How to deal with low estradiol and testosterone?

Patient's question:

Two years ago

Doctor's answer:

It is caused by dysfunction or lesions of the hypothalamus-pituitary-ovary axis, leading to excessive prolactin secretion by the pituitary gland, resulting in hyperprolactinemia. This condition is characterized clinically by two major symptoms: menstrual disorders (amenorrhea, early menstruation, delayed menstruation) and galactorrhea, hence it is also known as amenorrhea-galactorrhea syndrome.
The first-line treatment is bromocriptine, starting with 1.25mg at bedtime, increasing by 1.25-2.5mg every 2-3 days, with an effective daily dose of 5-7.5mg. After treatment, blood PRL levels decrease, and menstruation typically resumes within 2-3 months.