Hyperprolactinemia is a condition characterized by an increased content of prolactin (a pituitary hormone) in the blood. Most often, hyperprolactinaemia occurs in young women aged 25-40 years, much less often - in men of the same age.
The causes that lead to increased production of prolactin are diverse:
Women with hyperprolactinemia syndrome, as a rule, are concerned about the allocation of milk from the breasts outside of pregnancy (galactorrhea), infertility and menstruation (most often their absence). Men are concerned about a decrease in sexual desire and potency, sometimes in conjunction with the allocation of milk. In some cases, excessive growth of hair on the body, a tendency to acne. As the tumor of the pituitary gland grows, visual impairment may occur, a headache.
Diagnosis and treatment of hyperprolactinemia is handled by an endocrinologist, as well as a gynecologist-endocrinologist. For diagnostics it is necessary:
If hyperprolactinaemia is caused by hypothyroidism or adrenal insufficiency, appropriate hormone replacement therapy is prescribed, which leads to a normalization of prolactin production and the halactorrhea termination.
If the condition is associated with taking medications (cerucal, amitriptyline, etc.), these drugs are canceled. As a rule, after 4-5 weeks after this, the menstrual cycle is restored and the galactorrhea ceases. Therapeutic treatment is most often used. Patients are prescribed special drugs (parlodel, lizard, etc.). Such therapy normalizes the content of prolactin in the blood, in women restores the menstrual cycle and the ability to conceive.
Surgical intervention (removal of the tumor of the pituitary gland) is used, as a rule, in the presence of visual impairment and inefficiency of therapeutic treatment. Radiation therapy is used most often as an additional method of treatment after hypophysectomy or on the background of therapeutic treatment.>> check this hyperprolactinemia medication <<