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Nipple Discharge

Nipple discharge is a relatively common breast symptom and, in many cases, is related to normal hormonal or benign breast changes. However, certain types of nipple discharge may require further investigation to exclude underlying breast conditions, including infection, benign duct changes, or, less commonly, breast cancer.

Associate Professor Farid Meybodi provides comprehensive breast assessment using modern imaging, clinical evaluation, and evidence-based diagnostic pathways to ensure accurate diagnosis and appropriate management.

What Is Nipple Discharge?

Nipple discharge refers to any fluid that leaks from the nipple either spontaneously or when pressure is applied to the breast or nipple. The discharge may vary in:

  • Colour
  • Consistency
  • Amount
  • Frequency
  • Whether it occurs from one or both breasts

The discharge may appear:

  • Clear
  • Milky
  • Yellow or green
  • Brown
  • Blood-stained

Nipple discharge can occur in women of many different ages and is often related to benign breast conditions.

When Is Nipple Discharge More Concerning?

While many cases are harmless, certain features may require prompt medical assessment, including:

  • Spontaneous discharge without squeezing
  • Discharge from one breast only
  • Blood-stained discharge
  • Persistent or recurrent discharge
  • Associated breast lump or thickening
  • New nipple inversion or skin changes
  • Redness, swelling, or pain

These symptoms do not necessarily mean cancer is present, but they should be properly evaluated by a breast specialist.

Common Causes of Nipple Discharge

Nipple discharge may occur due to several benign or hormonal conditions, including:

  • Duct ectasia (widening of milk ducts)
  • Intraductal papilloma
  • Hormonal changes
  • Pregnancy or breastfeeding
  • Fibrocystic breast changes
  • Breast cysts
  • Breast infection or inflammation
  • Medication-related hormonal effects

In a smaller number of cases, nipple discharge may be associated with underlying breast cancer or pre-cancerous breast conditions.

Breast Assessment & Triple Assessment

Any persistent or concerning nipple discharge should be properly assessed using a modern triple assessment approach, which may include:

  • Clinical breast examination
  • Breast imaging
  • Biopsy where indicated

During consultation, A/Prof Farid Meybodi will review:

  • Your symptoms and medical historyThe nature of the discharge
  • The nature of the discharge
  • Breast examination findings
  • Previous imaging or pathology results

Breast Imaging

Imaging plays an important role in evaluating nipple discharge and identifying any underlying abnormalities.

Investigations may include:

  • Breast ultrasound
  • Mammography
  • Breast MRI in selected cases

Additional image-guided procedures or biopsy may occasionally be recommended depending on imaging findings and clinical assessment.

Biopsy & Further Investigation

If imaging identifies an abnormality or if symptoms remain concerning, further investigation may include:

  • Core biopsy
  • Duct evaluation
  • Image-guided biopsy procedures
  • Surgical assessment of involved ducts where appropriate

Recommendations are highly individualised and based on the patient’s symptoms, imaging findings, and overall breast assessment.

Personalised Breast Care

We understand that nipple discharge can sometimes cause significant anxiety and uncertainty. A/Prof Farid Meybodi provides compassionate, personalised breast care focused on:

  • Prompt assessment
  • Accurate diagnosis
  • Clear communication
  • Evidence-based treatment planning

Whether symptoms are related to a benign breast condition or require further investigation, our goal is to support patients through every stage of assessment and care with professionalism, reassurance, and coordinated multidisciplinary management.

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