What should I do if I have low menstrual flow, high prolactin, and anovulation?

Patient's question:

Your menstrual cycle is normal but the amount is low. Hormone panel including prolactin (1500) was done, and pituitary MRI was normal. Thyroid function panel (7 items) was normal. Pelvic ultrasound revealed only pelvic effusion and retroverted uterus. You haven't experienced menopause in recent months. What medication should you take?

Doctor's answer:

Menstrual volume is low, prolactin is high, and a magnetic resonance imaging has ruled out the possibility of a pituitary microadenoma. Currently, there is no significant relationship between menopause and high prolactin levels. It is possible to reduce prolactin under the guidance of a doctor. However, oral medications are prescription drugs and must be used under the guidance of a doctor. Gynecological diseases are a common gynecological condition. During medication, women should pay attention to their own care, especially in terms of hygiene. It is recommended that patients avoid sexual activity during treatment and pay close attention to cleanliness.

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