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Can Elevated Prolactin Level Cause Miscarriage?

Posted on Thu, 7 Jan 2016

Question: Hello Doctor, What is effect of High Prolactin value in Pregnancy for women especially on egg quality?
My wife had taken a test for FSH 2months before and found that her prolactin value is 42ng/ml and our doctor prescribed Vitamin B6 tablet for 10days to reduce the prolactin value. After that today(First day of Menstrual cycle) she took the test again and the value not decreased(it is 43ng/ml). But in between she undergone a follicular study last month and doctor was telling that her follicles are good and ruptured on 13th day after 22mm growth.

But Is it possible to get good ovulation with high prolactin value? Is there any test that need to be conducted to find the Egg quality?

Note :-
1) She is getting periods regularly 26 to 28days
2) We were TTC for last year and half and not even a single time her period got delayed
3) My semen analysis test is done doctor was telling it is normal.

Thanks in Advance.
XXXX

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Cabgolin is better option

Detailed Answer:
Hello XXXXXXX

I understand your concerns about high prolactin.

High prolactin levels affects implantation of the embryo and also cause miscarriage if conceived.

High prolactin levels does not interfere in egg production and ovulation.

For my patients with such high prolactin levels I give Tablet Cabgolin 0.5 mg once a week for 4 weeks. You can also try the same for your wife which will help in reducing prolactin levels.

Let me know if you need anymore help.

Regards,

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Mahesh Koregol (32 minutes later)

Thanks Doctor.. Whether this needs prescription to get it from medical store?
My concern is she has never got delayed periods which suggest there is no miscarriage.

Regards,
XXXX

Answered by Dr. Mahesh Koregol (18 minutes later)

Brief Answer:
Implantation difficult

Detailed Answer:
Hi,

Implantation of embryo difficult with high prolactin.

This medicine ideally requires prescription. Try once in a pharmacy near your house.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mahesh Koregol (14 minutes later)

Sure.. Thanks Doctor, you really helping us to understand things better.

Answered by Dr. Mahesh Koregol (3 minutes later)

Brief Answer:
You can contact me directly

Detailed Answer:
Hi XXXXXXX

I am a qualified expert in Reproductive Medicine.

You can contact me directly in future to ask any infertility related questions by pasting following link in your browser :

XXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj