I have irregular periods, sometimes three or four months, or four or five months.

Patient's question:

Hello, my menstrual cycle has always been irregular, sometimes coming every three or four months, or even every four or five months. On the third day of my period, I had an endocrine panel test, and my prolactin level was 26.97 ng/ml, which is 3.6 units higher than normal. The other results were normal. Could this lead to infertility? Do I need medication?

Doctor's answer:

Irregular menstruation is a common gynecological disorder, characterized by abnormal menstrual cycles or bleeding volume, or accompanied by abdominal pain and systemic symptoms before or during menstruation. The cause may be due to organic lesions or functional disorders. Blood diseases, hypertension, liver disease, endocrine disorders, molar pregnancy, reproductive tract infections, uterine fibroids, and other conditions can all lead to irregular menstruation. It is essential to identify the underlying cause for targeted treatment.

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