High Prolactin

High levels of prolactin are known as hyperprolactinemia. It is normal during pregnancy and breastfeeding. Some other conditions that can raise the levels of prolactin are anorexia nervosa, hypothyroidism, kidney and liver problems, and prolactinoma.

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Why do I have high prolactin and low testosterone levels in the body?

Query: Hello doctor, My doctor wants me to get an MRI after my blood work. I wanted to get a second opinion, and I have attached my blood results. My prolactin is 20.4 (above normal), total testosterone is 269.3 (below normal), free testosterone is 8.9 (normal), FSH is 3.7 (normal), LH is 2.9 (normal). I ...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. Thanks for posting your query. See, your prolactin levels are high. There are only two reasons for that: Problems in the testes. Problems in the pituitary gland located in the brain. Now your endocrinologist wants to know if there is any pituitary problem, which is causin...  Read Full »

I am trying to get pregnant for two years. How to achieve it?

Query: Hi doctor, I have been trying to conceive for about 2 years now. My prolactin is 31.8 ng/mL, progesterone is 4.1ng/mL, not opacified left fallopian tube and no free peritoneal spillage of contrast noted. My partner has varicocele. I had a shot of progesterone. Please provide some advice on how we ca...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. It is evident from HSG (hysterosalpingogram) that you have a left tubal block and only the right tube is patent. Secondly, considering that your partner has varicocele, it is important to get his semen analysis done to check for sperm count and quality if it is adeq...  Read Full »

Why did I not have periods from four months?

Query: Hello doctor,I have not had my periods for four months. I had sex three months back. After two months of having sex, I took three pregnancy tests at suitable intervals. They all were negative. Earlier I have been diagnosed with PCOS. Can I be pregnant? Also, I have attached some of my blood reports ...  Read Full »


Dr. Poonguzhali Liston

Answer: Hello, Welcome to icliniq.com. Two things are clear from your USG (attachments removed to protect the patient's identity) - You are not pregnant as your scan shows a not pregnant size uterus. You do not have polycystic ovaries. Your blood reports show: A normal thyroid function. A norma...  Read Full »

Why do I have elevated prolactin, TSH and low testosterone?

Query: Hi doctor, I did a blood test, and four of my markers were not normal. Prolactin is high 401mul, TSH is 6.07mul, and my testosterone is 6.72, and SHBG is 13.2. How can I improve these?  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. You did not mention anything about the reason why you did these blood tests. Do you have any symptoms? Are you taking any medications right now? Any previous medical history? If you have no symptoms and all your answers are negative, you need to repeat your blood tests ...  Read Full »

Can acne in chin and jawline occur due to hormonal changes?

Query: Hello doctor, My daughter has acne on her face for the past one month. I think that is hormonal acne because it is in her chin and jawline as per my knowledge. She is taking Cabergoline .25 mg per week for an increased level of prolactin as prescribed by an endocrinologist for the past three years....  Read Full »


Dr. Kaushal Bhavsar

Answer: Hello, Welcome to icliniq.com. I have gone through the history and prescription you have attached (attachment removed to protect patient identity). Honestly speaking, I cannot understand what is written in the prescription. Can you send me a picture of individual medication so that I can get an id...  Read Full »

Do high levels of prolactin affect sexual desire?

Query: Hi doctor, I got married recently. For the last few months, I am experiencing erection problems during intercourse and struggling to get the sperm out. Hence, a general physician advised me to take a few tests. I have uploaded the results of the test. Can you please tell me what would be the next st...  Read Full »


Dr. Radhakrishnan Nair B

Answer: Hi, Welcome to icliniq.com. I understand your concern. Your prolactin is elevated. Do you have any headache or vision problems? Increased prolactin will decrease erection and sexual desires. But, it can be corrected and no need to worry. Either you can consult an endocrinologist or a neurologist and...  Read Full »

Does hormonal imbalance cause difficulty to conceive?

Query: Hi doctor, I was diagnosed with PCOS and my insulin and prolactin levels are 30.9 and 60 respectively. My doctor put me on Glucophage and Prolactin for these before two months. I got my periods on the same month. But, until now no signs of periods. I have mild thigh pain, heaviness in my stomach, li...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. Your insulin and prolactin levels are high and you have been rightly started on Glucophage (Metformin) and a dopamine agonist. This will help bring down the levels over the next two to three weeks and shall help balance your hormones. If the menses are missing for more...  Read Full »

Will high prolactin levels lead to prolactinoma?

Query: Hello doctor, I am 40 years old. I have irregular for the past six months. I got checked my prolactin as per doctor advise which came out to be 27. Then the doctor prescribed me Estrogen-progesterone. Then the cycle was still irregular. After that my prolactin rise to 38. Cabergoline was prescribed...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you had slight high prolactin levels and you took Cabergoline to treat that. Well, if at all you had some pituitary problem it gets resolved with Cabergoline and unless you do not have the same p...  Read Full »

Why am I having high prolactin level?

Query: Hi doctor, I would like help in understanding my situation and a second opinion to that of my GP. I had a blood test two months back which showed serum prolactin levels at 618. I was unaware what the test was for so breastfed before and during the blood being taken. I breastfeed a toddler betwe...  Read Full »


Dr. Syed Abdul Kader

Answer: Hi, Welcome to icliniq.com. To get rid you of your worries, I should let you know the usual level of prolactin in different conditions. The upper limit of normal for many assays of serum prolactin is approximately 500 mIU/L (24 ng/mL). In non-pregnant and non-lactating patients, monomeric prolacti...  Read Full »

I am not getting wet during intercourse. Please help.

Query: Hello doctor, I have a sexual issue. I do not get wet. The vagina is moist initially, but as it is exposed to air and when foreplay increases, it gets drier. What should I do?  Read Full »


Dr. Purushottam Sah

Answer: Hi, Welcome to icliniq.com. It appears to be due to stress or anxiety, so relax and do exercise. However, to exclude other causes, you need to do some blood tests like hemoglobin, total count, differential count, postprandial sugar, prolactin and thyroid stimulating hormone. If you are taking any me...  Read Full »

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