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Galactorrhea (also spelled galactorrhoea) (galacto-+ -rrhea) or lactorrhea (lacto-+ -rrhea) is the spontaneous flow of milk from the breast, unassociated with childbirth or nursing. Galactorrhea is reported to occur in 5–32% of females. Much of the difference in reported incidence can be attributed to different definitions of galactorrhea. [1]
Galactorrhea is generally considered a symptom which may indicate a more serious problem. Collection of a thorough medical history , including pregnancies , surgeries, and consumption of drugs and medications is a first step in diagnosing the cause of galactorrhea.
For instance, many pre-menopausal women experiencing hyperprolactinemia do not experience galactorrhea and only some women who experience galactorrhea will be diagnosed with hyperprolactinemia. Thus, galactorrhea may be observed in individuals with normal prolactin levels and does not necessarily indicate hyperprolactinemia. [ 9 ]
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In breastfeeding women, low milk supply, also known as lactation insufficiency, insufficient milk syndrome, agalactia, agalactorrhea, hypogalactia or hypogalactorrhea, is the production of breast milk in daily volumes that do not fully meet the nutritional needs of her infant.
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Galactosemia can be detected through NBS before any ingestion of galactose-containing formula or breast milk. Detection of the disorder through NBS does not depend on protein or lactose ingestion, and, therefore, it should be identified on the first specimen unless the infant has been transfused. A specimen should be taken prior to transfusion.