Drug treatment of amenorrhea and lactation syndrome

Amenorrhea and lactation syndrome brings great pain to patients. Patients need to choose reasonable drugs for treatment according to their own condition and cause. The methods are as follows:

Bromocriptine and levodopa

Patients with elevated prolactin levels caused by dysfunction of the thalamus-pituitary-ovarian axis should use medication to adjust the state of the functional system to reduce prolactin levels and restore normal ovulation and menstruation. Bromocriptine mainly acts on the cells of the pituitary gland that secrete prolactin, reducing prolactin secretion; levodopa mainly acts on the hypothalamus, reducing prolactin by enhancing the effect of prolactin inhibitory factors. The usage and dosage of the drug must be strictly followed according to the doctor's instructions. Menstruation can be restored after one to several months of medication, but symptoms such as nausea may occur after taking the medication.

Clomiphene

Clomiphene is widely used, and the ovulation recovery rate can reach 70%-80%. Dosage method: Take the medicine on the 5th day of the natural or artificially induced menstrual cycle, 50-100 mg, once a day for 5 consecutive days. During the medication period, basal body temperature should be measured or B-ultrasound should be used to monitor follicles to understand the ovulation situation. Patients who have poor ovulation recovery after using bromocriptine alone can use it in combination with clomiphene to enhance the effect of ovulation induction.

Thyroxine

Patients with amenorrhea and lactation syndrome caused by hypothyroidism should be treated with oral thyroxine, and the usage and dosage should be as prescribed by the doctor.