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How To Produce Breast Milk While Not Pregnant Without Medication
Lactation is common after a woman has given birth, and it can sometimes occur during pregnancy too. However, it is possible for both women and men to produce a milky discharge from one or both nipples without being pregnant or breastfeeding.This form of lactation is called galactorrhea. Galactorrhea is unrelated to the milk that a woman produces when breastfeeding.People may worry about unexpected nipple discharge, but there is no link between galactorrhea and breast cancer.In this article, learn about the possible causes of lactating without being pregnant or breastfeeding, as well as when to see a doctor.The hormone prolactin causes lactation during pregnancy and while breastfeeding. People who have galactorrhea may produce too much prolactin.The pituitary gland, which is a small gland at the base of the brain, makes and regulates prolactin and several other hormones.Problems with the pituitary gland, such as a noncancerous tumor or another pituitary disorder, can sometimes cause people who are not pregnant to lactate.Other causes of galactorrhea include:excessive breast and nipple stimulationmedications, including antipsychotics, antidepressants, and drugs for high blood pressurean underactive thyroidchronic kidney diseasenerve damage to the chest from an injury or surgerysome types of hormonal birth controlspinal cord surgery or injuryuse of marijuana, opioids, or cocainesome herbal supplements, including fenugreek, anise, or fenneltestosterone deficiency in menhigh levels of estrogen in newbornsIn rare cases, people may lactate due to an emotional response to an unrelated baby. One study described a young woman with type 1 diabetes whose nipples produced milky discharge under gentle pressure when she was near an unrelated newborn.Her symptoms went away when she was no longer near the baby. Doctors ruled out all possible biological causes for lactation. In this case, researchers believe that her lactation was due to an emotional response to the baby.Sometimes, doctors cannot pinpoint the underlying cause of galactorrhea. In these cases, the condition is called idiopathic galactorrhea.People with idiopathic galactorrhea might have breasts that are overly sensitive to prolactin, meaning that even normal levels of the hormone might trigger them to produce a milky discharge.The signs and symptoms of galactorrhea may vary depending on the underlying cause, but they typically include:persistent or sporadic milky discharge from the nipple on one or both breastsleaking from the nipples, either spontaneously or due to manual stimulationirregular periodsheadaches or visual disturbancesMen with galactorrhea may also experience the following symptoms:enlarged breast area around the nipplestenderness in the breast areaerectile dysfunctionloss of sexual desireDiagnosing the cause of lactation when a person is not pregnant or breastfeeding can be challenging.During the examination, the doctor will take a medical history and review any medications that the individual is taking.They may also order other tests, including:a pregnancy testblood tests to check the levels of prolactin and thyroid-stimulating hormone (TSH)laboratory analysis of the breast milk to check for fat cells and confirm galactorrheaan MRI scan of the brain to check the pituitary gland, particularly if blood tests reveal elevated prolactin levelsan ultrasound or mammogram of the breastsTreatment for galactorrhea depends on the underlying cause. Not all cases of galactorrhea will need treating.In some cases, people can manage the symptoms with lifestyle modifications, such as minimizing nipple stimulation, avoiding tight clothing, and wearing padded inserts inside a bra to soak up any discharge.Where treatment is necessary, it will center on resolving the underlying cause of lactation. Treatment may include:changing medicationstreating an underactive thyroid with a thyroid-stimulating medicinesurgical removal of any tumors affecting the pituitary glandtestosterone replacement therapyA person should never change medications without talking to a doctor first. A doctor will be able to recommend replacements and monitor any potential side effects.Lactating while not pregnant or breastfeeding is called galactorrhea. It has a variety of causes and associated symptoms.Not all causes of galactorrhea are serious, but diagnosis can occasionally be challenging. Anyone experiencing symptoms of galactorrhea should speak to a doctor.
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