Prolactin, Obstetrics and Gynecology FAQ

Understanding Lactation Issues: Insights on Breast Discharge and Hormone Levels

Lactation issues Hello, doctor. In September of this year, I noticed a white fluid secretion from my left breast. After a blood test, my prolactin level was 28, and the doctor said it was elevated and advised me to take medication. Later, in October, I visited another hospital wh...

Dr. Cao Guotao Reply:
Hello, it's just slightly elevated, so there's no need for medication; observation is sufficient. Wishing you good health.

Could You Be Pregnant? Understanding Irregular Menstrual Cycles

Possible pregnancy? Irregular menstruation, with nearly 4 months of amenorrhea. Engaged in sexual activity on August 15. Visited a gynecologist on September 9, where blood tests showed the following values: E2: 15.36 pg/ml, FSH: 9.06 mIU/ml, LH: 5.57 mIU/ml, prolactin: 9.00 ng/ml...

Dr. Cao Guotao Reply:
Hello, it seems that you may have irregular ovulation. It is recommended to consult a gynecologist for further evaluation. Wishing you good health.

Can You Safely Combine Prolactin and Joyful Pills?

Medication Consultation Is there a conflict between taking prolactin and using Joyful? Can I take Joyful regularly and still have prolactin once a week?

Dr. Cao Guotao Reply:
Hello, the two should not be in conflict. Wishing you good health.

Can Cold Medicine Delay Your Menstrual Cycle? Expert Insights

Taking cold medicine has resulted in a two-month absence of menstruation? I originally had my menstrual period starting on June 5, which lasted about five days. However, it did not return in July. At the beginning of July, I caught a cold and visited the doctor, where I was presc...

Dr. Cai Yonglong Reply:
The cold medication has little effect; it could possibly be due to pregnancy or other reasons (such as poor ovarian function, elevated prolactin levels, or even an ectopic pregnancy). It is essential to visit a gynecology clinic for examination.

How Long Should You Wait to Retest Prolactin Levels After Medication Change?

How long should I wait to follow up after elevated prolactin levels? Hello, doctor. At the beginning of this month, I discovered that there was a small amount of milk when I compressed my breast. I went to the obstetrics and gynecology department and had my prolactin level tested...

Dr. Cao Guotao Reply:
Hello, please observe for about two more weeks and it is recommended to have another blood test. If the levels are still high, further examination will be necessary. Wishing you good health.

Understanding High Prolactin Levels After Miscarriage: Key Concerns

Elevated prolactin levels? Hello Doctor, I was informed that I was pregnant in mid-March of this year, but the fetus had no heartbeat. I underwent a surgical abortion on April 16 (the fetus had stopped developing at 6 weeks). Since May 16, I have been experiencing pinkish dischar...

Dr. Cao Guotao Reply:
Hello, the prolactin level is quite high at 144. It is advisable to consult with an obstetrician-gynecologist or a neurosurgeon for further evaluation. Wishing you good health.

Understanding Post-Sexual Abdominal Pain and Ovarian Cysts in Women

Abdominal discomfort after intercourse? Hello Doctor: Before my marriage, I underwent a transvaginal ultrasound, which showed a normal endometrium but a cyst on the left ovary. A few months later, it disappeared upon follow-up. A year later, due to persistent infertility and an e...

Dr. Cao Guotao Reply:
Hello, there could be several reasons for infertility. Generally, it should not rupture. The physician should have conducted appropriate examinations. If you still have questions, you can consult your obstetrician-gynecologist. Wishing you good health.

Impact of Yaz on Hormone Levels: What You Need to Know

The impact of Yuezhi on hormone testing? Hello Dr. Tsao: I have been taking Yaz for nine months. I already have one child. I would like to know how taking this medication might affect the results of hormone tests (blood tests for TSH, AMH, PROLACTIN, LH, FSH, ESTRADIOL (E2) on th...

Dr. Cao Guotao Reply:
Hello, taking birth control pills can affect hormone levels, making tests less accurate. However, there is no way to know if someone is taking birth control pills. Wishing you good health.

Understanding Delayed Menstruation: Could Pregnancy Be Possible?

Delayed menstruation? You had sexual intercourse with your boyfriend on March 13, and your menstrual period started on March 24. Since that time, you have not had any further sexual intercourse. Normally, your period should have arrived around April 25, but it has been delayed fo...

Dr. Cai Yonglong Reply:
Pregnancy is also a possibility, as the bleeding on March 24 could be implantation bleeding. However, other factors such as emotional stress or endocrine disorders (low pseudoestrogen or high prolactin levels) could also be responsible. Therefore, it is essential to take a pregna...

Understanding Vaginal Bleeding, High Prolactin, and HPV Vaccine Concerns

Vaginal bleeding, cervical cancer vaccine, elevated prolactin levels? After having intercourse with my boyfriend on February 20th, we used a condom and he also ejaculated outside, but I noticed brownish discharge from my lower region that has lasted for two days. My period starte...

Dr. Zhang Kunmin Reply:
Hello, the effects of emergency contraceptive pills on menstruation can vary; they may cause your period to come early or late. Additionally, their contraceptive effectiveness is not 100%, with a failure rate of about 3%. It is recommended that if your period is more than a week ...

Understanding Prolactinoma: Weight Gain and Treatment Options

Prolactinoma Hello, doctor. I have gained 30 kilograms in the past year and have experienced symptoms of amenorrhea, so I visited a gynecology clinic. After blood tests, the doctor found that my prolactin levels were as high as 142, and I was referred to a neurologist. The neurol...

Dr. Huang Yuande Reply:
Prolactin is secreted by the pituitary gland. When there is an adenoma in the pituitary gland, not only is prolactin elevated, but other hormones may also be affected. It is recommended that you undergo an MRI as soon as possible to assist the physician in determining whether to ...

Understanding Irregular Menstruation and Oral Health Issues After Pregnancy

Menstrual issues Hello Doctor, I recently gave birth nine and a half months ago. I stopped breastfeeding about two months ago. Around three months postpartum, I had a tooth extraction, and since then, I have been experiencing discomfort in my oral cavity. I have a burning pain an...

Dr. Huang Yiwen Reply:
Hello Ms. Lin: 1. You are concerned about whether you might experience early menopause. I believe that your current test results are normal and show no abnormalities, so it is unlikely. 2. As for whether your body is lacking anything, it should not be the case; at least that i...

Understanding Menstrual Irregularities After Pregnancy: Causes and Concerns

Menstrual issues Hello, doctor. I have detailed my issues in #148845. Here are my questions: I am currently nine and a half months postpartum and stopped breastfeeding about two months ago. Around three months postpartum, I had a tooth extraction, and since then, I have experienc...

Dr. Huang Jianzhong Reply:
PS stands for postscript, which is an additional remark or note added after the main content, rather than a response.

Understanding Menstrual Irregularities After Pregnancy: A Comprehensive Guide

Menstrual issues Hello Doctor, I recently gave birth about nine and a half months ago. I stopped breastfeeding around two months postpartum. Approximately at three months, I had a tooth extraction, and since then, I've been experiencing discomfort in my oral cavity. I have a...

Dr. Huang Jianzhong Reply:
After giving birth nine and a half months ago, I stopped breastfeeding about two months later. Around three months postpartum, I had a tooth extraction, and since then, I have experienced discomfort in my oral cavity. I have a burning pain in the left side of my oral mucosa, and ...

Understanding Irregular Periods: Could It Be PCOS?

Is #148226 (supplement data) polycystic ovary syndrome (PCOS)? Hello Doctor, I started experiencing irregular menstrual cycles last year, and I have been experiencing breast tenderness before my period. My menstrual history for the past six months is as follows: 12/41/43/10 (two...

Dr. Huang Jianzhong Reply:
Since last year, my menstrual cycle has been irregular, and I experience breast tenderness before menstruation. Over the past six months, my menstrual periods have been as follows: 12/41/43/10 (two months without menstruation), 4/11, 5/10, 6/7, 15. This time, the menstrual blood ...

Understanding Brown Discharge: Causes and Concerns for Women

Brown discharge without odor? Hello Doctor: My menstrual period this month started around the beginning of the month, approximately on the 9th, and it ended normally after seven days. However, this morning when I went to the bathroom, I noticed brown discharge on the toilet paper...

Dr. Huang Jianzhong Reply:
This month's menstruation started around the beginning of the month, approximately on the 9th, and it ended normally after seven days. However, I noticed this morning when I went to the bathroom that there was brown discharge on the toilet paper, along with some dark-colored...

Understanding Ovarian Cysts: What Does a Septated Cyst Mean?

Ovarian cyst Hello, doctor. Last week, my period did not come, and a pregnancy test showed I am not pregnant, so I went to the obstetrics and gynecology department for an examination. The doctor performed a transvaginal ultrasound and found a 3 cm cyst on my right ovary with a se...

Dr. Cao Guotao Reply:
Hello, the ultrasound examination revealed a 3 cm cyst on the right ovary with a septum. It is advisable to continue monitoring it for now without any intervention. The LH level is 25.15, which is somewhat indicative of polycystic ovary syndrome; however, everything else appears ...

Missed Period After Unprotected Sex: Possible Pregnancy Concerns

Last month, I had sexual intercourse, and my period came. However, it did not come this month? On January 28th of last month, I had unprotected intercourse without ejaculation and took emergency contraception. My period started on February 5th and lasted about five days, confirmi...

Dr. Cai Yonglong Reply:
Sometimes it can be due to emotional stress or hormonal imbalances (such as elevated prolactin levels). It is advisable to take a pregnancy test first or visit a gynecology clinic.

Understanding Irregular Menstrual Cycles: Causes and Solutions

Menstrual issues I apologize for the inconvenience, but I would like to ask about my irregular menstrual cycle. It has been inconsistent for some time; sometimes it comes regularly every month, while other times it occurs every two to three months. Each time, the flow is very lig...

Dr. Huang Yiwen Reply:
Hello, Miss An: It is quite common for women to experience irregular menstrual cycles occasionally, so there is no need to worry too much. Generally, this is often caused by hormonal imbalances in the ovaries rather than issues with the uterus. A normal menstrual cycle typically ...

Clear Nipple Discharge Without Pregnancy: Causes and Concerns

Clear nipple discharge from the breasts when not pregnant? Hello doctor, I am not pregnant, but for about three days, I have been able to express a clear, slightly sticky fluid from my breasts when squeezed. Three days ago was my ovulation period, and my breasts started to feel s...

Dr. Zhang Kunmin Reply:
Hello, based on your description of symptoms, it is recommended that if the symptoms persist or worsen, you should consult a physician for an examination of prolactin levels and related breast evaluations. Thank you! Wishing you peace and health, Dr. Zhang.

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