Patient's question:
32 years old this year, no children, had multiple miscarriages due to youthful recklessness, now married for two years and unable to conceive, medical examination results show high prolactin, high estrogen, small uterus, fallopian tube examination results show bilateral obstruction but not completely blocked, left side elevated.Doctor's answer:
1. High prolactin can affect ovulation. Is your prolactin level normal now after taking bromocriptine?2. Fallopian tube blockage may affect conception. When was the hysterosalpingogram (HSG) done? If necessary, it should be repeated, or a laparoscopy may be performed.
3. The HSG suggests a small uterus. What are the results of the ultrasound showing regarding the uterus size? And the endometrium? If you want to rule out uterine adhesions, a hysteroscopy is needed.
4. How has your menstrual cycle been like? What about the cycle length and menstrual flow volume? Do you experience dysmenorrhea? Why are you suspecting endometriosis?
5. Has your partner had a semen analysis? Are you living in the same location as your partner?