What does high prolactin prove?

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What does high prolactin indicate? Is high prolactin related to seizure problems and vaginal dryness? Does high prolactin mean infertility? Does a high level of prolactin require a hormone treatment? The question is answered by the drug. Katarzyna Darecka.

What does high prolactin indicate?

Hello. My name is Ania, I am 35 years old, 170 cm tall and weigh 55 kg. I will not take up much of your time, but I will ask you directly – what it shows high prolactin? I was encouraged by my mother recently on such a study and it turned out that there is too much prolactin in my body (if you can say that). I decided to undergo the examination because I have not been able to get pregnant for over a year. It was also due to mine sexual problems. For a long time I didn’t want to have sex with my husband at all, because my vagina was dry and intercourse was simply painful for me.

In addition, I suffered from headaches that my husband took for excuses, although that was completely untrue. Also, my menstrual cycle is disturbed. My second question is – does too much prolactin mean that I am already sterile? Because of her, will I never be able to enjoy sex again? How to treat high prolactin at all? Should I undergo any hormone treatment? Does an excess of prolactin mean that I may get something serious in the future? I apologize in advance if my message is a bit chaotic. Best regards and thank you in advance for your kind reply. Ania.

The doctor explains the causes of high prolactin

Physiological prolactin hypersecretion occurs during pregnancy or lactation, as a result of mechanical nipple irritation or sexual intercourse, exercise, sleep, and stress. It can also occur in primary hypothyroidism, while taking anticonvulsants, antidepressants, neuroleptics, opiates, antipsychotics, some antihistamines, estrogens, antiandrogens, calcium channel blockers (verapamil).

Unfortunately, 40% of hyperprolactinemia is idiopathic, so the cause is unknown. One elevated prolactin score It does NOT authorize the doctor to diagnose hyperprolactinemia, you must also remember to do the test on an empty stomach, at least two hours after waking up, do not smoke before the test, rest for 0.5 hours in the waiting room before taking a blood sample, and do not have sex the day before, do not undergo physical exercise.

Because the effect of estrogens on prolactin It is NOT recommended to check blood levels while taking birth control.

Diagnosis of hyperprolactinemia functional function after the metoclopramide test is more and more often criticized by specialists for overinterpreting a high prolactin surge after stimulation and improper initiation of treatment lowering PRL concentration only on the basis of the test result. The result of this test also excludes with a high degree of certainty autonomic secretion of prolactin for organic reasons. However, it is recommended to measure the circadian rhythm of prolactin secretion.

Hyperprolactinaemia can affect fertility and the symptoms you experience can affect this. In the state of increased amounts of prolactin in the body, the body feels as if it was pregnant, therefore drugs reducing its concentration should have a positive effect on fertility and increase the chances of getting pregnant. First of all, you should ask about further treatment of the doctor who ordered the test.

– Lek. Katarzyna Darecka

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1 Comment

  1. un kam problem me prolaktinen si 3 vite mabas lindjes se vajzes masqebe ndaca nga gjiri prolaktina me mveti e lart edge me buk mundem ta nomalizoj mar terapi bemogron donitx ulet prolaktina po prap ngritet deri ne 50 un ket numer ekam problem se0ae buk mundem te ngel shtatzan per nje shtatzani te dyt

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