breast pumping. Non breast feeding women may be treated with breast binding and ice packs.