Understanding Abnormal Lactation and Irregular Menstruation in Women
The lactation rate has become abnormal again? I would like to ask about a previous blood test that showed elevated prolactin levels (79). After taking medication for three months, the prolactin level returned to normal (24), but six months later, my menstrual cycle became irregul...
Dr. Lü Lizheng Reply:
The prolactin levels returned to normal (24) after three months, but menstruation became irregular again after six months. Is this related to one's constitution? For some individuals, it may be due to their constitution; for others, it could be due to insufficient sleep, the...[Read More] Understanding Abnormal Lactation and Irregular Menstruation in Women
Understanding Infertility Testing: Key Questions and Answers for Couples
Regarding infertility testing? Hello Doctor: I am 31 years old and have been married for over a year without getting pregnant. My husband has had a sperm analysis report that showed no issues, and I have been taking ovulation medication for six months. My menstrual cycle is appro...
Dr. Li Guanghan Reply:
Hello: 1. HSG can indeed be quite painful, but if anti-inflammatory medication has been taken, the likelihood of inflammation is low. HSG has a positive effect on pregnancy rates. 2. Since you have already undergone HSG, there is no need for a patency test. 3. Blood tests can pro...[Read More] Understanding Infertility Testing: Key Questions and Answers for Couples
Understanding Post-Surgery Complications After Pituitary Tumor Removal
Are there any sequelae after resection of a pituitary tumor? I underwent surgery nine years ago to remove a pituitary tumor (0.8 cm). Prior to that, I had been on medication for two years, but the tumor did not disappear, leading to the recommendation for surgery. Before the surg...
Dr. Huang Jianxun Reply:
Based on your description, the organic changes in your pituitary gland appear to meet the criteria for surgery. However, it is essential to continue collaborating with your physician post-surgery and to have long-term follow-up to optimize the adjustment of all your hormones to t...[Read More] Understanding Post-Surgery Complications After Pituitary Tumor Removal
Should You See a Doctor for Brown Nipple Discharge?
Should I see a doctor for this? Hello Dr. Wang, I would like to ask you about something. While showering, I noticed that when I apply pressure to my breasts, there is a discharge from my nipples that is dark brown and resembles blood, but the amount is small and only appears when...
Dr. Wang Gongliang Reply:
In general, when a non-lactating woman produces milk, the first consideration should be the issue of excessive secretion of prolactin. Therefore, a blood test to check the prolactin levels is necessary. If the levels are elevated (normal value < 35), it is often due to hyperse...[Read More] Should You See a Doctor for Brown Nipple Discharge?
Understanding Menstrual Irregularities and Fertility Concerns
Menstruation I have a cousin who is in her second year of high school. She has had her period once or twice, but it has not returned since then. A doctor mentioned that she might have ovarian atrophy. Does this mean she will be unable to have children? Are there treatment options...
Dr. Mao Yikun Reply:
Primary amenorrhea is defined as the absence of menstruation in a girl who has normal growth and secondary sexual characteristics by age 16, or in a girl who does not exhibit normal growth and secondary sexual characteristics by age 14. There are numerous factors that can cause p...[Read More] Understanding Menstrual Irregularities and Fertility Concerns
Understanding Chocolate Cysts: Symptoms, Diagnosis, and Fertility Concerns
Examination During my last routine ultrasound examination, the doctor mentioned that there were no issues with my uterus or ovaries. 1) I would like to ask if a routine ultrasound can detect the presence of endometriomas (chocolate cysts)? For the past year, I have experienced ch...
Dr. Lin Zhaopei Reply:
1. Chocolate cysts are not related to chocolate secretions. When endometriosis leads to the formation of cysts on the ovaries, these are referred to as chocolate cysts. The symptoms include 1. dysmenorrhea, 2. infertility, and 3. dyspareunia. 2. The timing of ultrasound examinati...[Read More] Understanding Chocolate Cysts: Symptoms, Diagnosis, and Fertility Concerns
Understanding Basal Body Temperature and Infertility Issues
Basal body temperature and infertility? Hello, Doctor: I would like to ask two questions: (1) I have been measuring my basal body temperature for the past two and a half months, and my temperatures have been very low (35.4 to 36.1 degrees Celsius). Additionally, my menstrual cycl...
Dr. Lü Lizheng Reply:
The following response indicates that the basal body temperature is very low, suggesting that ovulation is not occurring. Ovulation medication can be used to assist. TSH (Thyroid Stimulating Hormone) is at 3.801, which is close to the upper limit and may warrant further investiga...[Read More] Understanding Basal Body Temperature and Infertility Issues
Understanding Breast Pain Before Menstruation: Causes and Remedies
Breast tenderness or pain upon touch before menstruation is common? Hello Doctor, I would like to ask you... My menstrual cycle is approximately 35-38 days, and I usually experience breast tenderness before my period. However, this symptom gradually subsides after menstruation be...
Dr. Li Guanghan Reply:
Hello: Breast tenderness during menstruation is not related to prolactin, but rather to female hormones and progesterone. Treatment may include taking progesterone for a few days and pain relievers. Dr. Cheng Jin-He, Department of Obstetrics and Gynecology, Hsinchu Hospital.[Read More] Understanding Breast Pain Before Menstruation: Causes and Remedies
Understanding Hyperprolactinemia: Symptoms, Causes, and Treatment Options
Hyperprolactinemia I have been experiencing very irregular menstrual cycles for the past six months. Recently, I went to the hospital for a blood test and found that my prolactin levels were elevated at 79.7. The doctor prescribed Parlodel, instructing me to take half a tablet ea...
Dr. Shi Chengyang Reply:
Please come to our hospital again for a blood draw consultation.[Read More] Understanding Hyperprolactinemia: Symptoms, Causes, and Treatment Options
Understanding Prolactin Inhibitors: Side Effects and When to Seek Help
Prolactin inhibitors Hello: I have been taking a prolactin inhibitor and feel that it has caused weight gain. Is this considered a side effect? If prolactin levels remain elevated, should further tests be conducted? Which department should I consult? Thank you!
Dr. Li Guanghan Reply:
Hello: Hyperprolactinemia can be monitored by a neurologist. Weight gain while taking prolactin inhibitors may be caused by anovulation due to high prolactin levels, rather than being a side effect of the medication. Dr. Cheng Jin-He, Department of Obstetrics and Gynecology, Hsin...[Read More] Understanding Prolactin Inhibitors: Side Effects and When to Seek Help
Understanding Breast Lumps and Unusual Milk Discharge: What You Need to Know
Breast lump 1. I have two hard lumps in my breast that have been present for 6-7 years, and I'm not sure what they are. 2. Recently, over the past month, it seems that I have been secreting milk, and a white fluid is coming out. Is this abnormal?
Dr. Wu Zongcheng Reply:
Dear Director Wu Tsung-Cheng of the Department of Obstetrics and Gynecology at Tainan Hospital, Please go to the hospital for an examination immediately! 1. Breast ultrasound and mammography: To accurately diagnose the nature of the breast mass. Is it a benign tumor or a mali...[Read More] Understanding Breast Lumps and Unusual Milk Discharge: What You Need to Know
Managing Breast Discharge While on Psychiatric and Gynecological Medications
I'm sorry, but I need more context or specific content to provide a translation. Please provide the text you would like translated? Doctor, I have been taking psychiatric medication recently due to emotional issues and high stress. However, this time my menstrual cycle has s...
Dr. Li Guanghan Reply:
Hello: This may be caused by medication, and it should return to normal after discontinuing the drug for a period of time. If it persists for another month or two, a blood test can be performed to check for hyperprolactinemia. Dr. Cheng Jin-He, Department of Obstetrics and Gyneco...[Read More] Managing Breast Discharge While on Psychiatric and Gynecological Medications
Understanding Irregular Menstruation: Causes, Treatment, and Fertility Concerns
Menstrual irregularities Hello Dr. Jan, I would like to ask you about my menstrual cycle. Since high school and now while studying in a vocational program, my menstrual cycle has been irregular. My periods either come early or I experience prolonged bleeding for a month. What c...
Dr. Zhan Deqin Reply:
There are many reasons for irregular menstruation in young women, such as abnormal lifestyle and diet, weight loss, and medications. Sometimes it can be due to anovulation or hormonal imbalances. If anovulation is the case, it may affect the chances of conception. It is recommend...[Read More] Understanding Irregular Menstruation: Causes, Treatment, and Fertility Concerns
Navigating Fertility Challenges: Seeking Answers and Next Steps
Want to get pregnant? Hello Dr. Jan, I have been married for over two years. Initially, I didn't have a strong desire to conceive, but I became proactive about it at the end of last year. However, there has been no progress, so I sought help from an obstetrics and gynecolog...
Dr. Zhan Deqin Reply:
A good physician should patiently and thoroughly explain the patient's condition and treatment plan. If you feel that her attitude is unsatisfactory, it may be worth considering a different doctor (for infertility, it is more appropriate to consult a reproductive endocrinolo...[Read More] Navigating Fertility Challenges: Seeking Answers and Next Steps
Postpartum Menstruation: Understanding Delays and Breastfeeding Effects
Postpartum menstruation Hello, doctor. It has been over eight months since I gave birth, and I only had my period in the third month postpartum. Since then, I haven't had any menstrual cycles, and I am worried about the possibility of being pregnant. I have taken three pregn...
Dr. Lü Lizheng Reply:
Hello: In women who are breastfeeding, the levels of prolactin can be elevated, which may suppress ovarian function and ovulation. Therefore, it is understandable that menstruation may not occur due to the lack of ovulation. It is advisable to visit a hospital for a blood test to...[Read More] Postpartum Menstruation: Understanding Delays and Breastfeeding Effects
Understanding Infertility: Common Concerns and Next Steps for Couples
Is it considered infertility? Hello Dr. Jan, I got married this February, but since we got engaged in January, my husband and I have been trying to conceive. Due to our busy work schedules, we have intercourse about once a week. My menstrual cycle is quite regular (27-30 days), a...
Dr. Zhan Deqin Reply:
Low estrogen, high prolactin, and high androgens cannot be determined by a single blood test. Particularly for prolactin, it is best to test on the second or third day of the menstrual cycle for more accurate results. If androgens are elevated, it is important to consider whether...[Read More] Understanding Infertility: Common Concerns and Next Steps for Couples
Understanding Prolactin Levels and Pituitary Tumors: Your Questions Answered
Prolactin Hello, I have hyperthyroidism and have been undergoing treatment for 1 year and 9 months. I have been married for over a year and have not used contraception. My examination results show a pituitary tumor measuring less than 1 cm. I know that thyroid issues can cause ga...
Dr. Peng Yiguo Reply:
Hello: Generally, elevated prolactin levels are associated with the phenomenon of galactorrhea, with values greater than 70 ng/mL warranting consideration for a head CT scan. If the levels exceed 100 ng/mL, suspicion for a microadenoma of the pituitary gland arises. The decision ...[Read More] Understanding Prolactin Levels and Pituitary Tumors: Your Questions Answered
Why Is My Breast Oily and Leaking Milk? Understanding the Causes
My chest is oily; what could be the reason? Recently, I noticed that my left breast is producing a lot of oil, and there is also a small amount of milk secretion. I am not currently pregnant. Is this normal, doctor?
Dr. Mao Yikun Reply:
Hello: I'm not sure what you mean by oil on the chest. If you are referring to breast milk, then it is necessary to check if there is an elevated level of prolactin, which requires a blood test at the hospital.[Read More] Why Is My Breast Oily and Leaking Milk? Understanding the Causes
Understanding Lower Abdominal Discomfort After Childbirth: Possible Causes and Solutions
I feel a dull discomfort in my lower abdomen..? Hello, since I gave birth in November 1997, I have been relying on medication for my menstrual cycle to occur, and I have gained over 30 kg in weight. Recently, I often feel discomfort and dull pain in my lower abdomen, and I wake u...
Dr. Li Guanghan Reply:
Hello: You should go to the hospital for an ultrasound examination and test your blood for hormones such as FSH, LH, and prolactin. There is a high possibility of polycystic ovary syndrome (anovulation). The increased frequency of nighttime urination requires a urine test to chec...[Read More] Understanding Lower Abdominal Discomfort After Childbirth: Possible Causes and Solutions
Understanding Elevated Prolactin Levels: Do I Have a Pituitary Tumor?
Menstrual periods have been regular, but there has been a gradual reduction in frequency over the past six months, and there has been no menstruation for three months. Blood test results show elevated prolactin levels, E2=18, FSH=11, and LH=3.0? Hello Dr. Cheng, I would like to a...
Dr. Li Guanghan Reply:
Hello: If prolactin levels are significantly elevated, a CT scan can be performed initially. If no tumors are found, a diagnosis of a microadenoma of the pituitary gland (benign) can be made. Medications to lower prolactin levels, such as bromocriptine, can be used to manage the ...[Read More] Understanding Elevated Prolactin Levels: Do I Have a Pituitary Tumor?