Pregnancy: Evidence which favours this diagnosis: She is of childbearing age. She is not taking OCP ("on no medication"). She is presumptively sexually active. Evidence that refutes this diagnosis: High levels of estrogen in pregnancy suppresses, rather than stimulates, lactation/galactorhea. Pregnancy test all negative. It is highly unlikely that she is pregnant. (99% sure pregancy is not the problem or cause of her symptoms).