Galactorrhoea

Causes

Appropriate Tests

 

Clinical assessment, including drug history, presence of features suggesting hypothalamic/pituitary disorder.

Although galactorrhoea may occur with normal prolactin levels, it is usually associated with hyperprolactinaemia: Prolactin, if appropriate.

See also Pituitary hormone excess.

Drugs

  • Phenothiazines
  • Metoclopramide
  • H2 receptor antagonists
  • Oral contraceptives
  • Digoxin
  • Methadone
  • Sprironolactone

 

Pituitary tumor

  • Prolactinoma

See Pituitary hormone excess - Prolactin

Hypothyroidism

 

Local breast lesion/irritation

 

Renal failure - chronic

 

Idiopathic

 

Autonomous prolactin secretion