High prolactin levels with galactorrhea (milky nipple discharge other than normal breast feeding) can often cause delayed ovulation and irregular menses.
The ovulation kits detect the LH surge and do not exactly tell us if there has been ovulation at all.
There may be delayed ovulation which can be ascertained only by regular follicular monitoring.
An excessive PRL (prolactin) secretion decreases the pulsatile release of GnRH (Gonadotropin Releasing Hormone) impairing the pituitary production of FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone).
Furthermore it may directly impair the endocrine activity of ovarian follicles.
As a consequence: defective luteal phase, inconstant ovulation and chronic anovulation are conditions frequently observed in young hyperprolactinemic patients.
So it is important that the prolactin levels are controlled.
If prolactinoma (benign pituitary tumour that produces prolactin) has been ruled out on MRI then you may take tablet Cabergoline 0.25mg twice a week for 3 weeks and then evaluate your prolactin levels again.
And then, if required the dose can be escalated to 0.5mg twice a week depending on the response.
.. points out that you had early menopause, which occurs in 5 to 10 percent of women at age less than 40 years of age. And yes it has adverse effects same just like menopause in another woman at the usual age. Read full
.. report (attachment removed to protect patient identity) shows a baby of 9 weeks and 5 days.
With the EDD and calculated date of conception, it is a case of delayed conception where the child is not lagging growth. Read full
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