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Suggest Treatment For PCOD, Severe Headache And Dizziness
Question: Hello doctor,I am XXXX.let me tell you my present Situation; I do have PCOD.High prolactine level.height is 5.4 inch Weight is 80 KG and age is 28yrs. My Present problems are i do get seviour headache when i climb up stairs,when i wipe floor while sitting and suddenly gets up,when i suddenly gets up from my desk,feeling all time dizziness.I am very emotional girl.get tears in my eyes very quickly.Everybody says i think so much.I have been married since 1.5 yrs.adjusting with new home with joint family. My family history is my dad is having diabetes. please help me out with suggestions.Thanks in advance.
Brief Answer:
need more information
Detailed Answer:
Hello dear,welcome to healthcare magic.I understand your concern.
In my opinion the headache in your case need to be evaluated as it is associated with high prolactin level.
I would like to know following things for better suggestions:-
1)What is the prolactin level?
2)Are you under any work or family tensions?
3)How is your marital relationship?
4)Any visual problems?
5)Are you under treatment for PCOD and high prolactin level?
6)Are you planning for pregnancy?
7)How are your cycles?
Kindly provide me the information.
Looking forward to hear from you.
Best regards...Dr.srilatha
need more information
Detailed Answer:
Hello dear,welcome to healthcare magic.I understand your concern.
In my opinion the headache in your case need to be evaluated as it is associated with high prolactin level.
I would like to know following things for better suggestions:-
1)What is the prolactin level?
2)Are you under any work or family tensions?
3)How is your marital relationship?
4)Any visual problems?
5)Are you under treatment for PCOD and high prolactin level?
6)Are you planning for pregnancy?
7)How are your cycles?
Kindly provide me the information.
Looking forward to hear from you.
Best regards...Dr.srilatha
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hello doctor last month I have checked my Prolactin level it is 44. Yes I m leaving in joint family after marriage so its getting diff to get adjust and so every time some issues hapens and I so get hurt I think so much and I share with my husband bt mostly he proves me wrong only.and thn ultimately we land up quaral between us.and our married life gets affected.our sex life is good .yes we are planning for pregnancy since almost year but no luck yet.and done follicular study everything is fine.but issue is with my husband his sperm count is nil.my cycles are very normal. I am not facing any visual problems yet.I was taking clobogin for Prolactin but I stopped once my husband got tested. And we got disturbed due to this. Anyways I m worried about my headache I feel so much sleepy almost whole day... Plus headache at situations.looking for word to hear from you.thanks.
Brief Answer:
Adapt healthy lifestyle
Detailed Answer:
Hello dear,thanks for the information.I understand your concern.
In my opinion the headache in your case might be tension headache due to the family issues and your arguments with your husband.
But as the prolactin is 44 I suggest you to rule out any pituitary gland abnormalities by MRI because headache with raised prolactin should be evaluated.
The medicines to decrease prolactin level might be continued along with pituitary gland evaluation.So discuss regarding that with your doctor.
Though you have PCOD it's good that your cycles are regular.But the main hindrance to
pregnancy might be the nil sperm count of your husband.
And your height and weight are inappropriate.Your optimum weight should be 63 kg.So adapt healthy lifestyle like exercise daily and healthy nutritious food to decrease weight.
Avoiding stress is very important.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr.srilatha
Adapt healthy lifestyle
Detailed Answer:
Hello dear,thanks for the information.I understand your concern.
In my opinion the headache in your case might be tension headache due to the family issues and your arguments with your husband.
But as the prolactin is 44 I suggest you to rule out any pituitary gland abnormalities by MRI because headache with raised prolactin should be evaluated.
The medicines to decrease prolactin level might be continued along with pituitary gland evaluation.So discuss regarding that with your doctor.
Though you have PCOD it's good that your cycles are regular.But the main hindrance to
pregnancy might be the nil sperm count of your husband.
And your height and weight are inappropriate.Your optimum weight should be 63 kg.So adapt healthy lifestyle like exercise daily and healthy nutritious food to decrease weight.
Avoiding stress is very important.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr.srilatha
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Hello doc prolactine level which I told u it was for last month but yesterday I have checked and its 12.5.yesterday was my 6 th day of period. Does it vary on days of periods?? Random Sugar is also normal. But Yest my bp was low which was 100/80 also today again I feeled weekness and chakkar.what will b the reason? If there is any problem in head related to pitutory XXXXXXX thn prolactine levels should be high every time rite? Plz advise.thanks
Brief Answer:
Prolactin levels vary during the day
Detailed Answer:
Hi XXXXXXX nice to see your reply.
Iam very happy to see that your prolactin levels are within normal limits.
In my opinion serum prolactin does not vary much with menstruation.
Rather the prolactin levels vary during the day peaking during late night and early morning hours.
And there might be specific individual variations too.
So the testing should be delayed till mid morning hours.
So the high level can be due the time of testing and it might be stress mediated or the level might have decreased due to cabgoline.
As you dont have symptoms like irregular cycles,visual defects you need not worry.
But the headache need to be evaluated that if it is tension headache or migraine or any other.
So MRI might help you in definite diagnosis.
And i also suggest you to go for repeat testing of prolactin after a month or more to see if the raised level pf prolactin is stress mediated or due to any abnormality.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...dr.srilatha
Prolactin levels vary during the day
Detailed Answer:
Hi XXXXXXX nice to see your reply.
Iam very happy to see that your prolactin levels are within normal limits.
In my opinion serum prolactin does not vary much with menstruation.
Rather the prolactin levels vary during the day peaking during late night and early morning hours.
And there might be specific individual variations too.
So the testing should be delayed till mid morning hours.
So the high level can be due the time of testing and it might be stress mediated or the level might have decreased due to cabgoline.
As you dont have symptoms like irregular cycles,visual defects you need not worry.
But the headache need to be evaluated that if it is tension headache or migraine or any other.
So MRI might help you in definite diagnosis.
And i also suggest you to go for repeat testing of prolactin after a month or more to see if the raised level pf prolactin is stress mediated or due to any abnormality.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...dr.srilatha
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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