Hyperprolactinemia is a medical condition in which the blood level of prolactin hormone rises to alarmingly high levels resulting in some signs and symptoms. This hormone is secreted by the pituitary gland. Male and female presents with different symptoms though some symptoms are common. Prolactin hormone helps in stimulating breast for milk production in females after pregnancy but without pregnancy, Hyperprolactinemia causes the absence of period and abnormal milk secretion. It is more common in women as compared to men. It has a prevalence rate of about 100 per million adult population.
The most common cause is a tumor of the pituitary glands and less common includes drugs and other medical conditions as
Antidepressants drugs like tricyclic and SSRI
Antipsychotics drugs used to treat brain disorders like risperidone
Painkiller like opiates
Some antihypertensive medications that is CCB (calcium channel blockers)
Antihistamine used for acidity
Male and female are affected differently but some symptoms are common is both as
Women also complain of
Men also complain of
Blood test: Morning fasting blood sample is taken to check for the levels of prolactin, thyroxine hormone. If blood levels of prolactin are highly elevated, your doctor would suspect prolactinoma and will order MRI test to confirm it.
MRI: To rule out any lesion or tumor in the pituitary gland or anywhere in the brain which is affecting the pituitary directly.
Kidney function test: If kidney failure is suspected to be the cause of hyperprolactinemia.
The aim of treatment is to eliminate the cause behind it and to reduce the symptoms of elevated prolactin levels. No treatment is required if there are no symptoms
This post was last modified on January 21, 2023 9:35 pm
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