How to deal with elevated prolactin?

What does elevated prolactin mean?

Elevated prolactin levels, known as hyperprolactinemia, indicate an excess of this hormone in the bloodstream. Prolactin is produced by the pituitary gland and plays a key role in lactation. However, too much prolactin can lead to various health issues, including fertility problems, menstrual irregularities, low libido, and mood changes. Hyperprolactinemia can result from physiological factors (such as pregnancy or stress) or pathological ones (like pituitary tumors).

Does high prolactin always mean a tumor?

No, high prolactin levels don?t always mean there's a tumor. This hormone can increase due to many factors, including stress, intense physical activity, sleep, sexual intercourse, or certain medications. However, very high levels?especially those above 200 ng/mL?may suggest the presence of a pituitary tumor, such as a prolactinoma.

Can stress raise prolactin levels?

Yes, stress is one of the factors that can cause elevated prolactin. Both physical and emotional stress can have this effect. Chronic stress may lead to persistent hyperprolactinemia, which in turn can cause sleep disturbances, fatigue, low mood, and other health issues.

What are the symptoms of hyperprolactinemia?

Symptoms differ between sexes. In women, these include irregular or absent menstruation, non-pregnancy-related lactation, infertility, low libido, breast pain, and hirsutism (excess body hair). In men, symptoms include reduced libido, erectile dysfunction, gynecomastia, infertility, and muscle mass loss. Regardless of gender, people may also experience mood disturbances, vision problems, headaches, fatigue, and sleep issues.

What are the consequences of hyperprolactinemia?

Hyperprolactinemia can have serious health consequences. In women, it may prevent ovulation; in men, it can reduce sperm quality. It can also disrupt other hormones, leading to thyroid dysfunction or adrenal issues. It increases the risk of depression, anxiety, and other mood disorders. It interferes with sleep patterns and circadian rhythm, and may contribute to weight gain, osteoporosis, and other physical changes.