What to do if prolactin is high and ovulation does not occur

Symptoms of high prolactin or low prolactin, both of which can be very harmful, so you need to be especially careful and do prudent prevention work in normal times. First of all, patients should pay attention to controlling the disease and take necessary measures to treat it. If the secretion of prolactin cannot be adjusted, the functions of other parts of the body will be affected, and amenorrhea may occur in severe cases.

How to treat high blood pressure: 1. Etiological treatment, that is, take different treatment methods for different causes. If it is caused by drugs, the drugs should be stopped first. If it is caused by hypothyroidism, thyroxine tablets can be taken for replacement therapy. If it is a pituitary tumor, it can be treated with drugs or surgery according to the size of the tumor.

2. Inhibit the secretion of prolactin. Bromocriptine is the first choice drug. This drug can inhibit the synthesis and secretion of prolactin, control the growth of pituitary microadenomas, and even significantly shrink the tumor. The common side effects of bromocriptine are nausea, headache, fatigue and constipation. Therefore, the medication should be used under the guidance of a doctor. Data show that prolactin can be significantly reduced after one week of medication, galactorrhea will stop and menstruation will resume after 2-4 weeks of medication, and ovulation and pregnancy can occur after 3-6 months of medication.

3. Combined treatment: Patients with hyperprolactinemia who want to have children can be treated with bromocriptine first. If ovulation still cannot be restored, ovulation-inducing drugs can be added.

Symptom analysis: High prolactin levels can cause the following symptoms:

1. Menstrual irregularities: primary amenorrhea 4%, secondary amenorrhea 89%, oligomenorrhea or too little menstruation 7%. Dysfunctional uterine bleeding and corpus luteum dysfunction account for 23% to 77%. Ovulatory dysfunction and luteal insufficiency are manifested by oligomenorrhea, amenorrhea and infertility, which are the most common symptoms. Other related symptoms include habitual abortion, loss of libido, hirsutism, acne, etc. Gynecological examination may reveal symptoms of estrogen deficiency, such as dry vaginal mucosa and decreased secretions.

2. Galactorrhea: Milk can be seen by squeezing both breasts, and fat droplets can be seen under the microscope. In the non-tumor type, it was 20.84%. 70.52% of the tumor type. Simple galactorrhea: 63-83.55%. The breasts are usually normal or with lobular hyperplasia or macromastia.

3. Osteopenia: The long-term decrease in estrogen levels caused by HP can cause a decrease in bone density.

4. When the prolactin level is high, visual impairment, nervous system diseases, hypopituitarism, cerebral hemorrhage, cerebrospinal fluid rhinorrhoea and other diseases may occur.