Benign galactorrhea/breast discharge in adolescent males probably due to breast self-manipulation

J Adolesc Health Care. 1984 Jul;5(3):210-2. doi: 10.1016/s0197-0070(84)80045-5.

Abstract

Three adolescent males presented with nipple discharge. In two boys, the expressed secretion was clinically consistent with galactorrhea. Galactorrhea/breast discharge is a rare complaint in males of any age. Although galactorrhea is commonly associated with a neuroendocrine disorder or drug ingestion, the work-up in each, including basal prolactin level, was normal. Reluctantly, each by admitted to breast self-manipulation to reduce gynecomastia. When the behavior was discontinued, the galactorrhea/breast secretion ceased. Clinicians should be aware of this heretofore undescribed and apparently benign phenomenon. If basal hyperprolactinemia is absent in a male with a breast discharge and a history of breast manipulation, then an extensive work-up is not usually indicated.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Breast*
  • Female
  • Follicle Stimulating Hormone / blood
  • Galactorrhea / etiology*
  • Gynecomastia / diagnosis
  • Humans
  • Lactation Disorders / etiology*
  • Luteinizing Hormone / blood
  • Male
  • Palpation*
  • Pregnancy
  • Prolactin / blood

Substances

  • Prolactin
  • Luteinizing Hormone
  • Follicle Stimulating Hormone