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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For The High Prolactin Levels?

hi , I suffer from high prolactine .before 7 days of period by breast become very tender and heavy . Please advise what to do for the same . recently i have started doing excercing in Gym is it unhealthy for people who are suffering from prolactine (high) AGE : 26,Weight : 62,
posted on Fri, 14 Mar 2014
Twitter Sat, 19 Jul 2014 Answered on
Twitter Mon, 21 Jul 2014 Last reviewed on
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Hi,thanks for posting your concern in the HCM. A single measurement of serum prolactin level above the upper limit should be diagnosed as a case of hyperprolactinemia. A prolactin level more than 500 mcg/l is diagnostic of macroprolactinoma. Even prolactin level more than 250 mcg/l indicates the presence of a prolactinoma. Increase in serum prolactin level may occur in several physiological conditions including pregnancy, lactation, stress, sleep etc. Exclusion of offending medication use, pituitary and parasellar tumors, renal failure, hypothyroidism is needed in case of hyperprolactinemia.So, for that relevant investigations including imaging will be necessary. Hyperprolactinemia does cause breast pain especially a rising prolactin level. An urgent endocrinologist consultation is necessary for further evaluation and treatment. You may be recommended to stop any offending medication (if any) and /or prescribed dopamine agonist therapy. However, further treatment or requirement of surgery will depend on the underlying cause of hyperprolactinemia. For any further query, please write back to us. Regards. Dr. Kaushik
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What Is The Treatment For The High Prolactin Levels?

Hi,thanks for posting your concern in the HCM. A single measurement of serum prolactin level above the upper limit should be diagnosed as a case of hyperprolactinemia. A prolactin level more than 500 mcg/l is diagnostic of macroprolactinoma. Even prolactin level more than 250 mcg/l indicates the presence of a prolactinoma. Increase in serum prolactin level may occur in several physiological conditions including pregnancy, lactation, stress, sleep etc. Exclusion of offending medication use, pituitary and parasellar tumors, renal failure, hypothyroidism is needed in case of hyperprolactinemia.So, for that relevant investigations including imaging will be necessary. Hyperprolactinemia does cause breast pain especially a rising prolactin level. An urgent endocrinologist consultation is necessary for further evaluation and treatment. You may be recommended to stop any offending medication (if any) and /or prescribed dopamine agonist therapy. However, further treatment or requirement of surgery will depend on the underlying cause of hyperprolactinemia. For any further query, please write back to us. Regards. Dr. Kaushik