Hyperprolactinemia

When the prolactin levels are higher than normal in the blood, it is called hyperprolactinemia. Prolactin is high during breastfeeding, and it affects the levels of both male and female sex hormones. Hyperprolactinemia is caused due to hypothyroidism, tumor of the pituitary gland, chronic liver and kidney disease, and some medicines.

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Does lactation and typhoid after withdrawal bleeding mean pregnancy?

Query: Hello doctor, I had sex with fiancee a month back. I gave her Unwanted 72 in 48 to 72 hours bracket. She had her periods 10 days back. Today she is experiencing some lactation and also suffering from typhoid. Is she pregnant. What to do?  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. As she had a withdrawal bleed, so chances of pregnancy are minimal. The lactation could be due to high prolactin levels due to hyperprolactinemia which needs to be investigated with serum prolactin levels. However, the best way to rule out pregnancy if you are still ...  Read Full »

Am i pregnant if the pregnancy test is negative?

Query: Hello doctor, I had my last period on the 1st of last month. I did not have sex until the 33rd day (it was protected sex) of my cycle. Now, I have not yet had my periods. It is the 39th day and I took a pregnancy test on the 38th day and it came out to be negative. I do not know what to do. I did ha...  Read Full »


Dr. Deepika Joshi Khare

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. If you had sex on the 33rd day, then the test will not come positive so early even if you have conceived. It takes around two weeks to come positive.Although the chances are very less, you should rule out pregnancy. Do a test around 47th day. Amenorrhea can be because ...  Read Full »

Can Risperidone cause breast cancer?

Query: Hi doctor, I took Risperidone 3 mg daily for 11 months. Can it cause breast cancer? Also, I took ayurveda medicine for irregular periods. When I developed loss of appetite and nausea I stopped it. I took it only for one and a half month. I did not inform my psychiatrist about this. Please help.  Read Full »


Dr. Sathya Prakash

Psychiatrist

Answer: Hi, Welcome to icliniq.com. Risperidone can cause a condition known as hyperprolactinemia or an increase in serum prolactin levels. This is associated with a number of symptoms, including secretion of milk from the breast, stoppage of periods, etc. The increased risk of cancer is something that you ...  Read Full »

Why am I not losing weight in spite of exercise and diet?

Query: Hi doctor, I could not lose weight no matter what I do. I have acne on my chin and cheeks, increased facial hair and my hips, thighs and stomach will not lean out both with exercise and diet. I was told to take Nature-Thyroid for low T3, but felt like my throat swollen up when I take it. It would ma...  Read Full »


Dr. Sadaf Mustafa

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Thank you for providing a good history. First of all I want you to take a deep breath and relax. If you could please answer these questions it would be very helpful. Have you been diagnosed with PCOS (polycystic ovarian syndrome)? Is this the reason for hormones? ...  Read Full »

How to confirm the reason for my abortion?

Query: Hi doctor, I had some hormonal imbalance problem. I had my last periods two months back. I became pregnant and took an hCG test. It was 121 and I took viability scan at 7.6 weeks. The heart rate was 92 bpm, which is less compared to one week. So, doctor suggested me to repeat a scan after two weeks....  Read Full »


Dr. Bharat Patodiya

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician, Medical Oncologist

Answer: Hello, Welcome to icliniq.com. Your ovarian reserve appears to be good. Recurrent abortion needs evaluation for the following. Parental karyotype abnormality, uterine abnormalities, antiphospholipid syndrome, immunologic dysfunction, thyroid dysfunction, diabetes mellitus, polycystic ovary ...  Read Full »

Does high prolactin hamper conception?

Query: Hi doctor, I have been trying to conceive for last one year. Examination showed high thyroid and prolactin levels. My doctor put me on Thyronorm 25 and Cabergoline 0.5. My thyroid levels became normal but my prolactin levels came down to 35.06 from 55 after three months. Recent blood test showed 37....  Read Full »


Dr. Purushottam Sah

Obstetrician And Gynaecologist, Sexologist, Andrologist, Infertility Specialist

Answer: Hi, Welcome to icliniq.com. High prolactin level may be due to stress or usage of multiple drugs. Are you under any other medication? As your prolactin level is responding to Cabergoline, you may need to increase the dose to get your prolactin under control. Revert back with the answer for the above...  Read Full »

What is the permanent solution for irregular periods?

Query: Hi doctor, My sister is 22 years old. She is suffering from irregular periods. She is taking Diane-35 to get regular periods. If she stops the tablet, then her periods will go missing. What is the permanent solution for her? Please suggest. Additionally, she has thyroid problem. She is under regu...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. As I can presume, your sister is having cystic ovaries with irregular menstruation termed polycystic ovarian syndrome (PCOS). Here, the ovaries produce hormones in a disordered manner as well as there is no production of egg. My question is, whether she got tested for t...  Read Full »

What shall I do to regularize my periods?

Query: Hi doctor, I have been having PCOD since last 14 years. I started treatment before four years with Bigomet SR 1000. After continuing it for eight months, I had periods with more gap compared to earlier. Then, I had periods only with the help of medicine and so, I left the treatment. I started my tr...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity) and in your case, PCOD (polycystic ovarian disease) is not a problem for delayed menses, but high prolactin levels due to hyperprolactinemia. PCOD can be controlled with diet, exercise ...  Read Full »

Pregnancy test shows negative, shall I take medicine to induce periods?

Query: Hi doctor,I got my last period before three months. I have not gotten my periods ever since. I had protected intercourse twice before two months. However, I have no symptom and all the pregnancy tests are negative. Also, I have missed my period the same way, even before once and my cycle is gener...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. In your case, if pregnancy test has been negative, even till date, then you are surely not pregnant. The delay and irregularity need to be evaluated and investigated to rule out PCOS (polycystic ovarian disease), hypothyroidism or hyperprolactinemia, which are the most...  Read Full »

What Clomid dose is recommended for a 42-year-old with AMH of 0.35?

Query: Hello doctor,I would like to know what dose of Clomifene citrate (Clomid) would you recommend for a 42-year-old with an AMH of 0.35?  Read Full »


Dr. Purushottam Sah

Obstetrician And Gynaecologist, Sexologist, Andrologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. I suggest apart from FSH (follicle stimulating hormone) and AMH (anti-Mullerian hormone) you do blood tests TSH (thyroid stimulating hormone) and prolactin. Clomifene is started at 50 mg daily for five days. If ovulation does not occur then the dose can be increased...  Read Full »

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