Understanding PCOS: Symptoms, Diagnosis, and Treatment Options Explained
Polycystic Ovary Syndrome (PCOS) I would like to ask the doctor, I am 32 years old this year. Three years ago, my menstrual cycle was often late and the flow was light. I inexplicably gained 20 kilograms, going from 55 kg to 75 kg. I have been experiencing hair loss and thinning ...
Dr. Zhang Kunmin Reply:
Hello, the treatment overview for Polycystic Ovary Syndrome (PCOS) is as follows: PCOS is a condition characterized by abnormal hormone secretion, leading to irregular ovulation and the inability of follicles that should develop into eggs to grow properly. The exact cause is unkn...[Read More] Understanding PCOS: Symptoms, Diagnosis, and Treatment Options Explained
Understanding Anovulatory Cycles: When to Seek Medical Advice
Anovulatory menstrual cycle questions? Hello Doctor, my menstrual period was a week late in March. This month in April, I had my period for a total of 21 days (23 days), but for the first three days, there was only a very small amount of spotting. From days 4 to 6, the flow was v...
Dr. Huang Jianzhong Reply:
In March, my period was a week late. This month in April, I had my period for 21 days (23 days), but for the first three days, there was only a very small amount of spotting. By days 4, 5, and 6, the overall flow was very light, only two to three pads a day (including overnight)....[Read More] Understanding Anovulatory Cycles: When to Seek Medical Advice
Understanding Pregnancy Tests and Hormonal Regulation Concerns
Pregnancy testing and hormone regulation medication issues? Hello Doctor, my menstrual cycle has been very irregular, so the timing is often off. The last sexual encounter was on February 14, during which we used a condom throughout and I pulled out before ejaculation (the condom...
Dr. Cao Guotao Reply:
Hello, if your menstrual period has arrived and the pregnancy test shows one line, the chances of being pregnant are low. It is always best to use preventive measures beforehand and not to rely on the safe period. Taking medication to suppress lactation hormones may cause feeling...[Read More] Understanding Pregnancy Tests and Hormonal Regulation Concerns
Understanding Elevated Prolactin Levels: Causes and Implications for Pregnancy
Elevated prolactin levels? Hello Doctor: I have been experiencing irregular bleeding outside of my menstrual period. I initially thought it might be due to insufficient progesterone, so I underwent pre-pregnancy testing. Recently, my progesterone level was measured at 20.5, which...
Dr. Zhang Kunmin Reply:
Hello, the early stages of pregnancy may not present specific symptoms, and subjective symptoms cannot be used to make a determination. If you did not conceive this cycle, it is advisable to consult a physician for treatment of prolactin levels to assist with conception. Thank yo...[Read More] Understanding Elevated Prolactin Levels: Causes and Implications for Pregnancy
Understanding Irregular Menstruation: Hormone Testing and Diagnosis Insights
Irregular menstruation Hello, Doctor: I have a few questions to ask you. 1. My menstrual cycle is very irregular, and I would like to have a blood test to check my hormone levels (such as FSH and LH). Should I wait for my period to start before getting the blood drawn for more ...
Dr. Yang Wangjun Reply:
Hello: (1) Patients who undergo testing for FSH and LH are typically those with abnormal menstrual cycles. Since their cycles are irregular, the specific day of the menstrual cycle is not a concern. (2) Generally, in cases of abnormal menstrual cycles, about 20% can be attributed...[Read More] Understanding Irregular Menstruation: Hormone Testing and Diagnosis Insights
Understanding Irregular Periods: Causes and When to Seek Help
Missed menstruation? Hello doctor, since I started menstruating in puberty, my periods have rarely been on time. Previously, I had a regular cycle of once every one and a half months, but that has also become irregular again. My last period was at the beginning of October, but it...
Dr. Cao Guotao Reply:
Hello, I apologize for not being able to provide a diagnosis based on what you've described. If everything is fine, I recommend visiting a hospital for a detailed examination by an obstetrician-gynecologist. Wishing you good health.[Read More] Understanding Irregular Periods: Causes and When to Seek Help
Understanding Lower Abdominal Pain: Causes and Concerns for Women
Occasionally, there is cramping pain in the lower abdomen (not during ovulation)..? Hello Doctor, I would like to ask you about some concerns. Sometimes I experience sharp pain in my lower left abdomen (not during ovulation). Additionally, during intercourse, I sometimes feel pai...
Dr. Cao Guotao Reply:
Hello, I'm sorry I cannot diagnose based on the described symptoms. It could possibly be pelvic inflammatory disease. If discomfort persists, I recommend seeing a gynecologist for a thorough examination. Wishing you good health.[Read More] Understanding Lower Abdominal Pain: Causes and Concerns for Women
Do Hemostatic Medications Delay Your Menstrual Cycle?
Do hemostatic drugs delay menstruation? Last month, the first day of my menstrual period was on August 19. However, after my period ended, I continued to experience bleeding. I visited a gynecologist who prescribed me hemostatic medication. After taking it for about a day and a h...
Dr. Cai Yonglong Reply:
Hello: Hemostatic medications do not delay the menstrual cycle. If the cycle has arrived but menstruation has not occurred, a pregnancy test should be conducted to determine if pregnancy is present. If there is no pregnancy, please consult a gynecologist to check for any endocrin...[Read More] Do Hemostatic Medications Delay Your Menstrual Cycle?
Excessive Watery Discharge: Could It Be Pregnancy?
Large amounts of watery discharge? Hello doctor, since high school, I have experienced watery discharge every time I exercise, leaving my underwear damp. I often have groin pain when walking briskly. My menstrual cycle has always been irregular, but I completely missed my period ...
Dr. Cai Yonglong Reply:
Hello: If your menstrual period is more than overdue, you should take a pregnancy test (urine) and undergo an ultrasound to check for pregnancy or other causes (ectopic pregnancy, hyperprolactinemia, etc.). If you experience abdominal pain, bloating, or vomiting, please visit a g...[Read More] Excessive Watery Discharge: Could It Be Pregnancy?
Understanding Low Prolactin Levels and Their Impact on Fertility
Regarding infertility testing? Hello Doctor: I recently had some tests done, and one of the results showed that my prolactin level is low at 2.7 ng/ml (normal range is 3.7 to 17.2 ng/ml). I understand that high prolactin levels can lead to infertility, but I am unsure how low lev...
Dr. Cao Guotao Reply:
Hello, low prolactin levels will not have an impact, and a sperm motility of 64% should be considered normal. Wishing you good health.[Read More] Understanding Low Prolactin Levels and Their Impact on Fertility
Understanding Breast Tenderness After Ovulation: Is Pregnancy Still Possible?
Is breast tenderness normal after ovulation? Hello Dr. Tsao, I would like to ask if experiencing breast tenderness (only noticeable when pressed) after ovulation indicates that there is no hope for pregnancy this cycle. I took ovulation medication this cycle, and there were thr...
Dr. Cao Guotao Reply:
Hello, breast distension and a prolactin level of 27.6 are not related to a miscarriage with no heartbeat; observation is sufficient. Wishing you a successful pregnancy soon.[Read More] Understanding Breast Tenderness After Ovulation: Is Pregnancy Still Possible?
Unexpected Milk Production: Understanding Galactorrhea After Miscarriage
Galactorrhea without pregnancy? I am 40 years old and have a 10-year-old child who was born vaginally. I had a miscarriage about 40 days into my pregnancy last August. My menstrual cycle is usually very regular. During ovulation, I experience breast tenderness. Yesterday, for no ...
Dr. Lü Lizheng Reply:
The response suggests that there may be a hormonal imbalance in the body, specifically an excessive secretion of a hormone called prolactin. It is advisable to visit a hospital for a blood test. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Unexpected Milk Production: Understanding Galactorrhea After Miscarriage
Understanding Postpartum Menstruation: What’s Normal After C-Section?
Postpartum menstruation Hello, Doctor: I had a cesarean section in June 2015 and am currently breastfeeding. My first postpartum menstrual period returned in March of this year, but I haven't had another period since then. During this time, I have experienced some contractio...
Dr. Yang Wangjun Reply:
Hello: Although prolactin levels increase during breastfeeding, which inhibits follicular growth, the fact that you have had a menstrual period indicates that ovulation may have resumed. Since it has been over two months without a period, it would be advisable to take a pregnancy...[Read More] Understanding Postpartum Menstruation: What’s Normal After C-Section?
Understanding Delayed Menstruation: Common Causes and Concerns
Delayed menstruation? Doctor, I would like to ask why I had a very light period for two days on February 27-28 last month, and I still haven't gotten my period this month. Is there something wrong with my body?
Dr. Yang Wangjun Reply:
Hello: If your period is late, the first step is to take a pregnancy test to check for pregnancy. Other causes of delayed or absent menstruation include obesity, excessive stress, hyperthyroidism or hypothyroidism, elevated prolactin levels, elevated androgens, certain medication...[Read More] Understanding Delayed Menstruation: Common Causes and Concerns
Is There Still a Chance of Pregnancy Two Months Later?
Is there still a chance of pregnancy after two months? I had unprotected intercourse with withdrawal in January, and my period usually arrives around the 15th. My period came normally in February, but in March it was very light. I am worried about being pregnant, so I visited a g...
Dr. Cao Guotao Reply:
Hello, the chances of pregnancy are low. Wishing you good health.[Read More] Is There Still a Chance of Pregnancy Two Months Later?
Understanding Delayed Menstruation After Recent Childbirth
Menstruation is delayed? At the beginning of December, I had my period in mid-month, but I haven't had it since then in January and February. I have taken pregnancy tests about 4 to 5 times, and they all came back negative, showing only one clear line. I just gave birth on O...
Dr. Yang Wangjun Reply:
Hello: The most common reason for the absence of menstruation after childbirth is elevated prolactin levels. If breastfeeding, menstruation may not return for 1 to 2 years. Additionally, the demands of caring for a newborn, disrupted sleep patterns, or postpartum depression can a...[Read More] Understanding Delayed Menstruation After Recent Childbirth
Managing High Prolactin Levels: Alternatives to Dostinex and Pain Relief Options
Dostinex I have a pituitary tumor that causes elevated prolactin levels. My gynecologist prescribed me half a tablet of Dostinex once a week, and I have been taking it for over two years, with some breaks in between. Whenever I take Dostinex, I experience menstrual cramps and nee...
Dr. Lin Wenbin Reply:
Please consult the prescribing physician to discuss and compare the efficacy of Dostinex and Parlodel to determine which medication is more suitable for you.[Read More] Managing High Prolactin Levels: Alternatives to Dostinex and Pain Relief Options
Impact of DOMTOX on Pregnancy: Concerns About Prolactin Levels
Medication issues Hello Doctor: I am considering getting pregnant soon, but I have issues with gastroesophageal reflux and bloating. I am currently taking DOMTOO (Domperidone) and noticed on the medication information that it may increase prolactin levels. I am concerned about ho...
Dr. Lin Wenbin Reply:
These are Category C medications that must be handled with caution during pregnancy. Please consult with an obstetrician for a thorough examination and discussion.[Read More] Impact of DOMTOX on Pregnancy: Concerns About Prolactin Levels
Can You Stop Dostinex After Surgery? Understanding Prolactin Management
Can the use of prolactin-lowering medication be discontinued? Dr. Tsao, I underwent laparoscopic surgery to remove uterine fibroids at Hospital A on November 9, with four incisions made: one at the navel measuring 1 cm and the others measuring 0.5 cm each. I am scheduled for a fo...
Dr. Cao Guotao Reply:
Hello, it is generally not recommended to stop medication. Wishing you good health.[Read More] Can You Stop Dostinex After Surgery? Understanding Prolactin Management
Struggling to Conceive: Understanding Irregular Periods and Fertility Issues
Inability to conceive? Hello, doctor. I am married and have not used contraception for nine months without becoming pregnant. Additionally, I have not had my period for four months, but pregnancy tests confirm that I am not pregnant. My menstrual cycle has typically been longer, ...
Dr. Cao Guotao Reply:
Hello, your blood test results are abnormal, indicating that you may not have ovulated, and your prolactin levels are very high. There is a concern about the possibility of a tumor in the brain affecting pregnancy. It is recommended that you see a gynecologist for further evaluat...[Read More] Struggling to Conceive: Understanding Irregular Periods and Fertility Issues