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Fertility Medication For Hyperprolactinemic Amenorrhea - How It Works And Potential Side Effects

What is Amenorrhea Hyperprolactinemic?

Duration can be stopped for a number of reasons. Women with low BMI or high muscle to body fat ratio often experience complete reduction or elimination. Another cause of amenorrhea is pituitary adenoma - benign tumor of the pituitary gland. This small gland is just outside the brain and lies between the eyes. The signal is transmitted from the pituitary gland that initiates puberty and helps regulate the growth and maturation of the egg (ova).

In the case of tumors, the pituitary gland releases too much hormone prolactin. Prolactin is a hormone that stimulates milk production in breastfeeding women. Prolactin also lowers estrogen levels in the blood and prevents ovulation - releasing egg cells from one of the ovaries. However, this condition, hyperprolactinemic amenorrhea, is one of the causes of infertility. If your doctor diagnoses the problem then he or she may prescribe Bromocriptine.

How Does Bromocriptine Work?

An ovum (egg cell) can only be fertilized by a sperm cell if it is released from the ovary and only then for three days out of every twenty-eight (on average) as it moves down the fallopian tube to the uterus (uterus). If a woman has no period and is said to have amenorrhea, then no egg (ovum) is released and unless it is repaired it is essentially infertile.

Bromocriptine is also known as Proctinal, B-crip and Parlodel. Usually, treatment with Bromocriptine lasts for several months until the level of prolactin is reduced to normal and the return period. Bromocriptine is a medicine that is safe to take for a few years and is offered as a pill or pessary (taken in the vagina) taken or administered twice or thrice a day until fertilization. Once menstruation is normal, many couples may continue to get pregnant without any medication or further intervention but these maintenance doses must be continued until pregnancy is achieved because Bromocriptine cannot cure hyperprolactinemic amenorrhea.

Treatment with Bromocriptine may also be effective in men if their fertility problems are associated with pituitary tumors.

Nine out of ten women taking Bromocriptine will be treated while taking the drug. There are many factors that influence the ability to conceive such as maternal age, health and general lifestyle among them. Considering these factors, 65 to 85% of women on this type of treatment will become pregnant. Unlike other fertility drugs such as clomifene, the incidence of multiple births, namely twins, triplets or more does not increase by taking Bromocriptine.

Bromocriptine, studies have shown, decreases the risk of miscarriage in women with unusually high levels of prolactin - many women with hyperklactoseemia - too much blood circulating prolactin - can have multiple miscarriages. Further studies also show that women who have miscarriage, despite their normal prolactin levels, have this hormone boost during their baby's disappearance. The role of prolactin in early pregnancy is becoming clearer.

What are the side effects of Bromocriptine?

All medicines have side effects. They are most commonly reported by people who use Bromocriptine to increase their susceptibility to colds especially in the toes and toes; constipation, diarrhea, dizziness, drowsiness, dry mouth, fatigue, headache, indigestion, refusal of light, loss of appetite, nausea, stomach cramps, stuffy nose and vomiting. Alcohol and grapefruit juice should be avoided when treated with Bromocriptine. Most of these side effects disappear after a few weeks and to keep them minimal, it is recommended that you take Bromocriptine in the form of a pill to take it with food.

In one form of administration, a low starting dose will be established and then gradually increase. Some women may not tolerate or tolerate Bromocriptine and an alternative drug, cabergolin, may be prescribed instead. Cabergoline has fewer side effects than Bromocriptine but its effects on fetal growth and development are not well studied.

Anaphylaxis is a severe and sudden allergy reaction that can occur when using Bromocriptine or any other drug. Symptoms of anaphylaxis include: sudden swelling in the mouth, lips, tongue or throat, difficulty swallowing or breathing. Urgent medical attention should be sought.

Importantly, all medications that change the body's hormone balance, including Bromocriptine, increase the risk of patients suffering from a potentially fatal blood clot. Symptoms of blood clotting in the foot - deep vein thrombosis (DVT) - include abnormal heat, swelling, stiffness or pain in the calf. Urgent medical attention must be sought. Symptoms of pulmonary embolism; That frozen blood in the lungs cannot be ignored. They include chest pain or numbness, coughing blood, dizziness, irregular heartbeat, fainting, shortness of breath in mild aging, dizziness and severe tremors.

Stroke is a very rare side effect in the treatment with Bromocriptine, however, acknowledging that taking this drug slightly increases its risk. Contact an ambulance without delay if you notice any of the following: tremors, speech impediment, extreme numbness or weight on one side, widening one side, sudden loss or total loss of vision and headache severe. Contact an ambulance immediately if you have any of these symptoms.

Although the risks of side effects are small, they can be mitigated by some lifestyle changes that have also been shown to increase conception opportunities. Keeping your weight within healthy limits and eating a diet rich in fruits and vegetables is a good start. Smoking and reducing alcohol intake (or complete abstinence) combined with regular exercise will improve cardio-vascular health. Of course, before starting this treatment or any other type of fertility, your doctor should evaluate your general health and, most likely, order a blood test to make sure your blood lipids and blood sugar levels are within a healthy range.



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