Awhile ago, I posted about a mom with a galactocele in her areola.  She had 
had several aspirations prior to calling me and continued to so, not wanting 
surgery at all.Just thought I'd let everyone know her outcome and the 
treatments, non surgical, that seemed to have dramatically helped.  Initially, she tried 
cabbage to decrease swelling of the area, which it did somewhat.  Then I 
suggested trying therapeutic ultrasound with a chiropractor who'd treated another 
mom for plugged ducts.  She had several ultrasound treatments and repeated the 
aspirations done by a breast surgeon who was aware of the ultrasound.  This 
combination, she stated, over a few weeks was helpful and reduced the 
galactocele significantly.  Of course the galactocele was painful when larger but she 
persevered with alternating breastfeeding and pumping until breastfeeding was 
manageable.  

Also, of interest, is the fact that she told me at first she only wanted to 
nurse until baby was 3-4 mos and now she says she plans to breastfeed her baby 
until one year since breastfeeding is once again pleasurable.

I would love to follow her though if she has another baby and see if all the 
aspirations she had caused ductal damage and will effect her subsequent 
breastfeeding.  I just played a supportive role for the most part, and explained how 
the aspirations might cause scarring of tissue, but here was a mom who was 
adamant about no surgery and how she was going to handle this and it thankfully 
turned out well for her and the baby who now can benefit from longer 
breastfeeding.

Barbara Latterner, BSN, RN, IBCLC


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