Patients: 1. history of menstrual sparseness (i.e. history of delayed menstruation): about 12 years since the age of 15; 2. whether weight gain in a short period of time: weight gain is not obvious, just last year’s weight gain, up about 5 kg; 3. recently been amenorrhea so there is no way to check female hormones (please ask whether female hormones must be checked the day after menstruation?) Last August, Estradiol E2 was close to the lower limit, lactogen PRL: 437, the rest was normal (from Chinese medicine), fasting blood sugar and fasting insulin were not checked; 4, ultrasound examination did not find ovarian polycystic changes, now 4 months after menopause endometrial thickness is about 7-8 mm (just the day before yesterday ultrasound) ultrasound did not see obvious abnormalities; 5, recently did not use progesterone, did artificial I have not used progesterone recently, I have done artificial cycle, after using progesterone, my menstruation came, but the amount is not too much; 6, two years ago to check the prolactin PRL: more than 750, have done the cranial MRI, pituitary microadenoma is not enough, only slightly unequal on both sides of the pituitary gland, have taken the smell of hidden stop, stopped taking the drug in the middle of more than a year, now began to eat half a month, have not taken oral contraceptives; 7, menstruation has not come, so there is no way to test the basal body temperature BBT had Doctor: Is my case serious? Is it possible to get pregnant? How should I treat it now? Last October, I passed the fluids and everything was normal, can I use progesterone now? Is it true that I can’t measure my female hormones after my period with progesterone? I am very anxious now! I hope to hear from you!
Zeng Lei, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: 1. If you have not been menstruating, it is not necessary to check sex hormone 6 (FSH, LH, E2, P, T, PRL) on the 2nd-5th day of menstruation.
2.Please write me the values and international units of all 6 endocrine items, because in addition to corresponding with the reference values, I have to analyze them according to the ratio between items.
3. If the first prolactin test is elevated, you should retest it again before using the medication; and you must fast and rest for 15-30 minutes before drawing blood. The reason is that prolactin is affected by many factors and fluctuates, such as emotional excitement, strenuous exercise, sexual intercourse, etc. Therefore, the diagnosis of “hyperprolactinemia” should not be made on the basis of one result alone, and bromocriptine should not be taken rashly on the basis of one result alone.
4. You should not stop taking bromocriptine at will, as this may cause the rebound of prolactin level.
5.Menopause for more than 3 months should actively bring back menstruation once, progesterone can be used. Because if the uterus lacks the stimulation of sex hormones for a long time, it can lead to defects in the function of the uterus such as atrophy.
6.After using progesterone, BBT monitoring can be performed, but it is estimated that your case belongs to the category of non-ovulation. My opinion is to choose Chinese medicine for 3 months and actively exercise to adjust your physical and psychological quality and overall state well, and then choose clomiphene program or other ovulation promotion programs after you have prepared for pregnancy, and B ultrasound monitoring ovulation under the hope that you can hit the target.
7. During the 3 months of herbal conditioning, you also need to do the following preparations: (1) Tubal examination: Although your lavage suggests no problem, the most accurate test to reflect the shape of the fallopian tubes and uterus is imaging. The diagnostic efficacy of a lumpectomy is limited because if a patient with bilateral tubal effusion, her lumpectomy results are also clear because lumpectomy relies on the physician’s touch, which is more subjective. Note: Be sure to ensure negative results for mycoplasma and chlamydia before imaging or lavage.
(2) Husband’s semen examination. (3) If you still don’t ovulate or your period doesn’t come for several months with Chinese herbal medicine, you can combine Chinese and Western medical treatment. I wish you good health!