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High prolactin and infertility

By: Shane, 05 May 2007

What are the reasons for high prolactin in women? As a infertility specialist, Iam extremely surprised that many of my patients who come to me with infertility issues have high prolactin and mostly accompanied by hypothyroidism. Is it a feature of hot climate or lifestyle patterns in the Middle Easern countries. I have noticed this irrespective of age or race. How can high prolactin be treated other than through medications? [Respond to this question]

Responses (5)
Response from Aira Zuluap 28 June 2012
"As a infertility specialist, Iam extremely surprised that many of my patients who come to me with infertility issues have high prolactin and mostly accompanied by hypothyroidism." I am more surprised at this answer. The stress of trying for a baby is very high. The two are at a war of sorts yet we are surprised about High prolactin levels. Not enjoying life like others with pregnancies and babies everywhere you look. This raises stress levels. Highly elevated levels of prolactin decrease the levels of sex hormones which means couples that are supposed to be trying for a baby are not even having sex! I am not a medical practitioner but a parent trying IVF. Please stop giving women more drugs to fix a natural problem. Love your partner or go find someone else to love is the only way out of this scenario.
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Response from Alok Teotia 14 September 2007
i totally agree with Dr David Robertson prolactin may increase because of procedural stress, slight increase seems to have no significance, however prolactin secreting tumors must me ruled out if there is some suspicion.
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Response from Dr David Robertson 06 June 2007
First of all, define what you mean by a high prolactin level. One thing I notice particularly since I came to work in the Gulf, is the number of women being treated for "hyperprolactinaemia" who don't need to be. A marginal elevation can often be discounted - less than 1000 U/L or 23ng/ml can usually be ignored.Certain drugs may elevate prolactin, as will anxiety (someone coming towards you with a needle and syringe!)and, of course, hypothyroidism / raised TSH.You also need to ask your lab what proportion is macroprolactin and biologically active. You will then find that a true elevation is not that common.
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Response from DPankar Banerji 27 May 2007
Hypothyroidism means high TSH.High prolactin levels are common with high TSH.But the prolactin levels are marginally high. Treat by thyroxin eg.100mic gm/day for atleast 15 days and correct the TSH level ( here 0.5 to 5.0 mIU/ml ).Then do prolactin ,it might get corrected.Bye
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