Prolactin, Obstetrics and Gynecology FAQ

Is High Prolactin Level a Sign of Early Pregnancy?

Is it normal for prolactin levels to be elevated shortly after conception? Hello, doctor. I would like to ask you about my previous pregnancy. I breastfed my baby who was born in May 2005. My last menstrual cycle started on April 18. Since May 7, I have been experiencing persiste...

Dr. Wu Zinan Reply:
Dear Mama: 1. Prolactin is secreted by the pituitary gland, with normal levels being <20 ng/ml. Elevated levels can occur due to physiological factors such as stress, breast stimulation, exercise, and sexual activity. 2. Pathological causes include pituitary tumors, hypothyroi...

Understanding Breast Pain After Ovulation: Is It Normal or a Sign of Infertility?

Breast tenderness after ovulation? Hello, doctor. I checked some information online and would like to ask... It is considered normal to experience breast fullness before menstruation, but I have been experiencing breast swelling and tenderness starting after ovulation, lasting fo...

Dr. Li Guanghan Reply:
Hello: 1. Breast pain should be evaluated by a breast surgeon to rule out the possibility of breast diseases. 2. Elevated prolactin levels can inhibit ovulation, but high prolactin levels are not necessarily related to breast engorgement. Hsinchu Hospital, Department of Obstetric...

Are Breast Abnormalities Linked to Cervical Health Issues?

Is there a correlation between breast abnormalities and cervical issues? Hello Doctor: My mother (46 years old and has been taking female hormones for the past three months) has been experiencing breast milk discharge for about six months. Initially, it was clear and colorless, b...

Dr. Li Guanghan Reply:
Hello: 1. The first step in evaluating abnormal nipple discharge is to rule out the possibility of breast cancer. If the mammogram is normal, the next step is to check for elevated prolactin levels or the possibility of a pituitary adenoma. You are welcome to come for a consultat...

Understanding the Consequences of Missed Periods: What You Need to Know

Missed menstruation? I would like to ask what complications may arise from not having my period. I have taken a pregnancy test and confirmed that I am not pregnant, and it has been almost 2 months since my last period.

Dr. Li Guanghan Reply:
Hello: The most important step in addressing the absence of menstruation in non-pregnant individuals is to determine the underlying cause, such as elevated prolactin levels, hypothyroidism, premature ovarian failure, or simply anovulation. After identifying the cause, appropriate...

Understanding High Prolactin Levels: Causes, Treatment, and Concerns

Hyperprolactinemia Can high prolactin levels be completely eliminated? Why does it relapse after stopping medication for a while? Is it related to having had an abortion? Will it affect breast development? Is it safe to take traditional Chinese medicine for breast enhancement?

Dr. Cao Guotao Reply:
Hello! Elevated prolactin levels are primarily concerning because they can affect ovulation and lead to infertility. Additionally, significantly high levels raise the possibility of a brain tumor. Generally, for patients with infertility, treatment should continue until pregnancy...

Boosting Breast Milk Supply: Solutions for New Moms

Insufficient breast milk supply? I gave birth in March, and due to insufficient breast milk, I was unable to provide for my three-month-old niece. Since he is a low birth weight infant with poor immunity, prolactin is a hormone secreted by the pituitary gland. Where can I get hor...

Dr. Huang Jianxun Reply:
Hello: The use of any hormonal agents to stimulate milk secretion is not encouraged. Sincerely, Dr. Huang Chien-Hsun, Obstetrics and Gynecology.

Addressing Low Breast Milk Supply: Can Lactation Hormones Help?

Insufficient breast milk supply? I gave birth in March, and due to insufficient breast milk supply, I am unable to provide milk for my 3-month-old niece. Since he is a low birth weight infant with poor immunity, he has been experiencing recurrent colds since he was 2 months old a...

Dr. Li Guanghan Reply:
Hello: Prolactin is a hormone secreted by the pituitary gland that is not a medication. It can be stimulated to rise by actions such as nipple stimulation (such as expressing milk or allowing the baby to suckle more frequently). Hsinchu Hospital, Department of Obstetrics and Gyne...

Understanding Delayed Menstruation and Pregnancy Testing Options

Could you please provide the content you would like me to translate? I would like to ask why my period has not come for over a month after receiving progesterone injections, and it has been more than a week without menstruation. What could be the reason? Also, can a blood test ch...

Dr. Li Guanghan Reply:
Hello: The most likely reason for a missed period is anovulatory menstrual irregularity, but it is important to rule out pregnancy, elevated prolactin levels, or other organic diseases of the uterus and ovaries. You are welcome to visit us at the Department of Obstetrics and Gyne...

Does Anxiety Affect Embryo Implantation in Infertility Patients?

Does anxiety affect embryo implantation? Hello, Doctor. I am Xiaoqi, and I am an infertility patient. I have undergone a hysterosalpingogram, and my husband has had a semen analysis, both of which came back normal. The physician at Taipei Medical University Hospital mentioned tha...

Dr. Xu Junzheng Reply:
The probability of anxiety leading to a miscarriage is extremely low, thank you!

Does Long-Term Marriage Diminish Sexual Desire and Fertility?

The longer a couple is married, the less interest they may have in sexual intimacy? Hello, doctor! I have been married for four and a half years. For the first three years, we used condoms for contraception, and for the past year and a half, we have tried to have intercourse duri...

Dr. Xu Junzheng Reply:
Your issue may be more related to your mood. Mild scoliosis or retroverted uterus typically does not cause infertility. Thank you!

Can Stopping My Stomach Medication Help Regulate My Menstrual Cycle?

Could you please provide the content you would like me to translate? Doctor: Hello! I haven't had my period for three months, so I went to the hospital and my prolactin level was 106. The doctor prescribed Parlodel, two tablets a day. However, after doing some research, I fo...

Dr. Lü Lizheng Reply:
It is recommended to stop the gastric medication and observe for two weeks before conducting a blood test. Parlodel can be taken as two tablets a day, but you may take just one tablet before bedtime, as side effects are minimal. Sincerely, Lu Lizheng.

Understanding Natural Weaning: Is Milk Production Normal After 6 Months?

Natural weaning Hello, doctor! It has been over six months since I gave birth. Last week, while taking a shower, I accidentally squeezed my breast and noticed a fluid resembling breast milk, with a slight white color. After giving birth, I had a low milk supply and only breastfed...

Dr. Lü Lizheng Reply:
Hello: The response indicates that there may be a possibility of elevated levels of a certain hormone, specifically prolactin. It is recommended to visit a hospital for a blood test. Sincerely, Lu Lizheng.

Can Combining Western and Traditional Chinese Medicine Affect Fertility?

Is it safe to take traditional Chinese medicine from two different sources at the same time? Hello, Doctor: I would like to ask a question. I have undergone a hysterosalpingography and blood tests, and my doctor mentioned that my prolactin and insulin levels are slightly elevated...

Dr. Cao Guotao Reply:
Hello, Xiao Qi. From the perspective of Western medicine, it is generally advisable not to combine Western and traditional Chinese medicine. If you do choose to combine them, spacing out the doses as you have done is usually acceptable. However, it is important to ensure that the...

Understanding Elevated Prolactin Levels: Causes and Concerns for Women

What causes elevated prolactin levels? Hello, Doctor. My menstrual cycle has been regular, approximately every 32 days. However, last month it was suddenly delayed by 10 days. After an examination, the doctor said my prolactin level was high (52). Why is this happening? I was als...

Dr. Zhong Wenzhen Reply:
Prolactin is produced by the pituitary gland; therefore, a pituitary adenoma can lead to hyperprolactinemia. Additionally, it is classified as a stress hormone, and changes in lifestyle and stress levels can also cause hyperprolactinemia. This condition can result in galactorrhea...

Understanding Irregular Periods: Hormonal Treatments and Their Effects

Irregular menstrual cycle? Hello, Doctor. I would like to ask a question. I am 30 years old and have not had my period since April (not pregnant). Recently, I visited a gynecologist, and the doctor advised me to track my basal body temperature and prescribed half a dose of estrog...

Dr. Li Guanghan Reply:
Hello: 1. Generally, menstrual induction starts with progesterone; if ineffective, estrogen can be added to the progesterone. 2. Besides pregnancy and menstrual irregularities (i.e., functional disorders), a small number of cases may be caused by elevated prolactin levels, hypoth...

Understanding High Prolactin Levels After Childbirth: Causes and Solutions

Hyperprolactinemia Hello, I would like to ask why my menstruation has not returned since I gave birth. After examination, it was found that I have elevated prolactin levels. Before having my child, my menstrual cycle was always normal. Why has it changed so much after childbirth?...

Dr. Li Guanghan Reply:
Hello: If there is an excess of prolactin, it is important to check for a pituitary adenoma. If present, neurosurgical intervention may be considered. You are welcome to visit us at the Department of Obstetrics and Gynecology, Hsinchu City Hospital.

Understanding Symptoms of High Prolactin Levels in Women

Elevated prolactin levels? What symptoms are associated with elevated prolactin levels? My menstrual cycle is quite regular, but recently after this last period ended, my breasts feel swollen, and when I press on the areola firmly, a small drop of milk comes out (which usually do...

Dr. Wei Fumao Reply:
Elevated prolactin levels typically result in the absence of menstruation. A blood test can determine if prolactin levels are elevated.

Post-Cesarean Pain and Delayed Menstruation: What to Know

Seven months after a cesarean section, the incision still hurts, and menstruation has not yet returned? Hello, I underwent a cesarean section at your hospital on January 21 of this year. The incision site still experiences pain, and although I am not breastfeeding, my menstruatio...

Dr. Li Guanghan Reply:
Hello: 1. There is no specific timeframe for postoperative pain resolution, as individual recovery varies. It is also possible for pain to develop into a chronic condition, so please consult a gynecologist for an examination. 2. It is unreasonable to have milk secretion when prol...

Understanding Menstrual Issues: Ovarian Health and CA-125 Testing

Menstrual irregularities Hello Doctor: I have two questions I would like to ask you..................1. I received a menstrual induction injection and have been taking birth control pills for about a month, but I still haven't had my period. I had an ultrasound, and everythi...

Dr. Li Guanghan Reply:
Hello: 1. There are many reasons for missed menstruation, including pregnancy, chronic anovulation, elevated prolactin levels, thyroid abnormalities, and the use of psychiatric medications. Please come to the clinic for an examination. 2. If you want to use CA125 to check for ova...

Understanding Molar Pregnancy and Ectopic Pregnancy: A Patient's Journey

Molar pregnancy? Ectopic pregnancy as well! Hello Dr. Cheng: At the end of last month (June 23), I visited your clinic due to an abnormal pregnancy. At that time, I was nearly 7 weeks pregnant. A blood test in Zhongli on June 20 showed a B-HCG level of 6000, and the doctor diagno...

Dr. Li Guanghan Reply:
Hello: Ectopic pregnancy rarely presents with such high initial beta-HCG levels of 6000, followed by 12000 in 72 hours, especially without internal bleeding (ruptured fallopian tube); therefore, the first physician could reasonably suspect a molar pregnancy and perform a dilation...

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