Q. I have high prolactin. Will this affect my fertility?
Hi,
- My doctor said that I have high prolactin, almost 200, but I have regular periods.
- My periods are regular and usually have an interval of 30-33 days.
- I do not have any othe menstrual symptoms, other than milky nipple discharge.
- I take ovulation tests every month and comes back positive on my fertile days, yet I have not been able to conceive.
- My doctor said that, it is just a matter of time and that I should be able to conceive.
- I want treatment for the prolactin levels because, I believe that is the reason I am not able to conceive.
I just want a second opinion please. Thank you.
Hello,
Welcome to icliniq.com.
- High prolactin levels with galactorrhea (milky nipple discharge other than normal breast feeding) can often cause delayed ovulation and irregular menses.
- The ovulation kits detect the LH surge and do not exactly tell us if there has been ovulation at all.
- There may be delayed ovulation which can be ascertained only by regular follicular monitoring.
- An excessive PRL (prolactin) secretion decreases the pulsatile release of GnRH (Gonadotropin Releasing Hormone) impairing the pituitary production of FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone).
- Furthermore it may directly impair the endocrine activity of ovarian follicles.
- As a consequence: defective luteal phase, inconstant ovulation and chronic anovulation are conditions frequently observed in young hyperprolactinemic patients.
- So it is important that the prolactin levels are controlled.
- If prolactinoma (benign pituitary tumour that produces prolactin) has been ruled out on MRI then you may take tablet Cabergoline 0.25mg twice a week for 3 weeks and then evaluate your prolactin levels again.
- And then, if required the dose can be escalated to 0.5mg twice a week depending on the response.
Revert back to an obstetrician and gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist
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