What's the matter with high prolactin in follicular phase? The secretion of prolactin is influenced by many factors. In addition, drugs such as progesterone, dexamethasone, adrenal cortisol, intense physical activity, trauma and other acute stress situations can all cause the secretion of prolactin to increase. The increase of prolactin is medically called hyperprolactinemia, which is a hypothalamic-pituitary-gonadal axis dysfunction disease, and its main symptoms are obvious reduction of menstrual flow, sparse menstruation and even amenorrhea. Hypergalactia, menopausal symptoms, etc. This disease accounts for about 20% of infertility caused by endocrine factors. Life care: Excessive prolactin will also make the ovaries lose their due ability to respond to gonadotropins, and the synthesis of estrogen and progesterone will be significantly reduced, which will make estrogen, which plays an important role in the process of conception, show a low level and directly affect the pregnancy function. When the sex hormones are greatly reduced to a certain extent, it will also make patients have many symptoms similar to female menopause.
It is a disease caused by endocrine disorders, which will lead to galactorrhea. And irregular menstruation, but also affect ovulation, so it has an impact on pregnancy. After determining the condition, this situation needs to be treated with bromocriptine, which is a drug to control prolactin. It takes about three months to six months to monitor the changes of prolactin during the use of the drug, and the drug can only be stopped after the prolactin returns to normal. At present, the problem of antibody and high prolactin are the main causes of your infertility, so you can treat it in time. Bromocriptine is the first choice for patients with high prolactin, and you can carry out effective examination and treatment in time under the guidance of a doctor. Because the high level of prolactin has inhibited ovulation to varying degrees, it may be necessary for patients with fertility needs to undergo ovulation induction treatment after controlling serum prolactin. Once the drug treatment is started, it should be strictly carried out according to the doctor's advice, and the drug should not be stopped at will, otherwise, the serum prolactin level may rebound.
How big the follicle starts to ovulate and how big the follicle grows to be discharged smoothly also varies from person to person, which is related to women's own physique. Some women can be discharged when the follicle grows to 15 mm. However, there are also some women who will not be discharged until the follicle grows to 25 mm. Most women are discharged when the follicle develops to18mm to 25mm.
In order to accurately grasp the time of follicular discharge, it is best to monitor the development of follicles by B-ultrasound. From the second day after the end of menstruation, monitoring began once every two days. When the follicle develops to 12 mm, it should be once a day. When the follicle continues to develop and reaches 15 mm, it should be monitored twice a day to catch the moment of ovulation in time.