YOUNG-WOMEN Messages for January, 2001: Re: high prolactin and low Progesterone

Re: high prolactin and low Progesterone

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 3 Jan 2001 20:39:26 -0600 (CST)

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In reply to: anonomous: "high prolactin and low Progesterone"

At Wed, 3 Jan 2001, anonomous wrote: >
>i have just recieved a second repeat blood test for my Progesterone and
>Prolactin which shows that my prolactin is still high and that my
>progesterone is very low and that i had not ovulated in my latest cycle
>. I had my blood tests taken seven days after my first LH surge. My
>previous blood results showed a very high prolactin and a Progesterone
>level not quite within normal range but these latest results show that
>even though my prolactin is still high, it is not as high as previously.
>
>My Doctor is going to refer me to the Fertility Specialist since my
>partner and myself have been ttc for several months without success.
>
>WHat treatment could i possibly expect to be given to reduce my
>Prolactin and stimulate Ovulation? What is the success of this
>treatment?

Dostinex or Parlodel are the present therapies. Success rates in bringing down Parlodel is excellent. If the prolactin is very high, an MRI should be done to look for microadenomas of the pituitary gland.

>
>My periods are very irregular, which i guess if i am having anovulatory
>cycles would be a contributing factor?

Sounds reasonable. Once the prolactin is normalized, then see if you start ovulating.

>
>My other concern is though, that my last cycle, i had one LH Surge, then
>i had two more positive surges three days later, but my period did not
>arrive until 21 days after my last LH Surge. Could it also mean that i
>had a false positive and had my bloods taken too early and that i could
>of ovulated a week later than anticipated?

If you didn't get a period for 21 days, a real LH surge must be questoined.

>My FSH, LH, Thyroid Levels, Immunity to Rubella and Measles is normal.
>My partner's Sperm sample is fine.
>
>My menstrual cycle used to be every five weeks even when i was a
>teenager. I have found that since we have been ttc they appear more
>erratic. Prior, they used to be within 35-40 days. I have noticed
>since i have started to chart my menstrual cycle that they are 8 weeks,
>6 weeks, and 5.5 weeks, so i just don't know when the best time is to
>try and concieve!!!
>
>Finally i experience ovarian ache when i think i am about to ovulate, it
>lasts for about five days then stops, then it starts again about 5 days
>before my period is due,and stops as soon as i have a period, is this
>any cause for concern?

Not likely but a sonogram may be helpful here.

Hope this helps and write back anytime for more information.

HSM

>
>Thanks!
>I have been pregnant before but had an abortion at 11 weeks when i was a
>teenager.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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