Understanding Recurrent Pregnancy Loss and Hormonal Imbalances
Artificial abortion Hello Doctor: I became pregnant last May, but around 7 weeks, the heartbeat stopped, and I underwent a medical abortion. In October of the same year, I became pregnant again, but around 8 and a half weeks, the heartbeat stopped again, leading to another medica...
Dr. Shi Chengyang Reply:
Hello, Xiao Mei: Elevated prolactin levels do not cause an embryo to have a heartbeat and then stop; it only leads to anovulation. Your concerns should first be addressed with some basic tests, such as chromosomal analysis for both partners, a tubal patency test, ovulation assess...[Read More] Understanding Recurrent Pregnancy Loss and Hormonal Imbalances
Understanding PCOS: Navigating Symptoms and Treatment Options
Could you please provide more context or specify what you need assistance with? Hello, Doctor. I am currently 23 years old, unmarried, and have no sexual experience. My menstrual cycle has been irregular for about 8 years, starting when I was in high school. I thought it was due ...
Dr. Shi Chengyang Reply:
Regarding your questions, here are the answers: 1. Which specialty should I see? You should see an obstetrician-gynecologist (OB-GYN). 2. Is it necessary to wait for hyperprolactinemia to cause galactorrhea or tumors before treatment? Hyperprolactinemia requires treatment to pre...[Read More] Understanding PCOS: Navigating Symptoms and Treatment Options
Understanding Post-Menstrual Symptoms: Is Ovulation Bleeding Normal?
Distressing issues? Is it possible to ovulate shortly after menstruation? For the past four months, I've noticed that a few days (about 3-5 days) after my period ends, my breasts start to feel a bit swollen, and this lasts until my next menstruation. What could be the issue?...
Dr. Lü Lizheng Reply:
Hello! 1. Breast tenderness does not necessarily indicate that ovulation is imminent; it can occur simply due to the growth of follicles and an increase in hormones within the body. 2. Sometimes medications (including traditional Chinese medicine, supplements, and health foods) c...[Read More] Understanding Post-Menstrual Symptoms: Is Ovulation Bleeding Normal?
Considering IVF After Multiple Failed Pregnancies: Your Questions Answered
I want to get pregnant? Hello Dr. Jan: I am a loyal reader of yours and would like to ask you some questions. I have undergone four cycles of artificial insemination; I became pregnant during the first cycle but unfortunately miscarried at six weeks. The subsequent attempts have ...
Dr. Zhan Deqin Reply:
Elevated prolactin levels can be caused by various factors, such as pituitary tumors, pregnancy, or the use of certain sedatives and gastrointestinal medications. If prolactin levels remain excessively high, it may lead to difficulties in conceiving. Generally, levels above 30 ng...[Read More] Considering IVF After Multiple Failed Pregnancies: Your Questions Answered
Understanding Fertility: Factors Affecting Conception and Menstrual Cycle
Conception Hello Dr. Peng, I previously consulted you on May 28 regarding prolactin levels, and I appreciate your response. Based on your reply, I realized that I do not have the condition you mentioned in your letter, as my menstrual cycle has consistently been 28 to 30 days bo...
Dr. Peng Yiguo Reply:
Elevated prolactin levels can indeed affect the regularity of menstruation. If your menstrual cycle remains regular, even with slightly elevated prolactin levels, it may not be necessary to take medication for control; regular blood tests every 3 to 6 months may suffice. A menstr...[Read More] Understanding Fertility: Factors Affecting Conception and Menstrual Cycle
Tips for Successful Pregnancy: Thickening Endometrium for Embryo Implantation
How to successfully conceive, and what methods can help thicken the endometrium to facilitate embryo implantation? Thank you? Hello Dr. Lin, 1. I would like to ask how to successfully conceive. My menstrual cycle is regular, typically 28 days, but I have had cycles of 35 days fo...
Dr. Lin Manying Reply:
1. A normal menstrual cycle ranges from 21 to 35 days, with an average of 28 days. If the cycle exceeds this range, has heavy flow, or contains blood clots, the more likely causes are undetectable pregnancy or an anovulatory cycle. 2. Insufficient endometrial thickness leading ...[Read More] Tips for Successful Pregnancy: Thickening Endometrium for Embryo Implantation
Understanding Elevated Prolactin Levels and Their Impact on Fertility
Prolactin In late February, I went to a health check-up center for a pre-marital health examination. At that time, the results showed that my prolactin level was slightly elevated (44.1). I am unsure if the delay in my menstrual period that month and being busy with wedding prepa...
Dr. Peng Yiguo Reply:
A prolactin level of 44.1 is somewhat elevated, which can cause delayed menstruation. However, treatment is not necessarily required unless there are significant menstrual irregularities or if there is nipple discharge. Additionally, medications for peptic ulcers or psychiatric c...[Read More] Understanding Elevated Prolactin Levels and Their Impact on Fertility
Is Nipple Discharge Normal After Years of Breastfeeding?
About the nipple? Hello. I apologize for taking up your time. Recently, I noticed that when I apply pressure to my breasts, a small amount of milk is secreted from my nipples. I am not pregnant, and my daughter is already 8 years old. Is this normal? Thank you for your help.
Dr. Li Guanghan Reply:
Hello: You may have hyperprolactinemia, which could be due to a pituitary disorder, but most cases are normal. Therefore, you need to go to the hospital to have your prolactin levels tested for differential diagnosis. Dr. Cheng Jin-He, Hsinchu Hospital.[Read More] Is Nipple Discharge Normal After Years of Breastfeeding?
Understanding Irregular Menstruation: Causes, Concerns, and Remedies
Menstrual irregularities Dear Dr. Cheng: My menstrual cycle has generally been regular, about 30 or 31 days. In December: I started on December 24, 1991; in January: I started on January 24, 1992; on February 2, I took emergency contraceptive pills; in February: I started on Febr...
Dr. Li Guanghan Reply:
Hello: There are many reasons for a missed period, such as approaching menopause, ovarian disorders or degeneration, underdevelopment, hormonal imbalances due to stress, elevated prolactin levels, etc. Of course, pregnancy is the most likely cause. Therefore, you may wait another...[Read More] Understanding Irregular Menstruation: Causes, Concerns, and Remedies
Is Checking Prolactin Levels During Menstruation Significant?
Is it meaningful to check prolactin levels through blood tests during the menstrual period? Is it meaningful to check prolactin levels through a blood test during menstruation?
Dr. Lü Lizheng Reply:
Hello! Prolactin is typically present in normal levels in postpartum breastfeeding women. In women who are not pregnant, elevated prolactin levels can inhibit normal ovarian function, potentially making it difficult to conceive or leading to irregular menstrual cycles. Best wishe...[Read More] Is Checking Prolactin Levels During Menstruation Significant?
Can I Still Conceive After Pituitary Surgery and Hormonal Imbalance?
Can they conceive? Nine years ago, I underwent surgery for a pituitary gland enlargement. I had not had my menstrual period for three years prior to the surgery, and I still have not had it since the operation. Currently, my levels of estrogen, thyroid hormone, and other hormones...
Dr. Lin Manying Reply:
The pituitary gland has many important areas that secrete hormones in the human body, among which LH, FSH, TSH, and Prolactin are related to ovarian function. If both LH and FSH levels are low, ovulatory function may be affected. Therefore, it is necessary to visit an outpatient ...[Read More] Can I Still Conceive After Pituitary Surgery and Hormonal Imbalance?
Understanding Irregular Menstrual Cycles: Causes and Concerns for Women
Menstrual irregularities? I started menstruating normally once a month at the age of 11, but by the age of 12, my periods changed to every two weeks. I gained weight and then lost it, which normalized my menstrual cycle for a while. However, after a few months, my cycle became ir...
Dr. Li Guanghan Reply:
Hello: Based on your description of the menstrual cycle, it appears to be anovulatory menstruation. The possible causes may be ovarian dysfunction and hormonal imbalance. You should visit a gynecology clinic for an examination, including quantitative tests for FSH, LH, E2, and pr...[Read More] Understanding Irregular Menstrual Cycles: Causes and Concerns for Women
Understanding Hormonal Imbalance: Unusual Breast Discharge Concerns
I don't know if I have a hormonal imbalance? Recently, I noticed small white spots on my nipples while showering, which felt strange. Later, when I tried to squeeze my nipples, I surprisingly discharged milk, which shocked me and left me in a daze for a while. I've been...
Dr. Zhan Deqin Reply:
(1) The secretion of breast milk may be due to the following conditions: 1. Pregnancy 2. Elevated prolactin levels 3. Medication-induced: such as gastrointestinal medications and sedatives. (2) If you are certain that you are not pregnant and have not been taking gastrointestinal...[Read More] Understanding Hormonal Imbalance: Unusual Breast Discharge Concerns
Chronic Lower Abdominal Pain: Could It Be Endometriosis?
Persistent lower abdominal pain? I have given birth to two children, and since having my second child, my menstrual cycle has become irregular. My periods have not stopped for a whole month, and I experience lower abdominal pain. After taking medication to regulate my cycle, it b...
Dr. Lü Lizheng Reply:
Hello Wenwen! 1. Menstrual irregularities can be caused by both external and internal factors. External factors include sleep disturbances, being overweight or underweight, life stress, and a busy work schedule, all of which can disrupt normal menstruation. Internal factors inv...[Read More] Chronic Lower Abdominal Pain: Could It Be Endometriosis?
Understanding Irregular Menstruation After Childbirth: Causes and Concerns
Irregular menstruation Hello, Dr. Cheng! It has been 8 weeks since delivery, and my first menstrual cycle has come. The flow is very heavy; the pad is almost completely soaked within 2-3 hours, with a lot of blood clots, and it has lasted for several days. The doctor said it is i...
Dr. Li Guanghan Reply:
It is normal for menstruation to return 6 to 8 weeks postpartum. Generally, the first two menstrual cycles after childbirth may not be regular due to elevated prolactin levels, which can lead to anovulatory cycles. Women may experience higher estrogen levels and increased menstru...[Read More] Understanding Irregular Menstruation After Childbirth: Causes and Concerns
Concerns About Infertility: A Woman's Journey Through Menstrual Irregularities
Women concerned about infertility? Hello Dr. Wu, I would like to ask you a question. My last menstrual period was around April 5 or 6 of this year, and it ended on the 13th. After it ended, I took a traditional Chinese medicine package that is commonly sold in pharmacies for re...
Dr. Wu Zongcheng Reply:
Based on your medical history, your issue does not seem serious. 1. Since you had your menstrual period in April this year, it is unlikely that you are in a state of menopause; the test results may be inaccurate. 2. Ovarian function can be restored. 3. I recommend measuring your ...[Read More] Concerns About Infertility: A Woman's Journey Through Menstrual Irregularities
Understanding PCOS: Your Questions About Fertility and Treatment
I really want to get pregnant~~~~~~~~~~~~~~~ Hello Dr. Huang: I have some questions I would like to ask you, and I hope you can help clarify them for me. I have been married for six months and have been wanting to have a child. My husband and I had several sexual encounters befor...
Dr. Huang Jianxun Reply:
Hello: From your description, it appears that you are a case of menstrual irregularities but are actively seeking to conceive. Polycystic Ovary Syndrome (PCOS) encompasses various symptoms, such as irregular menstrual cycles, infertility, masculinization, and obesity. Diagnosis c...[Read More] Understanding PCOS: Your Questions About Fertility and Treatment
Understanding PCOS: Your Questions About Pregnancy and Menstrual Irregularities
~~~~I really want to get pregnant~~~~ Hello Dr. Jan, I previously visited this website and tried to ask my personal questions, but I waited a long time without receiving a response. I really need someone to help clarify my concerns... I hope you can assist me! I have been marr...
Dr. Zhan Deqin Reply:
You mentioned that you visited the website but didn't receive a response, which surprised me because we always respond if we see a question. 1. Divina contains estrogen and progesterone, which are used for hormone replacement therapy in postmenopausal women or for those wi...[Read More] Understanding PCOS: Your Questions About Pregnancy and Menstrual Irregularities
Understanding Persistent Milk Secretion After Childbirth: What to Know
Issues with milk secretion? Hello Doctor: I am 32 years old and it has been three years and two months since I gave birth to my second child. However, if I manually squeeze my nipples, I can still express milk; if I do not intentionally squeeze, there is no milk. I have visited d...
Dr. Huang Jianxun Reply:
Hello Ms. Chen: It has been three years and two months since you gave birth, and you are still experiencing milk secretion. Based on your description, the results of your prolactin, thyroid hormone, and breast ultrasound tests are all normal. Generally, normal prolactin levels ...[Read More] Understanding Persistent Milk Secretion After Childbirth: What to Know
Understanding Postpartum Milk Production: When to Seek Medical Advice
Doctor, may I ask you a question? Hello Doctor, I am 32 years old and it has been three years and two months since I gave birth to my second child. However, if I manually squeeze my nipples, I can still express milk; if I do not intentionally squeeze, no milk appears. I have vis...
Dr. Li Guanghan Reply:
The tests for prolactin, thyroid function, and breast ultrasound are all normal, indicating that you are in good health. Residual breast milk may sometimes be secreted in conjunction with your menstrual cycle or after consuming hormone-rich foods. If the amount is not significant...[Read More] Understanding Postpartum Milk Production: When to Seek Medical Advice