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Background: While nipple discharge is common in adolescents, there are few reports of areolar discharge in the literature. We describe two cases of bilateral areolar discharge and inflammation with no underlying pathology. Cases: The cases involved healthy, 13 and 16-year old girls who presented to pediatric and adolescent gynecology (PAG) clinic with breast swelling and areolar discharge that caused significant patient distress and anxiety. The first case described left breast swelling and pain, with subsequent development of copious non-bloody, clear serous areolar discharge, followed by similar symptoms on the contralateral breast seven weeks later. Physical exam was notable for erythema, edema, and excoriation of the entire areola bilaterally, with diffuse weeping clear, yellowish discharge along the medial aspect of the areola. The second case initially presented to the PAG clinic with unilateral areolar swelling followed by weeping yellow discharge and development of bilateral symptoms over a two-week period. On examination copious yellow serous discharge was noted from the entire areola bilaterally extending approximately 1cm radially to adjacent breast tissue, where erythema and sub-centimeter areas of skin sloughing were also noted. There were no palpable breast masses, axillary lymphadenopathy, or expression of nipple discharge for either case. Cultures of the discharge were negative for bacteria. Breast ultrasound was unremarkable in one case and not performed in the other. Thyroid stimulating hormone (TSH), and prolactin (PRL) were normal. Both cases were treated with a short course of oral clindamycin, triamcinolone cream, and daily use of chlorhexadine gluconate 4% liquid soap with complete resolution of symptoms. Comments: There are few cases of areolar discharge described in the liter

ObjectiveAlthough vasectomy is safer, more effective and less expensive than tubal ligation, rates of permanent contraception are consistently higher in women than in men. We sought to explore vasectomy interest and awareness in patients and their partners during prenatal visits, a time when contraceptive counselling is typically performed.MethodsAnonymous surveys were distributed between January and July 2019 to a cross-sectional, convenience sample of pregnant women and their partners, if available, presenting for outpatient prenatal care at two hospitals (one public, one private) serving different patient populations in Chicago, Illinois, USA. Survey questions gauged participant awareness and interest in vasectomies.ResultsSurveys were completed by 436 individuals (78% female, 24% male). Seventy percent of respondents indicated interest in vasectomy after achieving optimal family size, but most respondents had never discussed it with their healthcare provider. Factors associated with vasectomy interest included being partnered, having a lower household income, and knowing someone who has had a vasectomy. Almost 50% of respondents would be interested in obtaining information about vasectomies from their obstetrician or prenatal care provider.ConclusionsMany patients and their male partners in the prenatal clinic setting were interested in vasectomy as a method for permanent contraception, but most respondents had never received counselling. Since comprehensive prenatal care includes contraceptive planning, obstetric providers are uniquely positioned to educate individuals on vasectomy.