Saturday, 28 October 2017

THE WEEPING BREAST IN AGONY OF INFERTILITY

TThe sight of her breasts could stimulate the involuntary movement of the head and make you change your direction to go her way. Conspicuous enough to defy the bounding effect of the best quality bra. It would pop out voluntarily causing her owner episodes of focal embarrassment, countless adjustments and unwarranted stop-to-woo by men with provoked and uncontrollable libido. The sight of her nipples would further provoke you and make you pledge your will to to have a taste of them. You can't but say hello to Ifeoma without your eyes focused on her chest as though you were expecting the response from them. She had three lovers before she eventually settled down with Benjamin. Ben would spend fifteen minutes fondling with the breast prior to intercourse. Would you blame him?
Ifeoma was concerned about her looks so she skips meals and endulges in strainous exercises to keep shape. These made her develop Chronic Peptic Ulcer Disease and and was placed on Cimetidine. Her life had gradually turned into a nightmare especially now that she had been married for three years and yet to conceive. Her husband is tired of fondling with the breasts since all attempts amounted to unproductivity, in fact the breasts have become objects of ridicule for her, more so now that she is having an uncontrollable spontaneous breastmilk discharge.


Her asset has now become a trauma  source. She is traumatised psychologically and presents to the clinic for help.

HYPERPROLACTINEMIA

Prolactin is a hormone produced by the brain (Anterior Pituitary gland) and reaches its target organs especially the breast through blood. It's normal concentration in the blood is about 8ng/ml. When it occurs in higher concentrations, it's termed hyperprolactinemia and can be caused by normal activities such as Pregnancy, Stress (psychological), Exercise, Nipple stimulation, Sleep and Estrogen (as found in contraceptive pills). Drugs like Cimetidine, Methlydooa, Phenothiazines and Tricyclic antidepressants may result to it.
Polycystic Ovarian Cyst and Tumor of the Anterior Pituitary gland are pathological conditions that can result in hyperprolactinemia.

Functions 
  • Synthesis - steroids and lactation (breastmilk formation) 
  • Development - breast and fetal lung
  • Metabolic - carbohydrates, Calcium, vitamin D and subcutaneous fat
  • Regulatory - inhibits the hypothalamus 

It's role in infertility 


It inhibits the hypothalamus from producing hormones ( Gonadotropin Releasing hormone) through which it instructs the pituitary gland to inturn release hormones that will cause egg development in the ovary and subsequently ovulation. Therefore with this link broken due to hyperprolactinemia , the eggs (ova) will not develop and ovulation as well as menstruation may not occur. Please visit your physician for care when your breasts weep in agony of infertility.
Thank you for reading.


2 comments:

Beware of "Ndi Ekpere" a.k.a Intercessors; they almost broke my patient's marriage

It was Saturday, the rain which had blown her whistle and conjured and compelled all on foot to an aerobic exercise had stopped to usher in ...