December 13, 1976

Incidence of Galactorrhea

Author Affiliations

College of Medicine and Dentistry of New Jersey Piscataway

JAMA. 1976;236(24):2747. doi:10.1001/jama.1976.03270250017014

To the Editor.—  I appreciated the review article by Drs Buckman and Peake entitled "Prolactin in Clinical Practice" (236:871, 1976). I can only emphasize their point about careful evaluation of galactorrhea. Yet their impression that "galactorrhea is commonly seen in women of childbearing age" needs some comment, as relevant studies have been done. Furthermore, if galactorrhea indeed would be common, the significance of this clinical finding would be minor.Canfield and Bates1 state that galactorrhea is an "uncommon occurrence," and in their series, 6 of 16 women with galactorrhea showed evidence of a pituitary adenoma. Friedman and Goldfien examined normal women, not for galactorrhea but for any type of breast secretion, and found none in their group of 114 nulliparous women.2 More than 800 anovulatory and ovulatory women were systematically evaluated by Jones and Gentile3; 3.6% of the anovulatory and 1% of the ovulatory were found to