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What Does Low Prolactin Levels Mean?

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Posted on Mon, 15 Dec 2014
Question: Just had some blood work done,was told I had low prolactin the are going to refer me to an endocrinologist what is this?
doctor
Answered by Dr. Michelle Gibson James (20 minutes later)
Brief Answer:
hormone secreted by pituitary

Detailed Answer:
HI, thanks for using healthcare magic

There is an area in the brain called the pituitary.

It is involved in the release of a number of different hormones. Prolactin is one of the hormones that is released from the pituitary.

Prolactin is involved in stimulating breast development and milk production in women.

High levels of prolactin (hyperprolactinemia) can be due to: (1)hypothyroidism- low levels of thyroid hormone may be involved in high levels of prolactin
This can be checked by blood tests. If this is the case, treatment of the thyroid problem would help

(2)side effect of medication- there are a number of different medications that are associated with high prolactin

(3)prolactin secreting tumor in the pituitary.

These are divided into microadenomas (less than 10mm in size) and macroadenomas (more than 10 mm in size)

These are benign tumors.

These are detected by imaging tests such as CT or MRI

Most microadenomas do not grow up to macroadenomas and are only treated with medication such as bromocriptine.
This is used on many macroadenomas as well.
It causes the mass to shrink.

The endocrinologist would continue any further testing.

I hope this helps, feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (6 minutes later)
My was low the answer you gave was for high
doctor
Answered by Dr. Michelle Gibson James (9 minutes later)
Brief Answer:
sorry , because hyper much more common

Detailed Answer:
HI

Hyprolactinemia (low prolactin levels) , is not as common as hyperprolactinemia.

In the vast majority of persons it occurs as a result of dysfunction (abnormal function) of the anterior pituitary (front aspect of pituitary).

This can also be related to a pituitary tumor but in this case instead of a tumor releasing prolactin, it compresses and prevents the pituitary from releasing prolactin causing low levels.

The other causes are: head injury
(2)infections such as tb or fungal infections such as histoplamosis
(3)infiltrative diseases (diseases in which part of the body is infiltrated by another substance)

Includes conditions such as sarcoidosis, hematochromatosis

(4)genetic causes

(5)parastellar diseases- the parastellar area is a particular area of the brain

This may also be in the form of a mass or tumor but these are also usually benign (non cancerous

Again, imaging would be need to determine if there are any changes in the pituitary causing this problem
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Does Low Prolactin Levels Mean?

Brief Answer: hormone secreted by pituitary Detailed Answer: HI, thanks for using healthcare magic There is an area in the brain called the pituitary. It is involved in the release of a number of different hormones. Prolactin is one of the hormones that is released from the pituitary. Prolactin is involved in stimulating breast development and milk production in women. High levels of prolactin (hyperprolactinemia) can be due to: (1)hypothyroidism- low levels of thyroid hormone may be involved in high levels of prolactin This can be checked by blood tests. If this is the case, treatment of the thyroid problem would help (2)side effect of medication- there are a number of different medications that are associated with high prolactin (3)prolactin secreting tumor in the pituitary. These are divided into microadenomas (less than 10mm in size) and macroadenomas (more than 10 mm in size) These are benign tumors. These are detected by imaging tests such as CT or MRI Most microadenomas do not grow up to macroadenomas and are only treated with medication such as bromocriptine. This is used on many macroadenomas as well. It causes the mass to shrink. The endocrinologist would continue any further testing. I hope this helps, feel free to ask any other questions