How much colostrum is secreted after the end of the war. Galactorrhea: excretion of colostrum outside of feeding; elevated prolactin levels; parlodel

It is called involution and implies a physiological process in which a natural completion occurs. breastfeeding. Usually, involution occurs during the period when the baby reaches 1.5 - 2 years. At this age, he no longer feels an urgent need for mother's breast milk.

The scheme of action of this physiological process can be described as follows: the pituitary gland begins to produce the hormone prolactin less, as a result of which the female body ceases to respond to the increasing need of the child for milk. At the same time, it continues to be produced for some time, but in much smaller quantities.

A reasonable question is how long does this process take? The total duration of involution can be from 1.5 to 3 months.

Important. You should know that if the signs of involution appeared much earlier than the established period, then perhaps the woman has hormonal deficiency. This problem should be treated.

Initiated by mother

Quite often there are situations when a woman of her own free will decides to stop breastfeeding. We can list a few of the most typical reasons such a solution:

  • the illusion that the baby does not have enough milk;
  • the inability to accurately determine how much the baby drank milk;
  • the child does not take the breast, and the mother does not have the patience to teach him this process;
  • chronic fatigue and postpartum depression;
  • the desire to preserve the original shape of the mammary glands.

Forced stop feeding

Assumes the presence of circumstances that force a woman to switch to artificial feeding. So, here are a few of the reasons:

  • Exit to work.
  • The child has galactosemia (lactose intolerance).
  • Mom's presence infectious diseases(for example, chickenpox, measles, hepatitis, etc.). IN this case breastfeeding is stopped only for a while while the woman is being treated.
  • The child was born prematurely or has severe pathologies (violation cerebral circulation, metabolic problems, etc.).

Thus, of all the above options for stopping breastfeeding, the most preferred way to end lactation is involution. Only she is able to provide the most soft and smooth care from the breast.

How to stop lactation?

First of all, to stop breastfeeding, you need to choose the most appropriate period. You should not do this during the illness of the child or if there have been accidents in his life. drastic changes(for example, mom went to work, etc.).

After the most favorable period to complete lactation is selected, you must proceed to the following steps:

  1. First, you should stop daytime feedings. Alternatively, the child can be offered juice, an apple, or a cookie.
  2. Next, you need to remove the morning feeding. In order to distract the baby, you can call dad or, for example, offer a new toy.
  3. Eliminate feeding before bed. This step is the final one. Instead of a breast, you can read a fairy tale to your child or sit near his crib.

It should be noted that at the same time a woman should take care of her breasts, making the process of completing lactation as painless as possible. For this you need:

  • Gradually express the chest, and this should not be done until it is completely empty. IN otherwise milk production will be stimulated.
  • Wear a bra that is supportive but not tight.
  • With the appearance of edema of the mammary glands, compresses can be applied.

You should know that impossible in safe ways interrupt lactation for a short period of time. The amount of milk produced decreases gradually. It is best to stretch this process for 2-3 months.

We offer you to watch a video on how to properly stop lactation:

When does it disappear?

The very concept of "burnout" implies a decrease in the amount of milk in the breast. At the same time, the hormones prolactin and oxytocin are responsible for its production. If their level decreases, then, accordingly, the amount of milk produced also decreases. This directly depends on the frequency of attachment of the child to the breast.

How much time exactly will it take to this moment it is not known, that is there are no clearly established time limits within which milk burns out. This process is highly individual. For one woman, milk burns out a week after breastfeeding is completed, for another, after a couple of months.

Milk is stored in the mammary glands for 40 days from the end of breastfeeding. In addition, residues can be allocated for a whole six months.

For illness and stress

There is an erroneous opinion among the people that diseases (flu, SARS, etc.) contribute to the burning of milk in the breast. Moreover, this is associated with an increase in body temperature, engorgement, or vice versa, a feeling of emptiness in the mammary glands. However, this is a fundamentally wrong assumption.

The point is that as the temperature rises, human body begins to experience a greater need for water, as a result of which dehydration occurs quickly. At the same time, due to the fact that breast milk almost 90% consists of water, then, accordingly, its deficiency negatively affects lactation. Temperature has nothing to do with it.

If the mother is ill, breastfeeding should not be interrupted. However, in order to protect the child from viruses, it is necessary to wear a mask and keep all contacts to a minimum (kisses, hugs, etc.).

Often, a nursing mother experiences stress, overwork and a breakdown. At the same time, a decrease in lactation can also be observed. Faced with similar situation, many women believe that they have had a burnout of milk due to stress. However, this opinion is erroneous. Under the influence of stress, lactation can be disturbed, but not completely disappear. Therefore, in this case, it is recommended to overcome stress and continue breastfeeding. In time, everything will return to normal.

What can not be done at the end of the GW?

Exists whole list warnings that a woman must take into account when deciding to wean a child from the breast. So, the main ones are:

  1. You can not stop breastfeeding suddenly, as this will be a serious stress for a fragile baby.
  2. For the purpose of weaning a child, it is not worth leaving him for for a long time. This can adversely affect the psycho-emotional state of both the mother and the baby.
  3. In no case should you tighten the breast in order to reduce lactation. Such actions can lead to swelling of the mammary glands, as well as the development of lactostasis and mastitis.
  4. You can not smear the nipples with brilliant green or mustard, so that the child no longer wants to take the breast.
  5. You should not leave the breast unexpressed, as this will contribute to the formation of stagnation, which will ultimately lead to lactostasis and mastitis.

Thus, the issue of stopping breastfeeding should be approached with all responsibility. In addition, it is recommended that you first consult with a breastfeeding specialist. The process of completing lactation should go as smoothly and painlessly as possible for both the baby and the mother.

: Hello! In fact, the safest way for the mother's body is a gradual decrease in lactation. It takes about two to three weeks for the milk production to fade - during this time the breast will stop engorging. And although in a small amount milk in the breast can remain for a long time, there is nothing wrong with that. Some degree of discharge from the breast (including white drops, transparent drops, trickle, etc.) can remain normal for 3 years after any (ending in childbirth or interruption at any time), and after any period of breastfeeding. This condition is supported by self-palpation of the nipple (during this manipulation, the level of prolactin increases by 8-10 times), taking various drugs and certain substances, even wearing a tight bra, excessive stimulation of the glands during sex, and a number of other factors. In addition, the age of the child at which the weaning occurred, how many attachments the child was weaned from, how the weaning went (sharply or gradually), even psychological features mother. As for the spontaneous separation of milk from the nipple (the so-called "leakage") - it can normally occur within 3-6 months after the last application and is most often provoked by triggering factors of the oxytocin reflex (hot drinks, baths, thoughts about the child, etc. .e). The reason for consulting a doctor may be a situation if milk continues to flow from the breast on its own (not with expressing movements!) 3-6 months after the cessation of feeding. It should also be noted that the release of milk in drops when pressing on the nipple and after 3 years from the moment of weaning is not in itself a basis for the uncontrolled prescription of drug lactation blockers. In some cases, the discharge persists for more than three years, even for a lifetime, and is not always a guarantee of any pathology hormonal system or mammary gland (however, the decision on further examination is made by the doctor based on the examination data, when assessing the totality of factors). The reason for a visit to the doctor may be the appearance of violations menstrual cycle, change in the nature of discharge from the mammary glands, secondary. At the very beginning, when the mother stops feeding the baby, the breasts can fill up with milk, become hot and painful. Your task is to monitor the condition of the chest. It can be full, but should be soft. It depends on the number of feedings, how many you have finished. The more feedings you had before weaning, the more often and longer you will have to pump. Then the main goal of the mother is to reduce the production of milk and alleviate discomfort. Regular pumping (by hand or with a breast pump) will be required as soon as the breasts are full. You need to express your breasts only to a feeling of relief - if you try to empty it to the last drop, this will only contribute to increased milk production, because milk is produced in response to breast stimulation. Cold compresses or breast wraps (juicy cabbage leaves or gauze soaked in cool whey) can be used to reduce breast swelling and milk discomfort. Infusions and mints help reduce milk production. Physiologically, involution can be divided into two stages. active stage begins with the cessation of feeding, when the level of prolactin decreases markedly, cell destruction begins. And the remodeling stage involves the destruction of the alveoli. This final restructuring takes several days - the holes on the nipple close, milk is excreted from the nipple with great difficulty, the breast is soft and “empty”, the composition of the fluid remaining in the breast is specific: many anti-infective factors (macrophages, phagocytes, leukocytes, etc.), which is similar to the composition colostrum. Finally, the mammary gland becomes non-nursing 40 days after the last feeding. The glandular tissue begins to be replaced by adipose tissue, and the mammary gland returns to the state of the breast of a “mature virgin”. A few more tips: - Do not consume dairy products. - Wear a tight but not tight bra. - Avoid situations in which thinking about feeding can trigger a rush of milk. - Do not bandage your chest. - Contact a lactation consultant, a doctor (mammologist or obstetrician-gynecologist) and carry out the cessation of lactation under his supervision. All the best!

When a mother stops putting her baby to the breast, milk does not stop producing immediately. Especially many problems arise if for some reason the feeding of the child is stopped abruptly. The chest is poured, it starts to hurt, seals and even an abscess may occur in it. This usually occurs 2-3 days after HB clotting, and is most often limited to tolerable pain, tingling, and slight inflammation. If the baby was applied actively, then problems can begin already on the first day. To prevent serious health consequences, during this period you need to be very careful about the condition of the breast.

What Not to Do

A lot is connected with the folding of the GW various methods traditional medicine. Some of them really help. Some are useless. But there are also frankly harmful and even dangerous ones. Sometimes a recipe is passed down from generation to generation, but the reason for its use is lost. And they begin to use a seemingly good method in such a way that they get harm instead of good.

If more than six months have passed after childbirth, then it is practically useless to drink hormones to reduce lactation. The fact is that at this time the production of milk is regulated by the emptying of the breast: how much milk is gone, so much comes. A hormonal pills harmful to the body, for example, Bromkriptin can lead to myocardial infarction. Dostinex also has unpleasant side effects. So don't experiment with hormonal drugs independently, without a doctor's prescription.

Bromocriptine mesylate (Bromolactin, Krypton, Parlodel) is a drug that suppresses the production of prolactin. In the US, it is not used to suppress lactation due to the possibility of dangerous side effects, including peripheral vasoconstriction, hypotension, myocardial infarction, convulsions, stroke, and death. About little things like headache, nausea and vomiting, compared to the above, you can not even mention it.

Cabergoline (Dostinex) is used to suppress lactation in Russia and a number of European countries. It is made on the basis of ergot extract. Side effects common and unpleasant: headache, dizziness, fatigue, nosebleeds. In this state, it is extremely difficult to take care of the baby, so it is necessary to discuss with the doctor whether the use of the drug is necessary.

Often recommended by grandmothers and even some midwives, the method of bandaging the breast is useless and dangerous. Once upon a time in the villages, the breast was bandaged not to stop the flow of milk, but to show the baby that the breast had disappeared and there was nothing more to suck. Bandaging does not reduce the amount of incoming milk, but worsens the blood supply mammary glands, and increases the likelihood of pain and mastitis.

You don't need to warm your chest. An exception can only be made for warm shower to relieve pumping and pain during them.

There is no need to starve and not drink. You need to eat as usual. Lactation is not caused by the amount of fluid you drink, but by prolactin, so fluid restriction is completely useless. Studies have shown that if a woman drinks more than 2.5 liters of water per day, this significantly reduces the likelihood of developing lactostasis. You just have to avoid hot drinks for a while, as they provoke milk rushes. Dietary restrictions also do not contribute to a decrease in the amount of milk; only complete exhaustion reduces lactation.

What do we have to do

Usually discomfort after curtailment, HBs last no more than 2-3 weeks. If you turn off the feeding slowly and gradually, then no pain may not be at all. But if the pain is still there, then it cannot be ignored.

  1. If for some reason the attachment of the baby to the breast stopped abruptly, then it is necessary to imitate the gradual folding of the breastfeeding as much as possible.
  2. At all times, including at night, wear a comfortable, non-pressing but well-supporting bra.
  3. To reduce pain, burning and swelling, apply cold compresses. You can use a piece of ice wrapped in a towel. Good for chilled in the freezer cabbage leaves. You can pre-beat them with a hammer, roll them with a rolling pin or just crush them.
  4. Because the baby is no longer breastfeeding, i.e. mom is no longer nursing, then she can take painkillers: Paracetamol, Ibuprofen or any other.
  5. If you still have milk, express regularly with your hands or with a breast pump. This should be done several times a day, gradually reducing the number of procedures. The chest does not need to be completely emptied, it is enough to express to a state of relief. In this case, lactation will be practically not stimulated, and the amount of milk will gradually decrease, and stagnation will not form in the breast. You don't have to be afraid of pumping. Only complete pumping has a strong lactagon effect.
  6. Can I have a drink herbal infusions. It is believed that sage, mint and parsley help stop lactation. Just do not forget that herbs only help the process. Sage is brewed at the rate of one tablespoon per glass of boiling water. With mint, you can not only drink tea, but also add it to salads and desserts.
  7. Light sedatives, for example, Novopassit, motherwort or valerian, will not interfere either.
  8. Temporarily exclude from the diet those foods that caused flushes of milk.
  9. If redness appears on the chest, or the temperature rises, then immediately consult a doctor.

Why can the chest hurt at the end of breastfeeding

If the chest is a little stinging, but at the same time it is soft, without seals, then this means that there is slight inflammation but no lactostasis. Such inflammation is well treated with cold. You can attach a piece of ice wrapped in a clean towel or a frozen piece of meat (packed of course). The exposure to cold should last approximately 10-15 minutes.

If there are seals in the chest, then this is already lactostasis. Minor congestion can be cleared up fairly easily with pumping, massage, and cold compresses. In more severe cases the whole chest stiffens and hurts, the temperature rises. Lactostasis can turn into mastitis. In the most difficult cases formed purulent abscess and may need surgery.

Sometimes pain occurs due to a sudden jump in the sensitivity of the nipples. It depends on the physiological characteristics women and not dangerous to health.

Milk secretion after curdling of breastfeeding

After the last feeding of the baby, milk can be formed in very small quantities in the breast for quite a long time, up to three years. It can occur after any pregnancy and after any period of breastfeeding. To maintain such a minimum lactation can various factors: tight bra, stimulation of the nipples during sex, taking certain medications. Sometimes women themselves provoke this process by constantly checking whether they still have milk.

Spontaneous secretion of milk from the nipples can last from 3 to 6 months. Usually provoked by hot drinks, baths, and sometimes just thinking about the baby.

The appearance of drops of milk when pressed, even after three years, is not always a symptom hormonal disorders. But you still need to see a doctor. If the secretion of milk is accompanied by a violation of the menstrual cycle or infertility, then a visit to the doctor is required.

Laktostasis after curtailing breastfeeding

If breastfeeding stops abruptly, then milk in the breast does not cease to form. In the absence of an outflow, the milk stagnates, the chest becomes stone, it starts to hurt, tingling is felt. If you let this problem take its course, then it is quite possible to wait for mastitis and even an abscess. In this case, the problem can only be solved by surgery.

As soon as the chest began to ache, and even small seals, treatment should be started immediately. You need to take painkillers. Strain after a while. You can do this under a warm (not hot) shower. If it is difficult to express on your own, then you can ask for help. This is especially true if the entire chest is stone, and it hurts even to touch it. Painkillers will help, but the pain will most likely not be completely removed.

Pumping is carried out using a fatty cream or oil, which lubricates the woman's breasts and the massage therapist's hands. The breast is decanted with gentle movements from the base to the nipple. It is necessary to decant until the seals are completely eliminated. You need to carefully work out all the slices. If a seal remains in at least one, then against the background of a general relief of the state, it is easy to bring the situation to purulent inflammation precisely in this segment of the chest.

In some cases, you may need to drink Dostinex or Bromocriptine. But the decision on the need for medication must be made by the doctor. In addition to drugs that stop lactation, you may need to take antibiotics.

When to go to the doctor

If seals have formed in the chest, and they could not be dealt with immediately, then it is necessary to consult a doctor. If the chest turns red, and the woman has a fever, then a visit to the doctor must be made without delay.

After stopping breastfeeding, milk can be released for a long time, up to three years. But if the discharge suddenly becomes brown, with an admixture of blood, then it is imperative to consult a doctor and undergo an examination.

A meeting with a doctor is also necessary if, after 3 years from the moment of stopping breastfeeding, milk continues to be secreted, and this is accompanied by menstrual irregularities, infertility, and also if the color and nature of discharge from the breast suddenly change.

The least likely pain after cessation of breastfeeding, if the process was gradual. It is even better if self-weaning occurs, i.e. the child has just grown. But even if an abrupt cessation of feeding is necessary, it is possible to curtail breastfeeding without serious consequences for health, if done correctly.

In a normal situation, milk is produced and secreted in the mammary gland. Galactorrhea is a process in which colostrum is released after the cessation of feeding after six months. This period of time is considered normal, but if there is a discharge in the future, you need to go to the doctor.

Types of secretions

The occurrence of secretions is carried out with the help of milk holes. Each nipple contains about ten holes. The fluid comes out of the glands when pressed, but it happens that it is released on its own. It can be watery, thick, white, yellow or greenish in color.

If there are wounds inside, then the liquid may be Brown and have blood streaks. Women rarely experience this condition, and women who have experienced several periods of pregnancy and childbirth - quite often.

If colostrum is secreted while expecting a baby, then this is normal. Thus, the female body prepares for breastfeeding. In the middle of pregnancy, there is a small amount of discharge from the breast, they are transparent or white. Colostrum appears before the process of childbirth or after their implementation.

Levels of intensity of pathological secretions:

  • the presence of discharge when pressing on the chest;
  • independent appearance of liquid;
  • liquid appears with medium intensity;
  • secretions come out in a jet.

The intensity determines the identification of the reason why colostrum remains after the end of breastfeeding. An important point is to keep the breasts clean, underwear should be comfortable, fit in size, the material is only natural without bones.

Causes

The hormonal sphere regulates the production of colostrum. We are talking about prolactan, and the pituitary gland controls how this hormone is released into the plasma.

Reasons for violations:

  1. side effects of contraceptives;
  2. the presence of pathologies in the ovaries;
  3. diseases of the adrenal glands;
  4. injuries or tumors of the pituitary-hypothalamic system;
  5. the use of certain herbal tinctures;
  6. liver failure;
  7. wrong underwear;
  8. violations at work thyroid gland.

There are times when a secondary symptom is cancer. But such situations are quite rare.

How to stop colostrum:

  • wear closed clothes so that the baby does not get to the breast;
  • send the child to his grandmother for a few days so that he does not see his mother;
  • seal the nipples with adhesive tape and tell the baby that there is no more milk;
  • smear nipples with products with an unpleasant taste that will not harm the health of the child;
  • gradually stop feeding.

Milk after the cessation of lactation may occur for other reasons. Such a process is called idiopathic. Its causes have not been fully elucidated. This kind of galactorrhea can manifest itself in different ages, as well as in the male half.

signs

It should be remembered that for pathology, many take normal selection colostrum after end of breastfeeding. It all depends on individual characteristics female body.

There are certain factors that indicate pathological processes:

  • unstable periods;
  • acne on the surface of the skin;
  • violation in the functioning of the senses, circling and pain in the head;
  • decrease in sexual desire;
  • the presence of discharge from the nipples of a yellowish tint;
  • the appearance of hairline on the chest, face.

As a result, if colostrum after feeding occurs as a pathology, then this indicates a violation in the hormonal sphere. It must be remembered that more than one system in the body is affected.

How long does colostrum flow after a feed is stopped? Allocation is observed up to six months. It all depends on the individual characteristics of the female body. The release of colostrum after the cessation of feeding can last up to two years. Accordingly, you need to consult a doctor if two symptoms are observed.

How much colostrum is released after lactation is stopped? The liquid occurs in the process of pressing the nipple, and sometimes there is spontaneous discharge. Most often it is a couple of drops or a very intense flow of milk.

Treatment

For the treatment process pathological form Galactorrhea is influenced by the cause of its occurrence. For any disease, there is a narrow range of specific remedies. In the treatment of infertility, pituitary tumors, diseases of the adrenal glands and the thyroid gland, colostrum is a consequence of this therapy.

Preparations. If the release of colostrum is a side effect of taking medications, then such drugs should be excluded from therapy and consult a doctor. For regulation hormonal background the most commonly used are Bromocriptine, Pergolide, Cyclodinone, Cabergoline. Medications lower prolactin levels and colostrum production stops.

Change of contraceptives. If used oral contraceptives, then other methods should be chosen. When we are talking about antidepressants, they are present in a wide range, and you can easily find an analogue.

Some women claim that they have not been feeding for a year, but they have colostrum. This normal process, since fluid is released during the pumping movement even after the end of feeding.

Colostrum can be released for up to three years, but it is still advisable to consult a doctor and get tested for prolactin.

So that during the period breastfeeding there were no cracks on the nipples; at the end of bearing the baby, it is necessary to rub the chest with a coarse towel. Then there will be no wounds. If they come out of the chest purulent discharge, the temperature rises, which means that an infection has entered the milk ducts.

Infrequently, diseases occur due to the breast, because the body regulates the work of the mammary glands well, they quickly respond to therapy. The appearance of discharge from the chest is not always a pathology, despite the fact that women complain that colostrum does not pass. Thus, one should not forget that various non-standard manifestations in the form strange smell, shade, a large number require medical attention and treatment.

Indeed, nursing mothers confirm that colostrum is released a year after feeding. In fact, bad moment but what can you do. The main thing is that it does not contribute to the manifestation of diseases.

How long should milk be released from the breast after the baby stops feeding

Up to three months on average, but in general it depends a lot. how you stopped feeding - whether the child himself refused to breastfeed, or you drank pills, or were overtightened.

Kindly answer my three questions as I can't find answers to them:
1. Can I have again genital infection, if my husband and I have recently recovered from ureaplasma, but there are no more infections? (And how).
2. Does the decrease in the level of prolactin (I have been taking Parlodel for only 2 months) indicate that the pituitary adenoma is decreasing, or is it only for the time being that the symptoms are being treated (in fact, no convincing data for prolactinoma have been found on MRI), and does such a rapid decrease in prolactin indicate that there really is no tumor? (I plan to have a baby in the near future, could it really affect my health in connection with such an analysis).
3. Can the color fields of vision be narrowed by themselves if pituitary adenomas are not detected? (The optometrist confirmed the narrowing of the color fields, but the peripheral ones are normal

1. If you and your husband have cured everything, used contraception during treatment, and you do not have other sexual partners, then there should not be a new infection. What could be: an old untreated infection may worsen, dysbacteriosis (), which you mistakenly consider an infection, may develop against a background of reduced immunity.
2. Parlodel - a special drug that blocks the synthesis of prolactin. Naturally, against the background of its intake, the level of this hormone decreases. Pituitary adenoma, if present, decreases only against the background of long-term use. Another important indicator is the disappearance of symptoms of hyperprolactinemia: milk secretion from the mammary glands, menstrual irregularities, headaches. if they were .. If there is an adenoma, plan a pregnancy before it complete cure undesirable, because all tumors grow and progress during pregnancy. Still, the most accurate way to diagnose a tumor is NMR, it is on its data that one should be guided. But if the symptoms have completely disappeared, parlodel can be canceled and the level of prolactin should be monitored. Taking parlodel will not affect pregnancy, but it is better to cancel it before the planned conception.
3. Narrowing of color fields of vision is specific feature pituitary adenomas. It's just that they can't be narrowed down. If there is no adenoma, then there is some other pathology of the pituitary gland.

My prolactin is constantly elevated. If any other factors are eliminated, how likely is the effect of alcohol (particularly beer) on this increase. The fact is that I very often (about 3 bottles a day) take it, but only now I accidentally found out about it possible impact for hormones. And in the chart basal body temperature after its fall during ovulation, the temperature in the second half is almost equal to the temperature in the first half of the cycle. I can’t find an answer to this question anywhere, and I may already be prescribed parlodel. Wouldn't like to accept hormonal agent, if the reason is only in alcohol.

Not described in the literature similar action alcohol. However, beer increases the level of female sex hormones estrogen, and they increase the level of prolactin. If in doubt, you can try to stop drinking beer and retake prolactin in a month. It all depends on how high the level is. If it's strong, then beer has nothing to do with it. In general, an increase in the level of prolactin requires a comprehensive examination. Only exclusion of the rest, more common causes may allow beer to be seen as the cause. Features of the temperature graph are caused by increased prolactin. If you are prescribed parlodel for the treatment of infertility, then, firstly, it is all the more necessary to be examined, and secondly, in any case, beer should be abandoned (in such quantities). If, nevertheless, it turns out that the increase in prolactin does not depend on external causes, hormones cannot be avoided. Today there is a more modern drug than parlodel - dostinex. It is less commonly taken and causes fewer side effects. In general, hormones are not evil. If there is a hormonal disorder, it can only be cured with hormones. When properly administered, hormones sometimes become the only way infertility treatment.

How long should Parlodel be taken for pituitary prolactinoma? What is the criterion for cure?

The criterion of cure is the normalization of the level of prolactin and the disappearance of prolactinoma. Microprolactinomas can disappear on their own during treatment with Parlodel, macroprolactinomas usually decrease significantly in size under the influence of Parlodel.

Why is fluid running from the chest

Discharge from the chest can be a manifestation of hormonal disorders. When the function of the thyroid gland or pituitary gland is impaired, the level of the hormone prolactin, which is responsible for milk production, increases in the blood. The release of fluid from the chest may be a consequence of mastopathy, oncology cannot be ruled out. Contact a mammologist immediately. Endocrinologist deals with hormonal abnormalities.

Causes of hyperprolactinemia and modern methods of treatment of this disease? My 20-year-old daughter has twice the normal prolactin levels. What can be recommended in this case?

Hyperprolactinemia can be functional (this is how the pituitary gland works), may be the result of a pituitary tumor ( endocrine gland, located in the brain), as well as with reduced function thyroid gland. At the same time, ovarian function suffers, the likelihood of infertility is high, not to mention the danger of a brain tumor. It is necessary to check the level of thyroid hormones, to do a tomography of the skull and the Turkish saddle. After identifying the cause of the disease, the doctor will prescribe treatment.

I have galactorrhea for 4 years after giving birth with pressure on the nipple in both mammary glands. Prolactin is normal. In one center, according to smears in both glands - CFM and in the left - intraductal papilloma. In another center - only CFM was found. Here they prescribed the grass to drink 3-6 months. and 2 weeks Parlodel 2 t/day. What should I think and why is papilloma dangerous (it was said to be removed, where it was found)? What other symptoms should be with papilloma? Is it possible to replace Parlodel with Bromocriptine or Bromergon due to the high cost, or are they different in efficiency? Also, hysteroscopy revealed hyperplasia of the uterine cavity and cervical canal. Maybe this will give you more complete information about the causes of my galactorrhea?

Papilloma can cause discharge from the mammary glands. If the papilloma really exists, it must be removed. Papilloma increases the risk of developing oncological diseases. The presence of hyperplasia indicates the presence of hormonal disorders that could cause galactorrhea. You need to be carefully examined. The cause of galactorrhea - hyperprolactinemia is functional (this is how the pituitary gland works), may be the result of a tumor of the pituitary gland (an endocrine gland located in the brain), as well as with reduced thyroid function. In this case, ovarian function suffers, hence hyperplasia. It is necessary to check the level of thyroid hormones, to do a tomography of the skull and the Turkish saddle. As for the replacement of Parlodel, the drugs you listed are quite suitable. However, it is necessary to find out the cause of the disease for better treatment.

Please tell me what threatens me with the diagnosis of hyperandrogenism and hyperprolactinemia made by the endocrinologist against the background of neuroendocrine syndrome?

This diagnosis indicates a violation of the hormonal status. The symptoms of the disease are the separation of colostrum from the breast, increased hair growth, ... unpleasant complication this disease is infertility. And when pregnancy occurs against the background of pathology, there is a high probability of miscarriage. However similar manifestations can be cured or reduced by special therapy.

I am 34 years old, for 5 years now I have been taking "bromergon" at 0.25 per day, the level of prolactin is 19.4 ng / ml, I tried not to take it for one month and the level of prolactin immediately increased. There was a heartbeat in calm state pulse-95-100. A year ago, 2 nodes appeared in the thyroid gland. I take thyroxine 100, 1 tablet a day. Tell me, please, what are the consequences of such a long-term treatment with Bromergon, my endocrinologist said that I might take this medicine for the rest of my life.

An increase in prolactin can be caused either by a malfunction of the pituitary gland (the endocrine gland in which prolactin is synthesized), or due to a malfunction of the thyroid gland. In the second case, with the normalization of thyroid function, the level of prolactin can return to normal. In the first, it is necessary to find out the cause of the dysfunction of the pituitary gland. The duration of treatment depends on the causes of the disease, so you should be more carefully examined.

I am 23 years old, my husband and I want to have a baby, during the examination it was found increased content prolactin, what is it connected with? Can this adversely affect the development of the fetus during pregnancy?

Elevated levels of prolactin may be due to dysfunction of the thyroid gland, dysfunction of the pituitary gland (brain structure), as well as a consequence of a pituitary tumor. With an increased level of prolactin, there may be problems with conception, as well as with carrying a pregnancy. If the function of the thyroid gland is impaired, then the lack of thyroid hormones. May adversely affect development nervous system fetus. Thyroid and pituitary disorders are corrected medicines. In the presence of a tumor, therapy depends on its size. Microadenoma should be treated conservatively, i.e. also with the help of drugs, the macroadenoma is removed promptly.

I breastfed my baby for 7 months. Then the amount of milk began to gradually decrease. By the 8th month feeding stopped. I did not "tighten" as is usually done so that the milk burns out. I didn't have mastitis. But until now (already 6 months), when squeezing the nipple with droplets, a liquid very similar to colostrum is released). pain No. What should I do: sound the alarm or calm down? If this serious problem, then which specialists to contact?

After the end of lactation, milk can be excreted in very small quantities for up to a year. This is completely normal. If the discharge continues for more a long period or other concerns arise, a mammologist should be consulted. In Moscow - to the mammological dispensary

My son is 4.5 years old. Milk continues to flow. The analyzes revealed Prolactin 24.9 and a prolactinoma was found (sizes that do not require surgical intervention). Now it turned out that I am 4 weeks pregnant. Tell me how it will affect the child and maybe it is worth terminating the pregnancy?

Elevated levels of prolactin do not affect the development of pregnancy, even if the increase in the level of this hormone is suppressed by drugs such as bromocriptine. It is very difficult to say how pregnancy will affect the state of prolactinoma, whether it can provoke the growth of a minitumor.

I am 27 years old and want to have children. Until July 1997, it was protected by MARVELON, then it ceased to be protected at all. Until September 98, I could not get pregnant. In September, she was checked at the REDNOR center, they said that she was healthy, they recommended drinking MERCELON for three months. In October - November, she suffered breakdown and another in March. April 99. donated blood for analysis. turned out high prolactin 36.32 ng/ml. They prescribed DOPERGINE and a sedative. Two months later, despite taking DOPERGINE, PROLACTIN rose to 114.19 ng / ml. X-rays and mammography of the brain of the Pituitary Physiology were done in perfect order.

I continued to take medications and check PROLACTIN every month.
July - 37.99 ng/ml

August - 65.1 ng/ml

September - 118.67 ng/ml

PARLODEL was prescribed and in October PROLACTIN dropped to 0.32 ng/ml. Now I drink half a tablet at night PARLODEL but I'm not sure of anything. If you stop taking the medication, then PROLACTIN will increase again, and if you manage to get pregnant, then such hormonal dysfunctions organisms can affect the child. At the age of 20, she suffered from pyelonephritis, it turned into a chronic form, maybe this or the fact that I changed my place of residence affected the functions of the pituitary gland. Now for more than a year I have been permanently living in Istanbul.

There are several factors that cause hyperprolactinemia. The cause of this condition can be both functional disorders of the hypothalamic-pituitary system, and organic, for example, pituitary adenoma. Other hormonal diseases(, polycystic ovary syndrome) lead to the so-called symptomatic hyperprolactinemia. Cancellation of long-term hormonal contraceptives, severe stress, living in a climate with high insolation, could also provoke the disease. Elevated prolactin levels can cause menstrual irregularities, infertility, miscarriages early dates pregnancy. The data in your letter is insufficient to draw any definitive conclusion about the causes of the suffering. However, Parlodel is the drug of choice for the treatment of hyperprolactinemia. In symptomatic forms, this drug is used if the therapy is not enough. The drug is taken for a long time, and if necessary, it is continued during pregnancy. The need and duration of admission is determined by the attending physician. Parlodel does not have a negative effect on the fetus.

Half a year passed after the abortion, as symptoms appeared - discharge from the chest, and in the second half of the cycle, painful engorgement of the mammary glands and fever bodies 37.0-37.1. Still - after the abortion on the third day they were like menstruation and the condition as if I was pregnant immediately disappeared. Tell me what it is and how to treat it.

After termination of pregnancy, a disruption of the hormonal regulation of the body is possible and the occurrence of fibrocystic mastopathy. You need to conduct an ultrasound examination of the mammary glands and donate blood for prolactin hormone, which is responsible for preparing the mammary glands for lactation during pregnancy.

I am 35 years old. About three months ago, she found discharge from the nipple in her right breast, opaque, similar to colostrum, but more concentrated, odorless, slightly sticky to the touch. When examined by a gynecologist, I was diagnosed with mastopathy. Before menstruation, I feel dull, mild pain that disappears immediately after menstruation. I did an ultrasound of the uterus - everything is normal. Tell me, please, what examinations need to be done and where, in order to establish true reason my problem.

It is necessary to conduct an ultrasound of the mammary glands, analyze the discharge for cytological studies and take a blood test for hormones (prolactin)

My wife does not stop lactating, although she stopped breastfeeding her child three months ago. Fed for a year. What could it be? Since giving birth, she has had two mini-abortions. Could this be related? On your pages, I read that it can be treated with medication. What preparations exist and what of them is more preferable? I ask this question, because. my wife's gynecologist elderly woman and seems to be poorly versed in modern medicines and treatments.

The continued secretion of milk may be due to an increase in the production of the hormone prolactin (you can donate blood from a vein to it). Although, usually, against the background of an increased level of prolactin, infertility may occur. The woman does not get pregnant. Failures in the "tuning" of lactation may be associated with frequent abortions) for 1 year - 2 abortions and childbirth - a big load on the hormonal system). Lactation can be blocked with bromocriptine preparations (parlodel, serocriptine) 0.005 g 2 times a day for 10 days.

With excessive levels of the hormone prolactin, bromocriptine was recommended. I have been taking it for 5 years now. cycles. The discharge from the mammary glands has stopped, but pregnancy has not occurred, and ovulation is still not observed on the basal temperature chart. Tell me how long it should be taken and whether the drug is harmful to the body. Thank you.

Hyperprolactinemia is a situation that requires treatment by a gynecologist - endocrinologist. Treatment is usually long. Depending on your age, plans for childbearing, general condition treatment also changes.

Hello! I am 19 years old. at the age of 18 in April 1998 I had an abortion at 1.5 months. due to a concussion, the doctors did not allow me to give birth. already at the beginning of pregnancy, I had milk in my left breast, I found it with a slight pressure on the chest. after the abortion, the amount of milk decreased, but for half a year a small amount of it is present, I am not bothered by pain, by itself it does not stand out, only when you press no more than 2 drops. in a warm climate (Egypt, Cyprus, Central Africa), these phenomena disappear completely, as soon as I return from trips, everything resumes and the amount of milk increases. Is this related to the climate and will it go away completely? thank you in advance.

It is not milk that is excreted, but colostrum. This can persist up to 1 year after the abortion. If there is still discharge from the nipple, then you will need to see a doctor. Sometimes abortions, as a trauma, give disturbances in the hypothalamic-pituitary regulation, the so-called secondary hyperolactinemia occurs (the level of the hormone prolactin in the blood rises).

Hormone analysis gives elevated prolactin(several times higher than normal), while doctors are very surprised that milk does not come out. It could be wrong result analyzes or milk is not always allocated with increased prolactin?

With an increase in the level of prolactin, discharge from the mammary glands may not be. A significant excess of the level of prolactin (several times) is usually not associated with errors in the collection and processing of the analysis.

What is galactorrhea. How dangerous is this disease, what are its symptoms and how can it affect a future pregnancy?

Galactorrhea or hyperprolactinemia - secretion of milk fluid from the mammary glands, may be accompanied by amenorrhea (absence of menstruation). Hyperprolactenemia can be primary or secondary. Primary is a lesion of the hypothalamic-pituitary system ( inflammatory processes in the area, injuries of the pituitary stalk, prolactin-synthesizing pituitary tumors, acromegaly, etc.). Secondary - hypothyroidism, chronic stress, kidney failure, frequent abortions, etc. Along with pathological lactation, menstrual irregularities, infertility, obesity can be noted. It needs examination and treatment.

I had a miscarriage at 18 weeks. Since then (already 8 months) excreted from the mammary glands white liquid. How abnormal is this, how to get rid of it and can it somehow affect the next pregnancy? Thank you.

Most likely we are talking about hyperprolactinemia, which was the cause of the miscarriage. And a white liquid is released from the mammary glands due to the increased content of prolactin in the blood. A more detailed examination is needed to establish the diagnosis. Hyperprolactinemia can be primary or secondary. There are many reasons for its occurrence and all of them can cause habitual miscarriages.

what can cause lactation in a non-pregnant and non-lactating woman?

Lactation in a non-pregnant woman is associated with increased production of the blood hormone - prolactin. This may be due to the following reasons:

pituitary tumor;

endocrinological diseases: hypothyroidism, polycellular ovary syndrome;

hyperprolactinemia while taking medications;

It is necessary to contact a gynecologist, undergo a complete clinical and laboratory examination and conduct treatment.