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What Causes Irregular,frequent And Longer Periods?

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Posted on Fri, 11 Jul 2014
Question: hello doc,
i have been getting irregular, frequent, longer periods since 3 months. I got my hormone test done my prolactin level is 81ng/ml. which is high. i had had intercourse in march without protection but took an ipill within 2 hours. i did my home pregnancy test, the T line was way lighter than the C line. i assumed a negative result. im gaining weight and have slight ponche. am i pregnant and why is my prolactin level so high? please help!!
doctor
Answered by Dr. Manisha Jain (24 minutes later)
Brief Answer:
Ultrasonography and hormone testing advised

Detailed Answer:
Hello XXXX thanks for trusting health care magic.
High prolactin levels usually cause infrequent and light periods but your complaint is not consistent with the lab report.
Light test line is slight positive test result but is discarded as false in case patient gets her normal period after the test.
In my opinion you should get a transvaginal ultrasonography and hormone testing done which includes TSH and bHCG Levels.
most common cause for all your complaints is early pregnancy which went unnoticed and got cleared with your periods.
This diagnosis also explains
- raised prolactin levels,
- deranged periods,
- slight positive pregnancy test
- and gain in weight.
I hope i have answered your question but in case you have any other query i will be happy to help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (5 minutes later)
hello doctor, do u mean to say i might be pregnant? but i took an ipill within 2 hours and have been getting my periods infact frequent/ longer? if you could please be more clear.. and could you please guide why is my prolactin level high?
doctor
Answered by Dr. Manisha Jain (17 minutes later)
Brief Answer:
previous early pregnancy which got aborted

Detailed Answer:
Hi mam, no you are not pregnant right now.
I wanted to state that you had an early pregnancy which got terminated unnoticed.
This high level of prolactin and irregularity of periods are a result of that event.
transvaginal ultrasound and hormones will be helpful in delineating any other reason for the irregularity of periods.
I hope i was clear this time and in case you have further questions you can consult me directly on my URL http://bit.ly/drmanishajain     

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (40 minutes later)
hello, yes u r very clear now. but how did it get terminated? i got my TSH done which was slightly high but the doc suggested to not take any medications for it as it wasnt required. I just did my pregnancy test via i-can and only the c line was visible. i suppose the result is negative :) also ill be getting my ultrasound done today wil it show in the ultrasound that i was may be pregnant before and it got terminated? and also could the high prolactin level be caz of fibroids or cyst in the uterus?
doctor
Answered by Dr. Manisha Jain (1 hour later)
Brief Answer:
ultrasound will diagnose the problem

Detailed Answer:
Hello dear, almost 20% pregnancies get terminated before recognition due to several known and unknown reasons.
Ultrasound will tell us about the health and integrity of uterus and ovaries and will delineate any abnormality which might have caused abortion or is due to abortion.
It can also tell us about any pathology which might be the sole cause of irregularities in periods.
Cysts or fibroids if present can cause irregularities in period but not raised prolactin levels.
Ever since your pregnancy test is negative now, current on going pregnancy is not the cause of raised prolactin levels either.

So, in nutshell there is nothing to worry in your case and all we need to do is to
- delineate the cause of irregular periods and restore the normal rhythm.
- normalize the prolactin levels.

In case you need any assistance in future you can contact me directly on http://bit.ly/drmanishajain
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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What Causes Irregular,frequent And Longer Periods?

Brief Answer: Ultrasonography and hormone testing advised Detailed Answer: Hello XXXX thanks for trusting health care magic. High prolactin levels usually cause infrequent and light periods but your complaint is not consistent with the lab report. Light test line is slight positive test result but is discarded as false in case patient gets her normal period after the test. In my opinion you should get a transvaginal ultrasonography and hormone testing done which includes TSH and bHCG Levels. most common cause for all your complaints is early pregnancy which went unnoticed and got cleared with your periods. This diagnosis also explains - raised prolactin levels, - deranged periods, - slight positive pregnancy test - and gain in weight. I hope i have answered your question but in case you have any other query i will be happy to help.