Understanding Irregular Menstruation: Causes, Treatments, and Concerns
Irregular menstruation I have a history of thyroid issues and recently underwent surgery. I have not taken any medication and have no sexual experience, so pregnancy is not a possibility. I recently visited a clinic where an ultrasound revealed that I have enlarged ovaries and va...
Dr. Lin Manying Reply:
Irregular menstruation requires examination for hormonal or organic factors. Hyperprolactinemia is one of the endocrine disorders that can affect menstruation. The physician-prescribed medication to induce menstruation is appropriate. It is recommended to visit the clinic for a s...[Read More] Understanding Irregular Menstruation: Causes, Treatments, and Concerns
Can You Track Ovulation While Exclusively Breastfeeding?
Exclusive breastfeeding during pregnancy? Doctor, my baby is currently six and a half months old and exclusively breastfed. I haven't gotten my period back yet, but I would like to conceive again soon while continuing to breastfeed. Can I determine my ovulation time by track...
Dr. Lü Lizheng Reply:
1. Measuring basal body temperature or using ovulation test strips can help determine the timing of ovulation. 2. However, breastfeeding itself raises prolactin levels in the body, which can suppress ovulation. If you wish to conceive sooner, you may need to consider reducing or ...[Read More] Can You Track Ovulation While Exclusively Breastfeeding?
Understanding Delayed Menstruation: Causes and Concerns for Women
Menstrual issues There are several potential reasons for your girlfriend's delayed menstruation. Her last menstrual period started on September 1, and she had sexual intercourse on September 13. Although she took a pregnancy test on October 4 that came back negative, it'...
Dr. Lü Lizheng Reply:
There are many reasons for a delayed menstrual period. Some individuals may experience it due to lack of sleep, while others might be too busy or fatigued. Stress and anxiety are also common factors. Additionally, it could be related to hormonal imbalances in the body, such as th...[Read More] Understanding Delayed Menstruation: Causes and Concerns for Women
Managing High Prolactin Levels After Pituitary Tumor Surgery
Elevated prolactin levels? Hello doctor, five years ago I underwent surgery for a pituitary tumor. In 2014, the tumor was suspected to have recurred, and I received gamma knife radiation treatment at the end of August 2014. Since February of this year, I have not had a menstrual ...
Dr. Zhang Kunmin Reply:
Hello, based on your description, I recommend starting with a blood test to check for elevated prolactin levels or other endocrine abnormalities. If this is the case, it is important to examine the brain and treat the elevated prolactin levels rather than supplementing hormones. ...[Read More] Managing High Prolactin Levels After Pituitary Tumor Surgery
Understanding Progesterone: Challenges in Fertility Treatments
Questions about progesterone? Hello Doctor: Over the past year, I have been undergoing artificial insemination without polycystic ovary syndrome. My prolactin and thyroid hormone levels are normal, but whenever I use Clomiphene Citrate, my menstrual period is delayed for two mont...
Dr. Lü Lizheng Reply:
Using progesterone may interfere with ovulation, leading to a delayed menstrual period. Please discuss with your physician whether adjustments to the timing or dosage of your medication are necessary. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Understanding Progesterone: Challenges in Fertility Treatments
Is It Pseudomenstruation? Understanding Irregular Bleeding After Contraception
Is it a pseudomenstruation? Hello Doctor, I would like to ask about a situation. I had intercourse with my boyfriend and we used a condom, but I am still worried about pregnancy. My period was late, so I took a pregnancy test three days after it was due, and it was negative. Howe...
Dr. Lü Lizheng Reply:
1. Normal menstruation has several characteristics: it occurs on time, the amount is relatively consistent each time, there may be one or two days of heavier flow, which then gradually decreases, and the total duration of menstruation should not exceed seven days. 2. In contras...[Read More] Is It Pseudomenstruation? Understanding Irregular Bleeding After Contraception
Does Reducing Prolactin Levels with Medication Cause Breast Size Decrease?
Will taking medication to lower elevated prolactin levels cause breast size to decrease? Hello Doctor, I went to the hospital for blood tests and an ultrasound due to irregular menstruation. The ultrasound results showed that my uterine and ovarian functions are normal, but my pr...
Dr. Cao Guotao Reply:
Hello, I hope not. Wishing you good health.[Read More] Does Reducing Prolactin Levels with Medication Cause Breast Size Decrease?
Understanding Menstrual Irregularities: What to Do When Periods Are Delayed
Menstrual issues My girlfriend hasn't had her period for about one or two months, and she has taken a pregnancy test that came back negative. What could be the issue? Her period has not come, and the pregnancy test was negative, leaving me unsure of what to do.
Dr. Yang Wangjun Reply:
Hello: There are many reasons for the absence of menstruation, and the first step is to rule out pregnancy. If pregnancy is not the cause, we then look for other reasons. Common factors include stress and anxiety, which can suppress the release of hypothalamic gonadotropin-releas...[Read More] Understanding Menstrual Irregularities: What to Do When Periods Are Delayed
Can You Test Prolactin Levels During Your Menstrual Period?
Can prolactin levels be tested through a blood draw during menstruation? Hello, I would like to ask if it is possible to have a blood test to check prolactin levels during menstruation?
Dr. Cao Guotao Reply:
Hello, can it be done without affecting?[Read More] Can You Test Prolactin Levels During Your Menstrual Period?
Postpartum Breast Engorgement: Concerns About Suppression Injections
Issues with postpartum breast engorgement and the use of lactation suppression injections? Hello, doctor. I have already given birth, and I received a medication to suppress lactation because I couldn't tolerate the pain of engorgement. I didn't expect that it would cau...
Dr. Yang Wangjun Reply:
Hello: General lactation suppression injections contain male hormones, female hormones, and progesterone. They can inhibit prolactin, reducing lactation and the proliferation of breast tissue. Typically, these components are eliminated from the body and do not remain. The size of...[Read More] Postpartum Breast Engorgement: Concerns About Suppression Injections
Understanding Irregular Menstruation: Causes and Concerns for Women
Menstrual irregularities have been persistent? Since my first menstruation at the age of 12, I have averaged only 8 to 9 menstrual cycles per year. My cycle length varies from 30 days to 5-60 days. Four years ago, I discovered a 10 cm tumor on my right ovary and a 3 cm tumor on m...
Dr. Lin Wenbin Reply:
Have you consulted a doctor about your prolactin levels? It's best to discuss it with a physician.[Read More] Understanding Irregular Menstruation: Causes and Concerns for Women
Missed Period Concerns: When to Seek Further Medical Advice?
Missed menstruation? After my period started on March 22, it did not come again. I visited the doctor on May 20, had blood tests, and took progesterone. On May 29, my period still hadn't arrived, so I returned for a follow-up and the test results were normal. I switched to i...
Dr. Cai Yonglong Reply:
In Taiwan, individuals around the age of 45 enter menopause, with the average age of menopause being 49.8 years. Blood tests for hormone levels should include estradiol and prolactin; if the former is too low or the latter is too high, menstruation may cease. About 25% of individ...[Read More] Missed Period Concerns: When to Seek Further Medical Advice?
Understanding Abnormal Menstrual Cycles: Causes and Concerns
Menstrual irregularities Hello Doctor: I started my menstrual period on February 1st, had sexual intercourse on February 23rd, and then my period came on February 28th, but it was lighter than usual and darker in color. It lasted for a week and then decreased to a small amount of...
Dr. Lü Lizheng Reply:
The most likely cause of this issue is hormonal instability, which leads to an uneven and incomplete structure of the endometrium. As a result, when menstruation occurs, the endometrium does not shed uniformly, causing unstable and prolonged bleeding. The underlying reasons for h...[Read More] Understanding Abnormal Menstrual Cycles: Causes and Concerns
Understanding Prolactin Levels: Are My Results Normal?
Is the data normal? Hello, on November 9th, I had a physical examination and tested for these two items: Prolactin 1 ---- 5.5 E2 ---- 80. My most recent menstrual period started on October 27th, with a cycle length of about 35-50 days, which is quite irregular. Can these values i...
Dr. Dong Yuhong Reply:
Hello: Your test results are still within the normal range. As for your menstrual cycle, it may be somewhat irregular, but it should be manageable. It is recommended that when you visit a gynecologist, you inform your doctor of the dates of your last 3-6 menstrual periods (you ca...[Read More] Understanding Prolactin Levels: Are My Results Normal?
Managing Elevated Prolactin: Bromocriptine vs. Newer Treatments
Medications for Abnormal Prolactin Levels Hello, Doctor: I previously had slightly elevated prolactin levels during a neurology examination, and later consulted with an obstetrician-gynecologist who prescribed Bromocriptine 2.5 mg (Parlodel) for me, instructing me to take half a ...
Dr. Lin Wenbin Reply:
Dostinex has fewer side effects and is typically taken once or twice a week, depending on the condition. It is generally well-tolerated by postpartum women. However, the medication's prescribing information advises against pregnancy while taking this drug. Individuals planni...[Read More] Managing Elevated Prolactin: Bromocriptine vs. Newer Treatments
Understanding Elevated Prolactin Levels: When to See a Specialist
Prolactin hormone issues? Hello, doctor: I previously visited the neurology clinic due to headaches, and blood tests revealed elevated prolactin levels. The doctor suggested I see another specialist. Should I consult an obstetrician-gynecologist or an endocrinologist for abnormal...
Dr. Lin Wenbin Reply:
Elevated prolactin levels may be caused by a tumor in the pituitary gland. However, it is also possible that no specific lesions can be found throughout the body. Therefore, examinations by obstetrics and gynecology, endocrinology, and neurosurgery are necessary.[Read More] Understanding Elevated Prolactin Levels: When to See a Specialist
High Prolactin Levels: Which Specialist Should You Consult?
If there is an excessive secretion of prolactin, which specialist should one consult? I would like to ask the doctors, my menstrual cycle has been irregular, and after visiting a general obstetrician and gynecologist, the report indicated elevated prolactin levels. The doctor rec...
Dr. Lin Wenbin Reply:
When there is a lump in the breast that requires examination or surgery, it is typically performed by a breast surgeon. If a breast surgeon is not available at the hospital, a general surgeon will handle the case. As for irregular menstruation, that falls under the domain of obst...[Read More] High Prolactin Levels: Which Specialist Should You Consult?
Understanding Infertility: Symptoms and Concerns for Women
I think I might have infertility! I have been in a relationship with my boyfriend for three years, and we have had numerous sexual encounters, often with ejaculation inside, but I have not become pregnant. I experience vaginal discharge; sometimes I have it, and sometimes I don&#...
Dr. Yang Wangjun Reply:
Hello: (1) Infertility is defined as the inability to conceive after one year of regular sexual intercourse (approximately 2-3 times per week). (2) Infertility is a syndrome. There are many diseases or causes that can lead to infertility. Therefore, the symptoms of infertility ca...[Read More] Understanding Infertility: Symptoms and Concerns for Women
Understanding Polycystic Ovary Syndrome: Symptoms, Treatments, and Management
Polycystic Ovary Syndrome (PCOS) I am currently 167 cm tall and weigh 51.5 kg. I started my menstruation at the age of 13 (October 1998). From October to January 1999, my menstrual cycle was very irregular, and I did not have my period from January to October 1999. After visiting...
Dr. Dong Yuhong Reply:
Hello; during adolescence, menstrual irregularities are more common. Treatment should involve a comprehensive assessment that includes general ultrasound, hormonal evaluation, and physiological development. You can discuss specific treatment plans further with your attending phys...[Read More] Understanding Polycystic Ovary Syndrome: Symptoms, Treatments, and Management
Is It Normal to Have Menstrual Changes While Breastfeeding?
Menstruation during breastfeeding? Hello, I gave birth last September and have been breastfeeding since then. I got my first postpartum period last month, but this month it hasn't arrived yet. Sometimes I feel some discomfort in my abdomen. I'm still breastfeeding; is t...
Dr. Chen Changfu Reply:
Due to breastfeeding, the mother's pituitary gland secretes high levels of prolactin, which may affect the normal ovulatory function of the ovaries, leading to amenorrhea or irregular menstrual cycles. However, it is still important to consider the possibility of pregnancy a...[Read More] Is It Normal to Have Menstrual Changes While Breastfeeding?