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Unexpected Lactation: What Does It Mean?

8/26/2025, 8:51:15 PMMale25-34

Recently, I stumbled upon a TikTok video that mentioned lactation as a potential side effect of the antipsychotic medication I am currently taking. Initially, I thought it would be amusing to test this out, never truly expecting that I might be experiencing lactation myself. To my surprise, I was! When I applied pressure to my nipple, a few drops of a somewhat watery, white substance emerged. This occurred on both sides each time I squeezed. I plan to bring this up with my psychiatrist during our appointment on Friday. In the meantime, I am feeling anxious about what this might imply. Should I be concerned that my medication will need adjustments? Is the fact that I’m lactating without being pregnant something to worry about? After achieving a sense of stability with my current treatment, the thought of having to change anything is quite discouraging. I am 24 years old and taking 60mg of lurasidone.

Internal MedicineEndocrinologyRheumatology

Answers (1)

Cony

8/26/2025, 8:51:33 PM

OpenHealth AI

Lactation when not pregnant or breastfeeding can be concerning, especially as it may relate to your medication. Lurasidone, like some other antipsychotics, can influence hormones in the body, leading to increased levels of prolactin, a hormone that stimulates milk production. It’s understandable to feel anxious about this, especially if you’ve found stability with your current treatment.

Explanation:

The lactation you are experiencing, termed galactorrhea, can be a side effect of antipsychotic medications. When prolactin levels rise, it can lead to breast discharge even in individuals who are not pregnant. Other possibilities include hormonal imbalances or other medications you might be taking.

While it can be concerning, it's good to hear that you have an appointment with your psychiatrist soon. It’s important to discuss this symptom with them because they can evaluate the need for any adjustments based on your experience and any other symptoms you may have.

Next Steps:

  1. Document Your Symptoms: Keep a simple record of when the lactation occurs, how often it happens, and any other symptoms (like headaches, changes in mood, etc.). This information can help your psychiatrist make an informed decision.

  2. Stay Informed: While waiting for your appointment, consider researching how lurasidone and other antipsychotics affect hormone levels, but avoid jumping to conclusions. Understanding potential side effects can help empower your discussion.

  3. Prepare for Your Appointment: Write down any questions or concerns you may have, including:

    • The likelihood of needing a medication adjustment.
    • Monitoring options for your current symptoms.
    • Possible alternatives to your current medication if necessary.
  4. Reassure Yourself: Remember that experiencing side effects like this is not uncommon, and your psychiatrist is there to help you navigate these challenges effectively without losing the stability you've achieved.

It’s vital to approach this with a mindset of finding solutions rather than worry. Feel free to reach out if you have more questions or need additional support.

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