What to do if high prolactin leads to menstrual disorders

High prolactin can lead to menstrual disorders, which can be improved through medication treatment, etiological investigation, lifestyle adjustments, regular check ups, and traditional Chinese medicine regulation. Elevated prolactin is usually caused by factors such as pituitary tumors, drug effects, hypothyroidism, chronic stress, or breast stimulation.

1. Medication therapy:

Dopamine receptor agonists are the preferred drugs, such as bromocriptine, camacoline, etc., which can effectively inhibit prolactin secretion. Medication must strictly follow the doctor's advice, and the initial dose is usually low, gradually adjusted based on hormone review results. Some patients may experience side effects such as nausea and dizziness, which mostly resolve after 1-2 weeks of medication. During medication treatment, prolactin levels should be monitored monthly, and treatment should be maintained for 3-6 months after menstrual recovery.

2. Etiological investigation:

Prolactin secreting tumors need to be excluded through pituitary MRI, and surgery should be considered if the tumor diameter exceeds 10 millimeters. Thyroid function examination can determine whether there is concomitant hypothyroidism, and elevated serum thyroid stimulating hormone will feedback stimulate prolactin secretion. Inquire in detail about medication history. Antidepressants and gastric medications such as domperidone may all lead to elevated prolactin levels. Chronic renal insufficiency patients often experience hyperprolactinemia due to metabolic disorders.

3. Lifestyle adjustment:

Avoid excessive stimulation of the breasts or frequent nipple friction, and reduce bra tightness and compression. Ensure 7-8 hours of sleep per day. Long term staying up late can interfere with the hypothalamic regulatory function. By using meditation, yoga, and other methods to relieve stress, an increase in cortisol levels under stress can promote prolactin secretion. A body mass index exceeding 24 requires dietary control, as obesity can exacerbate endocrine disorders.

4. Regular review: