Is It Always Necessary to Lower Elevated Prolactin Levels?

Prolactin is a hormone produced by the pituitary gland that plays a crucial role in reproductive function. However, an increase in prolactin levels does not always require immediate intervention. In this article, we will discuss when prolactin levels should be corrected and when it is not necessary.

What is Prolactin?

Prolactin is produced in the pituitary gland and regulates several functions in the body, including the reproductive system. Elevated prolactin levels can lead to anovulation, which can, in turn, cause infertility.

When Is Prolactin Level Correction Required?

If prolactin levels are slightly elevated, medication may not always be necessary. This is because prolactin is sensitive to external factors, and test results can vary depending on how the analysis is conducted.

  • How to take a prolactin test: Follow these rules to avoid false results:
    • Avoid stress and sexual activity the day before the test.
    • Do not visit a sauna or bathhouse.
    • Refrain from physical exertion.
    • Do not perform a breast examination before the test.

What Factors Can Affect the Test Results?

Test results can be skewed by stress, physical activity, and the timing of the test. To get accurate results, take the test in the morning, fasting, 1-2 hours after waking up.

When Is Medication Treatment Necessary?

If prolactin levels are elevated due to the active form (monomeric prolactin), medication correction is necessary, including drugs such as bromocriptine or cabergoline. If the level is elevated due to macroprolactin, which does not have an active effect, treatment is not required.

Conclusion

It is important to remember that not every prolactin level deviation requires treatment. Always consult with a doctor before starting any medication to avoid unnecessary interventions.

Remember: Elevated prolactin levels do not always require treatment, and it is essential to follow the guidelines for accurate test results.

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