Why is there a persistent nipple discharge despite medicine?

Hello,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

As you have already taken medications for high prolactin levels, still after medication, you are experiencing breast discharge. So, it is better to consult an endocrinologist to either recheck prolactin or its excessive secretions and breast discharge and get treatment accordingly. In cases of high prolactin, if not drug-induced, mostly an endocrinologist's advice is to do an MRI (magnetic resonance imaging) brain to exclude any space-occupying lesions in the brain. So if all other hormonal tests are normal, other hormonal imbalances might be present. I suggest the following:

• You would need an MRI of the brain to check for any tumor or any space-occupying lesion that is the cause of increased prolactin.
• Try to have normal regular cycles even for one or two cycles. I suggest you can have combined oral contraceptive pills (COCP) if you want to regulate cycles, but they will act as contraceptives. You can only try for conception after stopping COCPs.
• Have sex in fertile periods of the cycle.
• Folic acid daily 0.4 mg if there are no chronic health issues. If yes, then you can have 5 mg daily.
• Follow a healthy diet with lots of fruits, vegetables, and water with less salt, sugar, oil, and spice.
• Follow regular walking and yoga to have a normal BMI (body mass index) and weight.
• Engage in recreational activities and quit recreational drugs as a couple, as these reduce fertility and increase the risk of congenital anomalies.
• If there are any other health issues, try to have full treatment for them.
• Continued check-ups and consultations with endocrinologists are required in case prolactin increases.

I hope you get my point.

Best of luck.