What are the signs and symptoms of hyperprolactinemia?
Symptoms of hyperprolactinemia
- irregular periods.
- change in menstrual flow.
- pause in menstrual cycle.
- loss of libido.
- lactation (galactorrhea)
- pain in breasts.
- vaginal dryness.
What causes hyperprolactinemia?
What causes hyperprolactinemia? One common cause of hyperprolactinemia is a growth or tumor on the pituitary gland called a prolactinoma. The tumor produces high levels of prolactin. These tumors can be large or small and are usually benign, meaning they are not cancerous.
What happens when your prolactin levels are high?
Excess prolactin can cause the production of breast milk in men and in women who are not pregnant or breastfeeding. In women, too much prolactin can also cause menstrual problems and infertility (the inability to get pregnant). In men, it can lead to lower sex drive and erectile dysfunction (ED).
How is hyperprolactinemia treated?
Medical treatment of hyperprolactinemia is based upon use of dopamine agonists (DA): bromocriptine, lisuride, quinagolide and cabergoline. In over 80% of cases, these drugs induce normal prolactinemia and ovulatory cycles.
What food causes hyperprolactinemia?
Red clover, fenugreek, or fennel can raise your prolactin levels. Avoid eating anything with these ingredients if you find out you have high prolactin levels.
Can hyperprolactinemia go away on its own?
Idiopathic hyperprolactinemia. In some patients with idiopathic hyperprolactinemia, the high prolactin levels return to normal on their own. If this does not happen within a few months, symptomatic patients often receive treatment with cabergoline or bromocriptine.
What foods can cause hyperprolactinemia?
Can stress cause hyperprolactinemia?
There is some evidence that functional hyperprolactinemia may be due to stress-induced neuroendocrine changes of dopamine and serotonin, thus affecting prolactin release . REM sleep rebound, a behavioral coping mechanism to stress, has been found to be mediated by prolactin .
Does prolactin cause weight gain?
High levels of prolactin can also result in weight gain and neuropsychological disturbances. The size of the tumor correlates with the amount of prolactin secreted. Larger tumors can cause mass effects by compression of local structures.
Does hyperprolactinemia go away?
Sometimes there’s no specific cause for your high prolactin levels. This is known as idiopathic hyperprolactinemia. It usually goes away without treatment after several months. If your prolactin levels do not go down, your doctor will likely prescribe medication.
What are the treatment options for hyperprolactinemia?
Treatment of Hyperprolactinemia. The goal of treatment is to return prolactin to normal levels. There are a number of standard options to achieve this: The medications Parlodel (bromocriptine) and Dostinex (cabergoline) are known to be effective in reducing prolactin levels and shrinking pituitary tumors.
What can cause elevated prolactin levels?
High levels of prolactin may mean that the pituitary gland is making excess prolactin for unknown reasons (idiopathic hyperprolactinemia). Other conditions that can cause high prolactin levels include pregnancy, liver disease (cirrhosis), kidney disease, and hypothyroidism.
What are the signs and symptoms of hyperprolactinemia in men?
Production of breast milk when not pregnant or nursing. In men, the most typical symptoms of hyperprolactinaemia are decreased sex drive, sexual dysfunction (in both men and women), erectile dysfunction, infertility, and gynecomastia.
What happens if your prolactin (PRL) levels are low?
What happens if your prolactin (PRL) levels are low? If your prolactin levels are below the normal range, this could mean your pituitary gland isn’t working well. That’s known as hypopituitarism. Lower levels of prolactin usually don’t need medical treatment.