How To Normalize Prolactin Levels

How To Normalize Prolactin Levels
How To Normalize Prolactin Levels

Video: How To Normalize Prolactin Levels

Video: Hyperprolactinemia (High Prolactin Levels) | Causes, Signs u0026 Symptoms, Diagnosis, Treatment 2022, October

Elevated levels of the hormone prolactin can be an indicator of complex systemic diseases that lead to reproductive disorders. This condition must be treated to avoid permanent damage to health.

How to normalize prolactin levels
How to normalize prolactin levels

It is necessary

  • - referral for laboratory tests;
  • - the doctor's consultation.


Step 1

The hormone prolactin is responsible for the development of the corpus luteum in a woman's body and lactation, regulates water-salt metabolism in the body. An increase in prolactin can be both functional and caused by prolactinoma - a benign neoplasm in the anterior lobe of the pituitary gland.

Step 2

The content of this hormone in the blood increases during stressful situations, after eating, after sexual intercourse. A physiological increase in the hormone prolactin in the body occurs during pregnancy, when the content of estrogen hormones in the blood increases.

Step 3

In other cases, the reason for the increased content of this hormone in the body may be dysfunction of the thyroid gland, oral contraceptives, pituitary trauma and some systemic diseases, including dysfunctions of the pituitary gland and hypothalamus, chronic renal failure, neurosyphilis, tuberculosis. In women, functional hyperprolactinemia can accompany various gynecological diseases.

Step 4

The main symptoms of hyperprolactinemia in women are: absence of menstruation, problems with conception, vaginal dryness, decreased libido, painful intercourse, in the later stages, osteoporosis may develop, visual impairment, and a decrease in metabolic processes in the central nervous system. In men, these hormonal disorders lead to impotence.

Step 5

The level of prolactin can be determined by diagnostic measures, which include 3-fold blood sampling on days 5-8 of the menstrual cycle; thyroid hormone levels; conducting computed and magnetic resonance imaging; examination of the fundus and visual fields for the detection of a pituitary tumor.

Step 6

For the treatment of hyperprolactinemia, hormone replacement therapy is used under the supervision of an endocrinologist. The main drug for the treatment of this disease is "Bromcriptine", it suppresses the secretion of prolactin, activates the natural mechanisms of its suppression in the body.

Step 7

Treatment of this disease, as a rule, is long-term, not less than 2-3 years, even after the normalization of prolactin parameters in laboratory tests. Periodically, once every six months, ultrasound and tomography are monitored.

Step 8

Usually, 1-2 months after the start of treatment, ovulation is restored and the menstrual cycle normalizes, if necessary, additional diagnostic measures are required if the treatment does not lead to pregnancy with regular sexual activity.

Step 9

If the cause of hyperprolactinemia was a pituitary neoplasm, surgical treatment with the removal of the overgrown tissue is indicated. With a timely visit to a doctor, in the vast majority of cases, it is possible to avoid the development of severe complications: blindness, the development of osteoporosis and malignant neoplasms of the pituitary gland.

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