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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can I Get Pregnant While Having High Prolactin Levels?

I am 30 years old and trying to conceive last 1st time in last 1yr but no result. I have tracked my ovulation patterns with bbt chart & CM, 28 day cycle. my prolectine was high 4months before, now problems conceiving our first child. Is my ovulation too late to conceive and when should I go see a doctor about this?
Fri, 27 Jan 2017
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OBGYN 's  Response
Hi ,
Sorry but your history is not clear.
Let me tell you the basis of ovulation & periods .
Normally periods are 28 days +/- 7 days , bleeding of upto 7 days is normal.To know the exact date of ovulation, Subtract 14 days from Average length of cycle , eg- if periods every32 days, 32-14= Day 18 is day of Ovulation.
If your cycle is regular , don't worry about any other hormones. Because if you have abnormal levels of Thyroid or Prolactin hormones, you will not ovulate , hence your periods will be prolonged or irregular.
Repeat Prolactin (early morning around 6-7 am, empty stomach ).Do consult infertility specialist if level is too high ( upto 30ng/ml or mcg/lt is normal ). Prolactin can rise for varied situations eg - lack of sleep, anxiety, after sex, anxiety even seeing the syringe !
If your cycle is regular rule out other causes for infertility like
Husband - Semen parameters
Wife- Tubal patency- HSG ( X ray with dye) or SSG ( Scan with dye) or laparoscopy.
All the best
Dr.Balakrishnan
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How Can I Get Pregnant While Having High Prolactin Levels?

Hi , Sorry but your history is not clear. Let me tell you the basis of ovulation & periods . Normally periods are 28 days +/- 7 days , bleeding of upto 7 days is normal.To know the exact date of ovulation, Subtract 14 days from Average length of cycle , eg- if periods every32 days, 32-14= Day 18 is day of Ovulation. If your cycle is regular , don t worry about any other hormones. Because if you have abnormal levels of Thyroid or Prolactin hormones, you will not ovulate , hence your periods will be prolonged or irregular. Repeat Prolactin (early morning around 6-7 am, empty stomach ).Do consult infertility specialist if level is too high ( upto 30ng/ml or mcg/lt is normal ). Prolactin can rise for varied situations eg - lack of sleep, anxiety, after sex, anxiety even seeing the syringe ! If your cycle is regular rule out other causes for infertility like Husband - Semen parameters Wife- Tubal patency- HSG ( X ray with dye) or SSG ( Scan with dye) or laparoscopy. All the best Dr.Balakrishnan