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High Prolactin Levels

Discussion in 'Pregnancy' started by pippump1, Jan 21, 2012.

  1. I have jsut had another blood test come back showing i have high prolactin levels, in the past i have had tests show this when i have had nipple discharge but now we are ttc this is a problem. doctor wants to repeat test on day 21 of my cycle (difficult as they have been irregular since i had an ovary removed at 19 due to a dermoid cyst and then kind of went into meltdown by not eating enough, getting very underweight etc in my early 20's). i am a healthy weight now and have been for 3 years and i take care of myself but this is a problem but the doctor didn't really explain it except that it stops ovulation. maybe i'm impatient but we've been trying 18 months i just wondered if others had experience of this and what tretment/options were avalible to them.
  2. Anyone got any experience of this?
  3. undiwear

    undiwear New commenter

    I haven't had any experience in this however I have some insight into what may be going on.
    Prolactin is a hormone which women produce to build their milk supply in the first 6 weeks post partum. After 6 wks the levels drop off and the mother's milk supply is regulated by how much teh baby feeds. The more the baby feeds the less fertile a woman will be for at least 6 months. Prolactin is doing the same thing, creating a situation where conception is nigh impossible because it is suppressing the hormones that trigger ovulation. My uninformed hypothesis is to ask him to monitor the levels of estrogen and progesterone in as well as prolactin and find out if there are ways to adjust the levels of those two to suppress the prolactin somehow. Also there is a drug which is no longer routinely used in teh UK but which was given to women to 'dry up their milk supply' but is still used if a woman has a still birth and does not want her body to go through the lactation process. Maybe you can find out if there is a way to give you therapeutic doses of this drug? Just a stab in the dark from me. Others may have better experience and ideas to share.

  4. Hi
    Our situation is slightly different in that we had diagnosed fertility problems and my prolactin levels were only slightly raised, however undiwear is right about why high levels are a concern.
    I was prescribed cabergoline which reduced (but did not completely stop) any discharge - though this was not a regular problem for me. This is the drug undiwear is talking about, and if your levels are confirmed you may well be prescribed this.
    If your problems continue or any of your other levels are out, then after 18 months I would push to be referred to a fertility specialist. You don't mention your age, but if you are over 35 or have definite problems you qualify for referral.

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