To help patients with hypothalamic-pituitary disorders (patient's school)

Abstract

There are many reasons for the pathological increase in prolactin levels in the blood (hyperprolactinemia). Even minimal stress, such as taking blood for research, can lead to a short-term increase in prolactin levels. Medications such as antiemetics (metoclopramide, raglan, cerucal), psychotropic (chlorpromazine), and birth control pills can increase hormone levels. If you have an elevated prolactin level in your blood test, be sure to tell your doctor about taking these drugs. Hyperprolactinemia can also be caused by thyroid insufficiency (hypothyroidism), which is easily detected by measuring the level of thyroid-stimulating hormone in the blood and is well compensated against the background of thyroid hormone replacement therapy (L-thyroxine). After the examination excludes the presence of a number of endocrine and non-endocrine diseases, a conclusion is drawn on the existence of an independent hypothalamic-pituitary pathology - hyperprolactinemic hypogonadism (GH).