Discharge from the breast during pregnancy

During pregnancy, the breasts begin to prepare for lactation. This happens under the action of hormones. Most often during pregnancy discharge from the nipple does not happen, but some women are allocating there in the very beginning of pregnancy.

Effect of hormones on breast development during pregnancy

During pregnancy the breasts are changes that prepare them to release the milk and feeding the baby Breastfeeding - a personal choice . This occurs under the influence of female sex hormones, mainly estrogen, which are released first by the ovaries, and since about 13 - 16 weeks of pregnancy - the mature placenta. Discharge from the breast can be stimulated by the pituitary hormone lactogenic (prolactin). A feature of estrogens and prolactin is that they can stimulate not only the development of the mammary glands and isolating them from the milk, but also the growth and development of different breast tumors.

Under the influence of these hormones breast tissue grows, it increases the number of milk ducts. Nipples increase in size, swell and become darker. All this is often accompanied by chest discomfort - pain, just discomfort. Some women since the earliest days of discharge from the breasts appear and that they are very worried. In order to address such concerns (during pregnancy all the excitement and anxiety are contraindicated), it is best to visit a doctor, mammalogy, who carefully examine the breasts, if necessary, send for examination and to explain the nature of any discharge from the breast Discharge from the breast - rule out breast cancer .

Discharge from the mammary glands in early pregnancy

At the very beginning of pregnancy, some women have discharge from the breast, and that they are very concerned about, especially if they know that the majority of pregnant women such discharges do not happen. What happens in the chest, why there are these emissions and whether it is norm?

The mammary gland is composed of female glandular tissue, inside which are the milk ducts. Milk ducts to separate them, and does not grow inside them is always allocated a certain amount of liquid. During pregnancy hormones stimulate the development and the glandular tissue and ductal naturally increases and the number of ductal fluid. In some women, it becomes so much that it begins to stand out through the nipple.

If during the growth and development of the mammary glands burst some small vial in a blood flow, the clear discharge Transparent allocation when they are normal?   from one of the nipples become for a while the color pink, or even distinctly bloody appearance. After a while it passes and recovering again become transparent, but the women are afraid of scary that in itself is very harmful during pregnancy. To remove the alarm, you need to visit mammalogy, which will clarify the nature of the discharge and or soothe a woman, or refer her for further tests.

Discharge from the breast during the second half of pregnancy

Starting from the third trimester of pregnancy (after 24 weeks) begins in significant numbers to produce hormones of the anterior pituitary prolactin (lactogenic hormone), which further stimulates the growth and development of the mammary glands and their secretion (lactation). Simultaneously increased hormone secretion posterior pituitary oxytocin that stimulates the milk into the ducts.

For most women, separated from the milk ducts are small, but in some cases they start to grow and stand out through the nipple. This also is not milk, and clear discharge, it can sometimes happen for some time painted blood (if the bursts nearby blood vial), but then again become transparent allocation. In the second half of pregnancy may be released from the nipple and colostrum - the first human milk. Colostrum is a yellowish color and a slightly sweet taste.

A large number of such discharge may indicate a functional disorder of the nervous system, so you should consult a doctor who will prescribe sedatives - independence of women during pregnancy any medicines (even herbal) can not be taken.

When sure to appeal to mammologu

Sometimes the advice of mammalogy really needed a pregnant woman, because hormonal changes can stimulate the growth of pre-existing tumors unnoticed. By mammologu should contact:

• if the allocation of all time come from one breast;
• if the discharge from one breast have a sustained bloody character;
• if discharge from the breast Discharge from the breast - preventive maintenance and regular inspection   It causes great anxiety in women.

During pregnancy, women are not allowed to make their own, even the safest medications that do not have a toxic effect on the body. This rule must be observed at all times, as during pregnancy, hormonal changes and metabolism Improves metabolism and losing weight without dieting That may significantly alter the body's response to any foreign substance.

The mechanism of action of Diflucan

Diflucan (international non-proprietary name - fluconazole) - is an antifungal drug which has a selective effect on cells sensitive fungi thereto: it inhibits the synthesis of certain vital substances fungal cells, leading to their extinction.

Diflucan - this is a very effective drug, it has a broad spectrum antifungal activity. Sensitivity to show him the majority of pathogenic fungi, including those causing severe fungal infections, such as generalized candidiasis, cryptococcosis, fungal skin diseases, including deep mycoses (trichophytosis and microsporia) and others. Naturally, such an effective drug has side-effects and contraindications.

Side effect of fluconazole is manifested in the form of headaches, dizziness, changes in taste and sometimes even appear jerking. There may be as nausea, vomiting, diarrhea, abdominal distension (bloating), abdominal pain Abdominal pain: Types and Symptoms , Abnormal liver function, heart rhythm disorders, alopecia, changes in the blood, leading to decreased immunity and increased bleeding (decreased number of white blood cells and platelets), various metabolic disorders and allergic reactions.

Diflucan is not allowed to appoint at hypersensitivity to its components, feeding baby Breastfeeding - a personal choice   feeding, concomitant use of drugs that could affect the heart rhythm (eg, cisapride - the drug increases peristalsis of the gastrointestinal tract) and some antihistamines (eg, terfenadine).

It is recommended to be careful in appointing Diflucan in the human liver, heart rhythm disturbances and pregnancy.

As Diflucan operates on a pregnant woman

Absolutely nobody knows it. In order to answer this question, Diflucan should pass first laboratory tests on animals, then clinical trials in pregnant women. Laboratory tests on animals were performed in accordance with existing international rules and did not reveal any contraindications to the use of the drug in pregnant women.

Clinical trials of the drug have not been conducted, therefore the safety of Diflucan for pregnant women has not been proved. In addition, in the medical literature described cases of teratogenicity Diflucan, which is manifested in the form of multiple congenital malformations in newborns whose mothers had for several months been treated with fluconazole (it is the main active ingredient of Diflucan) in high doses for severe fungal diseases . Nevertheless, a clear link between these abnormalities and reception of fluconazole was not established.

Therefore, the instruction states that pregnant women Diflucan can be used only in extreme cases when there is a threat to her life. And such a situation may arise, for example, the development of fungal meningitis, generalized candidiasis (destruction of all organs and systems of fungi genus Candida), severe candidiasis visceral, deep mycosis of the skin and so on. All of these fungal skin lesions are dangerous not only to women but also to the fetus, as they may cause fetal infection. For such cases, the instructions for use of medicines is written that the drug should not be administered during pregnancy except in cases of severe and potentially life-threatening fungal infections, when the expected benefit of treatment exceeds potential risk to the fetus.

When lung fungal infections, such as thrush (Candida genus fungi lesions of the mucous membranes of genitals and mouth) pregnant women are prescribed other medications that can be administered during pregnancy, for example, pimafutsin Pimafucin - help in difficult times .

Independently pregnant woman can not apply any anti-fungal drugs, even if they appear to be quite safe to her. The decision whether or not to prescribe Diflucan this or that women taking only her doctor.

Galina Romanenko