I am a 30-year-old unmarried woman, and my breast size has decreased from 36 to 34, with some milk discharge. What could be causing this?

A decrease in breast size with unexpected milk discharge may be caused by high prolactin levels, thyroid problems, or other hormonal imbalances, such as those related to polycystic ovary syndrome or oestrogen deficiency. You should see a doctor to determine the underlying cause and guide the appropriate treatment.

I am experiencing milk-like discharge from my breasts even though I am not pregnant and have never been pregnant. My prolactin level is 28.7. Recently, I was treated for a lung infection and was prescribed Zevit and Sompraz D 40. What could be causing this, and what should I do?

Milk-like discharge from the breasts without pregnancy is called galactorrhea and is often related to slightly raised prolactin levels. Your prolactin level (28.7) is mildly elevated and can be influenced by stress, hormonal imbalance, or certain medicines. Sompraz D 40 may contribute, as domperidone can increase prolactin levels, while Zevit is unlikely to be the cause. You should consult a doctor for proper evaluation. Avoid frequent breast stimulation. Treatment depends on the cause, and mild cases may not need medication, but persistent symptoms may require specific treatment.

My 3-year-old daughter is no longer interested in breastfeeding, but my milk production has not stopped. What medicines or methods can help stop breast milk production?

It is normal for milk production to continue for some time even after a child stops breastfeeding, and it usually reduces on its own gradually. To help stop it, avoid breast stimulation (like pumping or frequent checking), wear a firm, supportive bra, and use cold compresses to relieve discomfort. If needed, a doctor may prescribe medicines like Cabergoline to reduce milk production, but this should only be taken under medical guidance.

I took Cabergoline 0.5 mg (two tablets) as advised by my gynaecologist to stop milk production, and it worked initially. However, I am now experiencing watery discharge. Should I take cabergoline again, or is there another solution?

Watery discharge can sometimes occur even after taking Cabergoline, as milk suppression may not be complete or hormones are still settling. You should not take another dose on your own. It is best to consult your doctor, who may check your prolactin levels and decide if a repeat dose or another treatment is needed.

I am 25 years old, have been married for one year, am not using contraception, and have irregular periods. How can I manage my irregular cycle?

You should consult a gynaecologist to identify the underlying cause of your irregular periods, which may include a hormonal imbalance or PCOS. Maintaining a healthy weight, exercising regularly, and following a balanced diet can help, and your doctor may also prescribe medication to regulate your periods.

When I press my breast, liquid comes out. I have been married for 2.5 months. I had an ultrasound scan and a thyroid check-up two weeks ago for abdominal pain, but the reports were normal. What could be causing this problem?

Breast discharge can be caused by elevated prolactin levels, even if your thyroid and ultrasound are normal. You should see a doctor for a blood test to check your hormone levels and determine the exact cause.