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Iswarya Fertility Centre & Women's Hospital
Female Infertility

Hyperprolactinaemia — Non-tumour

Elevated prolactin without a pituitary tumour suppresses ovulation. Drug causes must always be excluded before treatment.

Overview

Overview

Elevated prolactin without a pituitary tumour suppresses ovulation. Drug causes must always be excluded before treatment.

Symptoms

Irregular or absent periods
Galactorrhoea
Infertility
Low libido

Causes

1
Dopamine-blocking drugs (antipsychotics, metoclopramide)
2
Hypothyroidism
3
PCOS
4
Stress

How It's Diagnosed

Serum prolactin
Thyroid function tests
MRI pituitary to exclude adenoma
Drug history review

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