weakens erections in men
Othman Sindi to Al-Sharq al-Awsat: Female patients with increased milk hormone conceived within 4 to 6 months
Jeddah: «Asharq Al-Awsat»
Milk hormone is secreted from the front of the pituitary gland in humans, but in women it also secretes other areas such as the muscle of the uterus and its lining at the time of pregnancy. The milk hormone plays an important role in the process of pregnancy and lactation in women. And the increase in the hormone of milk in women leads to many imbalances, including delayed pregnancy or frequent miscarriage, and the discharge of milk from the breast outside the time of breastfeeding. In men, an increase in the milk hormone may lead to erectile dysfunction or a weakened number of men.
Causes of the case Dr. Othman Sadaka Sindi, a senior consultant of reproductive endocrinology, infertility and IVF at the King Faisal Specialist Hospital and Research Center in Jeddah, told Al-Sharq Al-Awsat: The reasons that lead to an increase in the secretion of the milk hormone above the normal range are numerous, and can be summarized as follows:
The presence of a tumor or simple enlargement of the cells that secrete milk hormone in the pituitary gland, and the tumor is usually small, less than 10 mm, rarely larger than 10 mm, and it is called Macro-adenoma, and it may be accompanied by other symptoms such as blurred vision or weak field of vision.
A large group of drugs that prevent the inhibitory factor in the secretion of prolactin, which leads to an increase in the hormone of milk in the blood, including: derivatives of phenophiazine, which includes more than one hundred preparations, and are used to treat depression, and anti-anxiety medicines such as: Valium and his family, and some antihypertensive drugs such as: Rezepine and methyldopa, And opium derivatives, and amphetamines.
Thyroid dysfunction and diagnosed with high thyroid stimulating hormone T.S.H.
An increase in the female hormone, which is rarely obtained now, because the new contraceptive pill contains very small amounts of the female hormone. Sucking the breast for long and continuous periods, as well as after breast opening operations.
Stress psychological anxiety for any reason, including during or after surgery, and this increase is for a short period.
An increase in the hormone of milk is observed in some patients with kidney failure while they are on the process of dialysis, as well as some patients with tumors in the lung, kidneys, or uterus.
Diagnosis, treatment, diagnosis and determination of the cause of the increase in the milk hormone, Dr. Othman Sindi, it is necessary to do an MRI scan to find out the size of the milk hormone secreting tumor, and usually the hormone level is very high in these cases * As for other cases, the rise is simple at a rate of two or three times the normal rate.
And Dr. Othman Sindi said, saying that the treatment in most cases is with medical drugs that include: Dobergin pills and is given from them according to the percentage of increase, which is the mildest in terms of side effects such as nausea or hypotension. Then Parlodel pills, and Dostinex pills, studies have shown that the first two drugs are safe even if they are taken in the first trimester of pregnancy.
In cases where the increase is due to the presence of a large tumor in the pituitary gland, it is preferable to start medical treatment and do not resort to surgery except in difficult cases that do not respond to drugs or if there is pressure on the intersection of the optic nerve, as this is diagnosed by an ophthalmologist to measure the field of vision .
Studies demonstrating the success of drug therapy
23 studies were conducted worldwide at King Faisal Specialist Hospital and Research Center to find out the results of drug treatment, in which it was found that the menstrual cycle returned to regularity within two months in 80% of women with irregular periods with milk coming out of the breast with no brain tumor.
It was found that the disappearance of milk occurred in 50-60% of patients within 3 months, with a decrease in the amount of milk observed within 6 weeks. Cessation of menstruation was observed again 6 weeks after discontinuation of the drug in 41% of patients. It was also noted that 5% of patients stopped treatment due to side effects of the drugs.
As for patients with a tumor in the pituitary gland, the tumor atrophy has been observed with the need for a larger dose, up to 4 pills per day. It was noted that the improvement in vision occurs within a few days, not exceeding 42 days.
As for the size of the tumor, it may require months of treatment until it returns to its normal size, and it is noticed that the size of the tumor shrinks to half its size first, and then the atrophy will be slow after that.
The success of medical drugs in the treatment of tumors of the pituitary gland has led to the scarcity of the need for surgery, with its side effects in addition to its seriousness and the inability to completely remove the tumor.
With regard to cases of delayed pregnancy due to an increase in the milk hormone only, most patients will become pregnant within 4 to 6 months, God Almighty willing, so the hormone level must be monitored to give the appropriate dose until pregnancy occurs, God willing, and it is also advised to continue treatment during the first three months of pregnancy until no Gets ped.
