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女性不孕是妇科常见病。我院内科治愈高催乳素血症所致不孕1例,现报道如下。 1 病例介绍 患者27岁,已婚。停经5年,婚后2年未孕,伴头痛,溢乳。夫妇同居,配偶性功能正常。查体:女性发育,视力、视野正常,挤压双侧乳头见有少许淡乳白色液体溢出。B超检查示子宫、卵巢正常。垂体CT示:垂体微腺瘤(0.9cm×0.7cm)。血清催乳素(PRL)>>200ng/ml(正常<20ng/ml)。临床诊断:垂体催乳素瘤。选择口服药物溴隐亭治疗,开始用量每日2.5mg,渐增至7.5mg/日,治疗2月后月经恢复,头痛减轻。4个月时月经规律,溢乳消失,服药半年怀孕,仍继续服药,药量减至每日2.5～5mg。妊娠顺利,足月顺产一男婴,体重为3 400克,母乳喂养,智力及身体发育均正常。患者持续服药3.5年,复查血清PRL 60ng/ml,垂
Female infertility is a common gynecological disease. In our hospital, 1 case of infertility caused by high prolactinemia is reported as follows. 1 case description Patient 27 years old, married. Menopause 5 years, 2 years after marriage is not pregnant, with headache, galactorrhea. Couple living together, spouse sexual function is normal. Physical examination: female development, visual acuity, normal vision, squeeze the bilateral nipple see a little milk white liquid overflow. B ultrasound showed the uterus, normal ovary. Pituitary CT showed: Pituitary microadenoma (0.9cm × 0.7cm). Serum prolactin (PRL) >> 200 ng / ml (normal <20 ng / ml). Clinical diagnosis: pituitary prolactinoma. Choose oral drug bromocriptine treatment, the initial daily dose of 2.5mg, increased to 7.5mg / day, after 2 months of treatment menstrual recovery, reduce headaches. 4 months when the menstrual cycle, galactorrhea disappear, taking six months of pregnancy, still continue to take medicine, the dose reduced to 2.5 ~ 5mg daily. Pregnancy is successful, full-term normal delivery of a baby boy, weighing 3 400 grams, breastfeeding, mental and physical development are normal. Patients continued medication 3.5 years, review of serum PRL 60ng / ml, vertical