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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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 »
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 somethin... 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 »
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 lactation and typhoid after withdrawal bleeding mean pregnancy?
Query: Hello doctor, I had sex with my fiancee a month back. I gave her Unwanted 72 in the 48 to 72 hours bracket. She had her period ten days back. Today she is experiencing some lactation and also suffering from typhoid. Is she pregnant? What to do? Kindly help. Thank you. Read Full »
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 »
Why did I miss two consecutive periods?
Query: Hi doctor, I am 37 years old. Five months back I missed my period and then got bleeding for two days in the following month. Now again for the past two months I did not get my periods. Sometimes, I feel tired. Am I pregnant? Read Full »
Answer: Hello, Welcome to icliniq.com. It is better to rule out pregnancy with a home urine pregnancy test first as you have missed your last two menses.If negative then you can opt for an ultrasound pelvis to check for endometrial thickness. If it is more than 9 mm then you may opt for a withdrawal bleed w... Read Full »
What does it mean when I get clear discharge from nipples after a miscarriage?
Query: Hello doctor, I am 29 years old. One year back I had a miscarriage. Now I am not pregnant and not feeding. But when I press my nipples white and some times clear secretions are coming. I do not have any pain and I am having regular periods and sometimes 3 days and sometimes 5 days flow will be ther... Read Full »
Answer: Hi, Welcome to icliniq.com. It looks like a clear case of hyperprolactinemia. The hormone prolactin or TSH (thyroid-stimulating hormone) may be raised. Go for serum prolactin and TSH levels and further treatment will be based on the reports. You may go for a breast ultrasound also just to be more ... Read Full »
What does my low AMH level indicate?
Query: Hi doctor, Last month on day 2, my TSH level was 4,9304 uIU/mL, free T4 was 102 ng/dL, and prolactin was 30.63 ng/mL. My last six months' menstrual cycle lengths were 34 days, 28 days, 28 days, 28 days, 36 days, and 19 days respectively. My cycle statistics are as follows. The average cycle length i... Read Full »
Answer: Hello, Welcome to icliniq.com. You are suffering from hyperprolactinemia and borderline subclinical hypothyroidism. Both of these can cause a delay in ovulation and hence irregularity in cycles. Ideally, menses between 23 to 35 days are considered normal as per the definition. In your case, the ... 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 »
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 »
What is the use of hCG injection?
Query: Hi doctor, In the last two months my period span was 34 days. As I am trying to get conceive I went to gynecologist to know is there any wrong. She asked me to get CBC (complete blood count), hormone test and urine test. My blood sugar and all other are normal. My LH 6.31, FSH 7.91 and prolactin 53.... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your problem and seen the pictures (attachment removed to protect patient's identity). Period span of up to 35 days is normal. Your prolactin 53.92 is high and you need medicine for it. A follicle size of 1.8 cm or more is mature and if it doe... 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 »
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 t... Read Full »
My prolactin level is 121 ng/mL. What is the reason for my increased prolactin level before marriage?
Query: Hi doctor,My prolactin level is 121 ng/mL, TSH level is 3.67 mU/L, FSH level is 6.7 IU/L, LH level is 5.2 IU/L, and ferritin level is 15.6 mcg/L. My period flow has reduced from four and a half days to two and a half days over the past year. It occurs due to the medications taken for skin lightening... Read Full »
Answer: Hi,Welcome to icliniq.com.From the reports attached (attachment removed to protect the patient's identity), you have hyperprolactinemia. Do you have vision problems or headaches? Take an MRI (magnetic resonance imaging) pituitary to observe enlargement. I suggest (consult with a specialist doctor, t... Read Full »