Patient's question:
,Has a history of menstrual disorders, started her period on the 10th of this month, and this time the menstrual cramps are extremely severe (never this bad before). On the 11th, she went to the hospital for a check-up, where blood tests were conducted, revealing FSH levels of 4.43 mIU/ml, LH levels of 3.11 mIU/L, PRL levels of 343.0 mIU/L, E2 levels of 128.0 pmol/L, TEST levels of 2.49 mol/L, PG levels of 0.56 g/ml, CA12-5 levels of 32.40 U/ml, and B-HCG levels ofDoctor's answer:
From your test results, it appears that your PRL is elevated, which is likely hyperprolactinemia. You may experience breast tenderness, galactorrhea, and infrequent menstruation, or even amenorrhea. When prolactin levels are excessively high, they can inhibit the secretion of gonadotropins by the pituitary gland and directly affect the synthesis of sex hormones in the ovaries. This leads to low serum estrogen levels, disrupting ovarian function, reducing ovulation, or anovulatory galactorrhea, and even amenorrhea, resulting in infertility. Endometriosis can cause painful cramps and also affect fertility. In Zencheng, all reputable hospitals can treat this condition. I've heard that Foshan Zhongshan Hospital does a great job in treating this, and one of my colleagues got her gynecological issues treated there. This is just my personal opinion—feel free to check out their website for more information.