Is it difficult to cure high prolactin levels

Elevated prolactin levels are not difficult to treat in most cases, and the specific treatment plan needs to be determined based on the cause. Elevated prolactin levels may be related to factors such as pituitary tumors, drug effects, and hypothyroidism, and are usually manifested as menstrual disorders, galactorrhea, infertility, and other symptoms. It is recommended to seek medical attention promptly to identify the cause and receive standardized treatment under the guidance of a doctor. physiological elevation of prolactin is common during pregnancy, lactation, or after intense exercise, and generally does not require special treatment. After removing the triggering factors, it can recover on its own. The elevation of prolactin caused by medication can often be alleviated after discontinuation of related drugs, such as the antidepressant paroxetine tablets and the antipsychotic risperidone tablets. Elevated prolactin levels caused by hypothyroidism can usually be restored to normal by correcting hyperthyroidism with drugs such as levothyroxine sodium tablets. Targeted treatment is needed for prolactin elevation caused by pituitary tumors. After taking dopamine receptor agonists such as bromocriptine tablets and cabergoline tablets, most patients with pituitary microadenoma can experience tumor shrinkage and a decrease in hormone levels. For patients with poor drug control or large adenomas, surgical treatment such as transnasal transsphenoidal pituitary adenoma resection may be necessary. Some patients have idiopathic hyperprolactinemia, although no clear cause has been found, good results can be achieved through drug regulation.

Avoid excessive stimulation of the breasts in daily life, reduce intake of high-fat foods, and maintain a regular schedule. During the treatment period, hormone levels should be regularly rechecked, and medication plans should be adjusted based on the results. Most patients have a good prognosis after standardized treatment, but patients with pituitary tumors need long-term follow-up monitoring for recurrence.

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