Fertility problems

High prolactin or hyperprolactinemia. Infertility in women


One of the possible causes of infertility in women is hyperprolactinemia or high prolactin. It is closely associated with polycystic ovary syndrome and other physical disorders such as milk production without being pregnant, amenorrhea or other ovulation disorders. But don't worry too much, as it is a hormonal disturbance that usually has an easy solution and that, in most cases, can be treated with medications so that the woman can achieve her dream of becoming pregnant.

Prolactin is the hormone responsible for stimulating the growth of a woman's breast in pregnancy and the production of breast milk during childbirth. However, it is also a hormone that is activated by stress, with which more and more women have abnormalities in the secretion of this hormone, since the simple fact of staying pregnant it can impair its proper functioning.

The hyperprolactinemia It is characterized by the increase in the level of this hormone in the blood and is detected with a simple blood test, which must be repeated after 20 minutes. Excessive prolactin in the blood can cause alterations in the menstrual cycle, ovulation disorders, infertility and production of breast milk outside of pregnancy.

When we are not pregnant our prolactin levels are normal, but in pregnancy the hypophysis, the gland where it is produced, increases the production of prolactin to be able to breastfeed our baby after delivery.

Thus, prolactin prevents a new pregnancy, and it is the reason why they say that when we are breastfeeding we cannot get pregnant. This is not entirely true, since we can get pregnant, although with less probability.

How can a woman tell if her body's prolactin levels are altered? What signs may be alerting us to this? Look out for any of these six symptoms!

- Absence of menstruation or amenorrhea.

- Milk secretion outside of pregnancy.

- Absence of ovulation or anovulation.

- Infertility.

- Hair growth or hirsutism.

- Recurrent pregnancy loss.

After knowing the indicators that alert us to this hormonal alteration, it is time to know why it occurs, that is, thedifferent factors that alter prolactin.

1- Stress, excessive exercise or lack of sleep, in addition to being pregnant or breastfeeding.

2- There are also associated diseases in which it is normal for prolactin to rise, such as hypothyroidism, polycystic ovary syndrome, multiple sclerosis, lupus, kidney failure, liver cirrhosis, or tumors in the pituitary. The latter are usually the cause in 30% of cases of hyperprolactinemia, although they are mostly benign.

3- Due to others medicines such as those taken for high blood pressure, estrogens, and drugs related to dopamine secretion.

Treatments to regulate prolactin depend on the cause:

- If it is by the use of medicinesSimply stop taking them and have your doctor give you other options.

- If it is hypothyroidism, the doctor will prescribe a synthetic thyroid hormone to normalize your prolactin levels.

- In other cases, the hyperprolactinemia it is treated with oral medications, usually with great effectiveness.

- Only in extreme cases, in which tumors in the pituitary gland they reach more than 10 millimeters, it is treated with surgery or radiotherapy.

If you still cannot get pregnant, the best option is in vitro fertilization, which achieves a high pregnancy rate.

According to the study 'Clinical practice guide for the diagnosis and treatment of hyperprolactinemia', carried out by Medigraphic, 'hyperprolactinemia is more frequent in women between 20 and 50 years of age, but it can also affect men'.

If this were the case, it could also influence the desire of the couple to become pregnant because thehyperprolactinemia in men causes in them loss of sexual libido and alterations in testosterone levels.

On the other hand, it should be noted that the symptoms of infertility, limited sexual instinct and loss of bone mass common with women, in men can also be given:

- Difficulty completing the sexual act (to maintain erections).

- Enlargement of one or both of the mammary glands, which experts call gynecomastia.

- Reduction of hairiness.

And once your hormone levels are back in place, you can move on with your idea of ​​getting pregnant. And since on our site we want to make things easier for you, we have gathered all our pregnancy calculators.

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You can read more articles similar to High prolactin or hyperprolactinemia. Infertility in women, in the category of On-site fertility problems.

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