Hyper-prolactinemia usually results from increased prolactin secretion from the pituitary gland. Physiologic conditions such as pregnancy, nipple stimulation, and physical or psychological stress, may increase prolactin levels. Certain medications or medical conditions such as hypothyroidism and chronic renal failure may also lead to elevated prolactin levels. At times, a growth on the pituitary gland can result in extra prolactin production. In other instances when the prolactin is minimally elevated, a specific cause may not be found.
Symptoms associated with hyper-prolactinemia include milky nipple discharge or menstrual irregularities. Less common are headaches and visual disturbances. Minimal elevations in prolactin frequently remain asymptomatic.
Medication to lower serum prolactin levels may be prescribed. Rarely, if a large pituitary growth is found to be the cause of elevated prolactin, neurosurgery may be consulted for surgical intervention. Our practice offers testing and treatment in collaboration with the Medical Endocrinology Pituitary Program and the Department of Neurosurgery.
We offer serum testing for the diagnosis of hyperprolactinemia. We also will provide medical management for elevated prolactin levels or facilitate a consultation with a neurosurgeon for surgical management
Yale physicians are knowledgeable in all realms of reproductive endocrinology, including disorders of prolactin secretion. We understand how various hormones interplay to form a complex functional reproductive unit and that each patient presents a unique clinical scenario. We will expeditiously diagnose and treat hyper-prolactinemia and provide necessary education to empower each patient with the knowledge to understand her own reproductive health.