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Hyperprolactinemia is a condition in which the pituitary gland starts producing abnormally high levels of prolactin hormone. The function of prolactin is to stimulate breast milk production, therefore, high levels of this hormone in a pregnant and lactating female are normal. Hyperprolactinemia can cause a number of reproductive disorders as prolactin also influences the presence of sex hormones (estrogen and testosterone) in females and males.
Causes of hyperprolactinemia can be classified into 5 broad categories which are:
Common risk factors of hyperprolactinemia include:
Symptoms of hyperprolactinemia are different in men and women. In females, hyperprolactinemia can produce the following symptoms:
In males:
To reach a diagnosis, your doctor will take your thorough medical history, may ask you to get some laboratory investigations like blood tests done, if your blood tests show high prolactin levels then your doctor may ask you to get a CT scan or MRI done to find out the etiological factor, will take your detailed menstrual history if you are a female, and will ask specific questions related to your symptoms.
The main aim of treatment is to bring prolactin level back to normal. Treatment plan will base entirely on the cause of hyperprolactinemia. In case of a tumor, a tumor removal surgery will suffice for lowering prolactin level. In case of thyroid gland failure, administration of synthetic thyroid hormones will be the adequate measure. In case of medicine induced hyperprolactinemia, administration of certain medicines like bromocriptine will be the appropriate step.
You are advised to consult a doctor if there is worsening of your condition, no improvement in your symptoms, new side effects from the therapeutic measures being taken, and if your condition starts causing you physical and emotional distress.
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