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Gynaecology & Obstetrics Breasts and Lactation 2608e348

Which of the following is the cause of amenorrhoea in a lactating mother:

A
Increased release of LH
B
Increased GnRH secretion
C
Hyperestrogenic state
D
Increased prolactin level
High-Yield Explanation
Ans. (d) Increased prolactin levelRef.: D.C. Dutta 8th ed. /171, 614; 6th/148Breast feeding increases the levels of prolactin which lead to the following consequences:* Reduced ovarian response to FSH leading to hypo- estrogenic stateQ* Suppression of LH release thereby preventing LH surge and inhibiting ovulationQ* Reduces GnRH secretion

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