Prolactin Levels: Concerns and Treatment Options for Women - Obstetrics and Gynecology

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Prolactin


A month ago, I noticed that when I applied pressure to my breast, milk would appear.
I consulted an endocrinologist who specializes in prolactin levels, and he mentioned that my levels were too high, although he didn't specify the exact numbers.
He only said it was high enough that I would need to take medication for three months.
He also asked if I often experience headaches or see double vision.
I only get headaches when I haven't slept well or if my eye pressure is high, but I don't frequently see double images.
Initially, he suggested I see a neurologist, but later decided that I should try the medication first.
I'm concerned about the possibility of a pituitary tumor.
If I ignore it, will it be okay? Is it sufficient to just take the medication and monitor my levels? Will this affect my ability to conceive in the future? Thank you for your patient response.

qaz700510, 20~29 year old female. Ask Date: 2008/10/17

Dr. Huang Jianxun reply Obstetrics and Gynecology


Please ask the doctor if a prolactin level greater than 100 indicates an increased likelihood of a pituitary tumor before starting treatment.

Reply Date: 2008/10/17

More Info


Understanding prolactin levels and their implications for women's health is crucial, especially when elevated levels can indicate underlying health issues. Prolactin is a hormone produced by the pituitary gland, and its primary function is to promote breast milk production after childbirth. However, elevated prolactin levels, a condition known as hyperprolactinemia, can occur for various reasons, including hormonal imbalances, stress, certain medications, and even pituitary tumors (prolactinomas).

In your case, the concern about elevated prolactin levels and the symptoms you are experiencing, such as headaches and visual disturbances, warrants careful evaluation. While it is common for doctors to recommend medication to manage high prolactin levels, it is essential to understand the underlying cause. The medications typically prescribed, such as cabergoline or bromocriptine, are dopamine agonists that help lower prolactin levels and can alleviate symptoms associated with hyperprolactinemia.

The mention of headaches and seeing double can be concerning, as these symptoms may indicate increased pressure in the brain or issues related to the pituitary gland. It is wise to follow your doctor's advice regarding further evaluation, including possibly seeing a neurologist if symptoms persist or worsen. Imaging studies, such as an MRI of the brain, can help determine if there is a pituitary tumor or other abnormalities that need to be addressed.

Regarding your concerns about fertility, elevated prolactin levels can indeed affect menstrual cycles and ovulation, potentially leading to difficulties in conceiving. However, many women with elevated prolactin levels can still become pregnant once the hormone levels are normalized through treatment. It is essential to monitor your prolactin levels regularly and follow your doctor's recommendations for treatment. If medication successfully lowers your prolactin levels, your menstrual cycle may normalize, improving your chances of conception.

In summary, while elevated prolactin levels can be concerning, they are often manageable with appropriate medical intervention. It is crucial to communicate openly with your healthcare provider about your symptoms and any concerns you may have regarding your health and fertility. Regular follow-ups and adherence to treatment can help you achieve better health outcomes and address any fertility concerns you may have in the future. If you have further questions or experience new symptoms, do not hesitate to reach out to your healthcare provider for guidance.

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