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Galactorrhea and Contraceptive Practices

Breast secretion occurring more than one year postpartum was studied in 132 multiparous women who were using one of four modes of contraception. In women using mechanical forms of contraception, the incidence of secretion was 32.7%. Although the incidence in women using a combination-type oral contraceptive was lower (19.0%) than in those receiving only a progestin (41.3 and 55.5%), these differences were not significant. Only 21.4% of the women were aware of their breast secretions. The results suggest that galactorrhea in multiparous women is often a normal finding, and that contraceptive steroids do not increase the incidence of breast secretion.