if you want to save your time and not read an 8 page research article like I did heres the summary
Other classes of medications that cause hyperprolactinemia include antidepressants, antihypertensive agents, and drugs that in- crease bowel motility. Hyperprolactinemia caused by medications is commonly symptomatic, causing galactorrhea, menstrual dis- turbance, and impotence.
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One more thing: Pathoma specifically says cancer is NOT a cause of galactorrhea.
So the people who are saying you can rule out cancer because it's bilateral are completely wrong. You rule out cancer because it doesn't cause galactorrhea.
Besides, breast cancer can be bilateral. Bilateral breast cancer is almost always invasive lobular carcinoma.
This is analogous to serous cystadenocarcinoma. Bilateral ovarian cancer is almost always serous cystadenocarcinoma.
Idk how this "breast cancer can't be bilateral" myth started propagating.
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