Galactorrhea-amenorrhea syndrome: when to get help
Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Get emergency help for:
A sudden, unusually severe headache
Sudden loss of vision, double vision, or major visual change
Severe headache with vomiting, confusion, fainting, or weakness
These symptoms can rarely indicate bleeding or sudden swelling in the pituitary gland.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical assessment for nipple discharge that is bloody, clear, only from one breast, or coming from a single duct.
A breast lump, skin dimpling, nipple changes, redness, or fever also needs evaluation.
These features are not typical galactorrhea and may have another cause.
3
Does any of this apply?
Book an appointment
Arrange a routine medical appointment if you have milk-like nipple discharge when you are not pregnant or breastfeeding, especially if your periods have stopped or become irregular.
You should also arrange assessment for infertility, persistent headaches, sexual symptoms, or possible medicine side effects.
Every sign above is quoted from the sofidex article on Galactorrhea-amenorrhea syndrome. If you are not sure, err upward — it is always reasonable to be checked.