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Galactorrhea: subjective response by schizophrenic patients

U Wesselmann1, K Windgassen

  • 1Klinik und Poliklinik für Psychiatrie, Westfälischen Wilhelms-Universität Münster, Germany.

Acta Psychiatrica Scandinavica
|March 1, 1995
PubMed
Summary

Galactorrhea, a neuroleptic side effect, occurred in 19% of schizophrenic patients. Many women viewed this symptom positively, linking it to femininity and fertility, with 43% reporting a positive overall response.

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Area of Science:

  • Psychiatry
  • Endocrinology

Background:

  • Schizophrenia treatment often involves neuroleptic medications.
  • Neuroleptic therapy can cause various side effects, including hyperprolactinemia.
  • Galactorrhea, the inappropriate discharge of milk, is a known side effect linked to hyperprolactinemia.

Purpose of the Study:

  • To investigate the frequency of galactorrhea in schizophrenic patients.
  • To assess the subjective patient response to galactorrhea.
  • To explore the relationship between galactorrhea and patients' perceptions of femininity and fertility.

Main Methods:

  • A study involving 150 schizophrenic patients.
  • Data collection on the incidence and prevalence of galactorrhea.
  • Subjective assessment of patient responses to galactorrhea.

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Main Results:

  • The incidence rate of galactorrhea was 14%, with a prevalence rate of 19%.
  • Over half of the women associated galactorrhea with their femininity.
  • Positive responses to galactorrhea were reported by 43% of patients, negative by 20%.

Conclusions:

  • Galactorrhea is a notable side effect in schizophrenic patients undergoing neuroleptic therapy.
  • A significant proportion of female patients perceive galactorrhea positively, relating it to feminine identity and reproductive capacity.
  • Patient perception of neuroleptic side effects can be complex and influenced by personal beliefs and identity.