Prolactin, Obstetrics and Gynecology FAQ

Postpartum Concerns: Understanding Milk Leakage After Delivery

Postpartum issues I gave birth to a girl naturally in mid-November, and my menstrual period started on December 20. Since the duration of my period has been longer than before, I consulted a doctor and took Premarin. Why is it that now, when I squeeze my breasts, there is milk di...

Dr. Wei Fumao Reply:
Postpartum menstruation, especially the first one, may be longer. I am unclear why the doctor prescribed Premarin. The first menstruation after childbirth may be accompanied by milk secretion due to elevated prolactin levels.

Understanding White Discoloration at the Nipple-Areola Junction: Causes and Concerns

The area where the nipple connects to the areola appears white (similar to being soaked in water for too long)? Hello: I am 30 years old, married, and have two children, both delivered by cesarean section. I breastfed my second child from May 1999 to March 2000. Even now, if I sq...

Dr. Zhan Deqin Reply:
1. If there is a change in breast color along with a hard lump, it is advisable to consult a breast surgeon or consider undergoing a breast ultrasound examination. 2. If there is still breast milk present, a blood test to check prolactin levels should be performed to determine ...

Understanding Prolactin Levels and Long-Term Effects of Parlodel

I want to get pregnant? Hello, I would like to inquire about gynecological issues: 1. My prolactin level was originally 34. Following my doctor's instructions, I took PARLODEL (bromocriptine) at half a tablet daily. However, after five months of medication, my blood test r...

Dr. Zhan Deqin Reply:
Hello: 1. Prolactin levels fluctuate daily, and blood samples taken in the morning and afternoon will not yield the same values. 2. If taking half a tablet is ineffective, you can switch to taking a whole tablet; generally, there are no significant side effects, with the only pot...

Persistent Milk Production in a 3-Year-Old Child: Causes and Concerns

The child is three years old and still has breast milk secretion? I gave birth to my daughter on January 13, 1999. During the postpartum period, my milk supply was normal, and I did not experience severe engorgement. However, since my daughter could not adapt to breastfeeding, I ...

Dr. Li Guanghan Reply:
It has been over two years since you gave birth, and you are still experiencing milk secretion. You need to undergo a prolactin hormone test to check for elevated prolactin levels. If elevated levels are found, further treatment and evaluation will be necessary.

Understanding Irregular Menstrual Cycles: When to Seek Further Evaluation

I'm here Good day: My last menstrual period was on May 4th. I had very little bleeding in June (there were a few days with some brown discharge). On July 12th, I was prescribed medication to induce menstruation by my gynecologist, but I could only take it for two days due to...

Dr. Lin Zhaopei Reply:
On July 23, a menstrual induction injection was administered, and menstruation is expected to occur between the evening of July 25 and July 27. The menstruation that started on July 24 may be influenced by previous oral medication or insufficient dosage of the injection. If there...

Understanding Irregular Menstrual Cycles: Causes and Solutions

Menstrual period Many people experience delayed menstrual cycles, but I often have early periods, sometimes returning every 20 to 21 days, which is irregular and quite bothersome. I have tried traditional Chinese medicine to manage it, but what exactly is going on?

Dr. Li Guanghan Reply:
There are many factors that can affect the menstrual cycle, including lifestyle stress, physical constitution, or diseases of the uterus and ovaries. Generally, a menstrual cycle that is delayed or arrives early within a week is considered normal. However, if there are three cons...

Understanding Lactation: Why Menstruation Stops During Breastfeeding

Lactation Why is it that during the lactation period, menstruation does not occur (or is suppressed)? Is this statement correct? What is the relationship with lactation hormones or oxytocin (OT)? What is the correct mechanism? Could you please provide detailed information?

Dr. Lin Zhaopei Reply:
During the lactation period, the pituitary gland secretes a significant amount of prolactin, which inhibits the secretion of ovulatory hormones from the brain, resulting in a temporary absence of menstruation. However, once the lactation period exceeds three months, this inhibito...

Understanding Prolactin: Its Role in Anemia and Related Symptoms

Prolactin Hello, doctor: After my visit to the obstetrics and gynecology department, the doctor mentioned that I have anemia with a hemoglobin level of 9. They also said that my prolactin levels are elevated. What is prolactin? Why does the medication packaging indicate that it i...

Dr. Wu Zongcheng Reply:
(1) Anemia can be diagnosed through a blood test. The normal hemoglobin level for women is 14 g/dL; a hemoglobin level below 12 g/dL indicates anemia. Your hemoglobin level of 9 g/dL confirms anemia. Please pay attention to your diet and supplement with iron, protein, vitamins, a...

Understanding Prolactin: Its Role in Anemia and Parkinson's Disease Symptoms

Let's talk about prolactin? Hello, doctor: After visiting the obstetrics and gynecology department, the physician mentioned that I have anemia with a hemoglobin level of 9. They also said that my prolactin levels are elevated. What is prolactin? Why does the medication packa...

Dr. Wu Zongcheng Reply:
(1) Anemia can be diagnosed through blood tests. The normal hemoglobin level for women is 14 g/dL; a hemoglobin level below 12 g/dL indicates anemia. Your hemoglobin level of 9 g/dL confirms anemia. Please pay attention to your diet and supplement with iron, protein, vitamins, an...

Understanding Prolactin: Its Role in Anemia and Other Health Concerns

Let's talk about prolactin? Hello, Doctor: After my visit to the obstetrics and gynecology department, the physician mentioned that I have anemia with a hemoglobin level of 9. They also said that my prolactin levels are elevated. What is prolactin? Why does the medication pa...

Understanding Prolactin: Causes, Effects, and Related Health Concerns

Prolactin stimulation test Hello, doctor: After my visit to the obstetrics and gynecology department, the physician mentioned that I have anemia with a hemoglobin level of 9. They also said that my prolactin levels are elevated. What is prolactin? Why does the medication package ...

Dr. Wu Zongcheng Reply:
I have replied, please see the previous email.

Nipple Discharge After Abortion: Causes and Concerns Explained

Nipple discharge may occur? I underwent a surgical abortion on May 25th (at 6 weeks gestation). The procedure went smoothly, and the follow-up check a week later showed no issues. On June 10th, I noticed itching in my right nipple, and when I squeezed it, a light milky discharge ...

Dr. Xu Junzheng Reply:
Nipple discharge is more likely to be caused by mastitis or elevated prolactin levels. Generally, physicians do not consider breast cancer as a possibility, since the likelihood of breast cancer at the age of 20 is quite low. Thank you.

Could Hormonal Changes Cause Pregnancy-Like Symptoms?

Could I get pregnant? Hello Doctor: I had sexual intercourse with my boyfriend before, and my period came this month, which was normal in flow and duration. However, a few days after my period, I experienced swelling in my breasts and abdomen, and I could express a milk-like disc...

Dr. Li Guanghan Reply:
You may have hyperprolactinemia, which originates from the pituitary gland. You should go to the hospital to have your prolactin levels tested. If they are elevated, medication to suppress lactation may be necessary.

Understanding Breast and Abdominal Swelling During Pregnancy Concerns

Questions about pregnancy? Hello Doctor: I would like to ask about my girlfriend, who has recently mentioned that she feels swelling in both her breasts and abdomen. This sensation has persisted for a week, and she has also noticed white discharge from her nipples that resembles ...

Dr. Zhan Deqin Reply:
1. You can test for prolactin levels to see if they are elevated. 2. Sexual activity will not affect this, but it may be caused by medications, pregnancy, or elevated prolactin levels.

Understanding Prolactin Levels and Menstrual Irregularities at Age 40

Inquiry about prolactin hormone? My prolactin level is 72, and I have not taken any gastric medications or sedatives. My menstruation is delayed by about 60 days, and I am 40 years old. Is there any correlation?

Dr. Zhan Deqin Reply:
1. Prolactin level of 72 is elevated. 2. Is this the only instance of delayed menstruation, or has it been ongoing for a while? Are you experiencing breast pain? 3. I recommend that you consult a gynecologist first.

Understanding Irregular Periods After Abortion: What to Expect

MC is not normal? I underwent an abortion on January 8th, and my menstrual period has not arrived since then. My previous cycles were consistently normal, occurring every 28 days. Could you please advise if there may have been an issue with the procedure?

Dr. Wang Jionglang Reply:
Hello, Miss Xiao Wei. If an abortion is not properly managed, the symptoms usually include continuous bleeding. Therefore, your situation may not be due to a delayed menstrual period, but rather could be a result of delayed ovulation or elevated prolactin levels. If you want to c...

Understanding White Discharge: Is It a Sign of Breast Cancer?

Breast Hello, I recently performed a breast examination on the second day after my menstrual period ended and noticed a white discharge (similar to milk), but I am not pregnant. Could this be a sign of breast cancer, or could it be due to another reason?

Dr. Zhan Deqin Reply:
1. It is not breast cancer. 2. It may be due to excess secretion of prolactin, which can be determined through a blood test. 3. Certain medications, such as some gastrointestinal drugs and sedatives, can also cause this. If there are any concerns, please visit the obstetrics and ...

Understanding Irregular Menstruation: Causes and Hormonal Imbalances

Irregular menstruation Menstruation does not occur every month, and the doctor said it is due to anovulation. What could be the reasons for this phenomenon, and could it be related to endocrine disorders?

Dr. Wei Fumao Reply:
Ovulation is controlled by a series of processes in the central nervous system that affect the ovaries. Broadly speaking, it is a form of endocrine dysfunction with many potential causes, such as central nervous system (brain) disorders, obesity, malnutrition, thyroid issues, adr...

Postpartum Concerns: Why Is My Period Delayed After Giving Birth?

After giving birth, why is menstruation absent? Hello, doctor! I gave birth to my second child on August 28, 2000. I had a small amount of menstrual bleeding on October 4, but it was not much, and since then (as of December 7), I have not had my period again. I am a bit worried a...

Dr. Wang Jionglang Reply:
In the early postpartum period, prolactin levels rise due to breastfeeding. However, in most mothers, prolactin levels decrease shortly thereafter. Based on your statement, it is possible that the persistent elevation of prolactin is affecting ovulatory function. I recommend gett...

Understanding Irregular Menstruation: Insights on PCOS and Luteal Phase Issues

Menstrual irregularities I was previously diagnosed with polycystic ovary syndrome (PCOS), but another physician later indicated that my prolactin level was slightly elevated (35). I'm uncertain about my fertility status, as I have not used contraception and have never been ...

Dr. Zhan Deqin Reply:
There are many causes of infertility. Polycystic ovary syndrome (PCOS) and slightly elevated prolactin levels may coexist, but a prolactin level of 35 is only mildly elevated and does not require treatment; it may return to normal upon retesting. PCOS can affect ovulation and ova...

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