Sugar Doctor Lecture Hall | Infertility in 8 years after marriage, the cause is actually it

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Management of diabetes, conditioner of endocrine disease. The "Sugar Doctor Lecture Hall" is lectured by Tang Xianyu expert team of Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine. It will take you to the endocrine world, and to share the knowledge of Chinese and Western medicine for your popular science endocrine metabolic diseases, and share the story of clinical diagnosis and treatment. Help health and add color to life.

32 -year -old Zhao was the same age with his wife Li. After the two husbands and wives got married, they did not take contraceptive operations, but they had not seen pregnancy 8 years after marriage. What was going on? The wife couldn't help but start to doubt whether she had gynecological diseases, but she went to the hospital to check the gynecological color Doppler ultrasound many times and did not find a problem. So her husband also went to sperm examination, and everything was normal. In order to completely understand the specific reasons, a healthy baby was given early, and the couple went to the endocrine clinic. After a detailed examination, the doctor told them that his wife Li had pituitary adenoma and hypercultin ledmia. It was too high to be too high. Liners causing her to be able to ovulate normally, so she could not conceive her child for so long!

First, what is hyperdimiamia?

Hypermiamia belongs to the hypothalamin-pituitary dysfunctional disease, which causes the body's serum coriolars to continue to be higher than the normal value for various reasons. In terms of clinical manifestations, women's aspects are mainly amenorrhea, milk spill, menstrual scarce, infertility, etc. Men are mainly sexual desire, erectile dysfunction, decreased sperm quantity, infertility, osteoporosis, etc.

2. How does hyperculfinemia happen?

There are many reasons for the increase in prolactin, including physiological factors, pharmaceutical factors, and disease factors.

Physiological factors include exercise, eating, sleep, sexual life, breastfeeding, pregnancy, stress (such as surgery, hypoglycemia, myocardial infarction, syncope, trauma, etc.). The general degree of hemodalania caused by physiological factors is not heavy, nor does it belong to the category of disease and does not require special treatment.

For a long time, some drugs, such as dopamine receptor antagonists, antidepressants, estrogen and contraceptives, can also cause mildly increase in prolactin.

The most important thing is the disease factors, mainly including pituitary diseases, hypothalamic brain diseases, primary thyroid dysfunction, chronic systemic diseases, polycystic ovary syndrome, etc. These diseases are roughly the following mechanisms to increase prolactin increased mechanism. : First, the "autonomous secretion" type, that is, an independent secretion that is not controlled, leads to an increase in prolactin; the second is the "instructions disorder" type, that is, the pituitary body that secretes the secretion of prolactin can not receive normal instructions or receive wrong instructions that receive wrong instructions , Resulting in excessive secretion of prolactin; the third is the "obstruction of the road" type, that is, the prolactin that secretes the blood in the blood cannot be cleared or lived in time, resulting in an increase in the levels of the developed prolactin.

How does hyperburin ledine cause infertility?

The foundation of women's pregnancy is to have mature follicles and regular ovulation, and this requires support and guarantee of gonad hormones secreted by pituitary gland. When hypercast -secrete hemidiers, the pituitary function will be negatively feedback. Once the pituitary function is suppressed, the synthesis and secretion of gonad hormones will be affected, which will affect the development and maturity of follicles, affect the ovarian synthesis of female, pregnancy, pregnancy, and pregnancy. Hormone, eventually suffering from dysplasia or ovulation, scarce menstruation or amenorrhea, which leads to infertility.

Fourth, what are the cases need to detect hyperdimiamal lesions?

1. Irregular menstruation: It can be manifested as shortening period, scarcity or excessive menstruation, delayed menstruation, and amenorrhea.

2. Greedy: In non -pregnancy and breastfeeding period, liquid flowing out when squeezing the nipples. In most cases, there are not much secretion, and in severe cases, it can also flow out by itself. Especially when the above -mentioned amenorrhea and milk overflow appear at the same time, it is even more necessary to highly suspect hyperculfinemia.

3. Decreased sexual desire: manifestation as reduced sexual desire and lack of sexy.

4. Symptoms caused by reduced sexual hormones: such as women with breast atrophy, pubic hair off, vaginal dryness, etc.; Men have sparse beards, slow growth, and sparse pubic hair.

5. Infertility, infertility.

The disease of hyperdoma hemathy is not uncommon clinically, because it affects fertility and plagues many families. Just like the couple mentioned at the beginning of this article, the couple of childbearing age cannot be pregnant for 8 years. Fortunately, as long as they are actively diagnosed and treated, most patients can achieve good results. For example, this couple, after the correct diagnosis and treatment of the doctor, coupled with his wife Li, followed the doctor's order, after simple surgical treatment, the medicine was used under the guidance of the doctor and regularly reviewed and followed the clinic. The whole family is very happy

Supply: Department of Endocrinology, Ersha Island Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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