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Polycystic ovarian syndrome, viscous semen, high prolactin level - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women Sexual Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 352 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   hi, I am married for one year, we are trying to concieve, recent invistigation showed that my wife had high prolactin level
User :   how can we reduce it
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
Doctor :   of your wife
User :   Age : 23, housewife,
User :   before marriage her weight was 45 kgs, but within one year it went to 62 kgs
User :   her height is 5 feet 4 in
Doctor :   ok
User :   doctor please tell us what to avoid to keep normal prolactin level
Doctor :   are her periods regular?
User :   she took premulet-N in december to delay per periods
User :   she missed her period in January and after that they were normal again until april
Doctor :   ok
Doctor :   ok
User :   but again she missed her period in May and June.. then she was given deviry 10 for 5 days (10 tablets), then she had her periods on 13th day after stoping the tablet
Doctor :   ok
Doctor :   can you tell me what other tests were done?
User :   ultrasound scan, both external and internal, harmone test, thyroid test
Doctor :   ok
Doctor :   and the prolactin was fould high?
User :   ya..
Doctor :   any other abnormality in the tests?
User :   PCO's
User :   she also underwent HSG which came out to be normal
Doctor :   ok
Doctor :   then have they tried clomiphene?
User :   the Dr. gave her Cabergoline to be taken once every week
User :   Again her period are delayed this month
Doctor :   was she given any drug called clomiphene?
User :   no
Doctor :   in PCOS there will be a degree of prolactin increase
Doctor :   she should be treated for PCOS primarily
Doctor :   if the prolactin is marlkedly increased
Doctor :   then she may be further evaluated
Doctor :   by a CT or MRI scan
Doctor :   i suggest that you consult a gynaecologist
Doctor :   regarding the different treatment options
User :   the Dr. there told us that she does not have to worry about PCO's and even with PCO's she can concieve as one of her ovary was found to produce eggs
Doctor :   ok
Doctor :   then you may need to consult an endocrinilogist also if the current medicine is ineffective
Doctor :   are you there?
User :   yes
Doctor :   ok
Doctor :   what are the prolactin levels?
User :   thanks for the information
User :   60
Doctor :   ok
Doctor :   Please fill the feedback form say done when done
User :   ok
Doctor :   YYYY@YYYY
Mobile : 0000 please confirm your details
User :   yes.. they are correct
Doctor :   Have you filled the feedback form which I have sent?
User :   yes i did
Doctor :   Is there any thing else that I could help you with?
User :   for me, my semen was slightly viscous
Doctor :   ok
User :   so the doctor prescribed me barkiet to be taken daily at bed times for 3 months
Doctor :   ok
User :   but recently i read that this tablet if taken for long period can cause urinary stone
Doctor :   you should take plenty of oral fluids
Doctor :   restrict your intake of coffee and tea
Doctor :   and avoid alcohol
Doctor :   3 months is ok
User :   ok
Doctor :   anything else ?
User :   i just take tea that too may be one in 2 days
Doctor :   ok
User :   is it fine
Doctor :   drink lots of fluids
User :   ok
User :   also after having sex the semen tends to come out of the vagina..
Doctor :   that is normal
User :   how can we prevent it

Doctor :   it happens to everyone
Doctor :   she can lie down quietly after the act with her legs slightly elevated with a pillow
Doctor :   that has been found to help by some
User :   ok
Doctor :   for a few minutes
User :   what are the best days and at what frequency should be have sex
User :   as i read too much sex is also bad
Doctor :   for that her cycles should be regular

User :   ic
Doctor :   too much sex is never bad
Doctor :   there is nothing like that
Doctor :   it depends on the convenience of the partners
User :   you mean. her period should come on exact date every month
Doctor :   yes
Doctor :   and she should be ovulating
User :   or one or two days here and there are tolerable
Doctor :   yes
User :   that what happend to her.. every month her period shifted two days
Doctor :   ok
Doctor :   but you said there is PCOS right?
User :   yes
Doctor :   yes
Doctor :   anyways as one is functioning
Doctor :   you can try between
User :  
Doctor :   10th and 18th days
Doctor :   of her cycle
User :   every day or alternate
Doctor :   that is the most fertile period
Doctor :   usually
Doctor :   yes everyday
User :   and in Islam it is probihited to have sex when she is mensturating, that also make us tensed some times during the act
Doctor :   she cant get pregnant during her menses
Doctor :   there is no need to have sex then
User :   ok
Doctor :   anything else?
User :   thanks for all your information and help

Doctor :   ok
Doctor :   you are welcome
User :   i will see Dr. soon
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
Doctor :   ok
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