GALACTORRHEA - A DIAGNOSTIC APPROACH IN PRIMARY CARE

Introduction and Objective: Galactorrhea is a common complaint in primary care practice, and the differential diagnosis represents a challenge. The objective is to systematize the diagnostic approach of galactorrhea, understanding its physiopathology and address the different treatment options according to the etiology. Method: Data were obtained through literature review. Results and Conclusions: A wide variety of causes may predispose to galactorrhea, and the most common etiologies include drugs, hypothalamic and pituitary stalk lesions, neurogenic stimulation, thyroid disorders, and chronic renal failure. The medical history should include the precipitating factors, symptoms suggestive of hyperprolactinemia, drugs, gynecological history and family history. The treatment of galactorrhea varies from simple correction of the underlying pathology and drug review to referral for surgical or endocrine evaluation, which should be considered individually.