True about galactorrhoea :
Correct Answer: Surgery done
Description: Surgery done Galactorrhea refers to mammary secretion of milky fluid which is not physiological (not related to pregnancy or needs of child) and is persistent and sometimes excessive. Colour of fluid : Usually white, but can be yellow/green (local breast disease). Hormonally induced secretions come from multiple duct openings in contrast to pathological discharge that usually comes from a single duct. lt can be bilateral or unilateral Any galactorrhea demands evaluation in a multiparous woman and if atleast 12 months have elapsed since the last pregnancy or weaning in a parous woman. Differential diagnosis of Galactorrhea : The bastc mechanism ts tncteased release ol prolactin or depletion of dopamlne. Due to Disordsrs Drug Induced Pituitary tumorso : Micro / Macro adenoma Hypothyroidism Prolonged intensive suckling. Similar effect is seen in : ThoracotomY scarso,Cervical spine lesiono, Herpes zoster, stresso Hypothalamic lesions / stalko lesions or compressions Non pituitary sources like : Lung tumor' Renal tumor, Uterine leiomyoma, Severerenal disease requiring hemodialysis Drugs which inhibit hypothalamic dopamine viz Phenothiazines Reserpineo Amphetamineo Opiates Diazepamo Butyrophenoneo a methyl dopa Tricyclic antidepressanto Excessive estrogen like OCP's Clinical problem of Galactorrhea : The clinical problems related to galactorrhea are related to hyperprolactinemia like : Menstrual cycle disturbanceso leading to oligo-ovulation, corpus luteum insufficiency and amenorrhea. Mild hirsutism.o HYPerinsulinemia.o Treatment of Galactorrhea : Ireatment of Choice / Drug of Chorbe : Dopamine agonists viz Bromocriptine / Pergolide / Cabergoline. ln case of pituitary tumors : Treatment of Choice is medical management with dopamine agonist but incase medical management tails, Transsphenoidat resection of tumor can be done which is more successfulin case of Microprolactinomas than larger tumors (Macro Protactinomas Surgery is one of the treatment modalities but not the IoC and since no other option is conect so, for thisquestion it is our option of choice.
Category:
Gynaecology & Obstetrics
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