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title: "Hyperprolactinemia in Curitiba — Femi Saúde"
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description: "Hyperprolactinemia in Curitiba: high prolactin, irregular cycles, nipple discharge and infertility, with investigation and treatment."
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"og:title": "Hyperprolactinemia in Curitiba — Femi Saúde"
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"twitter:title": "Hyperprolactinemia in Curitiba — Femi Saúde"
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Clínica Femi Saúde — Home
Clínica Femi Saúde — Home
Individualized Clinical Treatment
# Hyperprolactinemia
High prolactin: causes and treatment
Consulta
Acompanhamento periódico
## What it is
Hyperprolactinemia is an increase in prolactin, a hormone produced by the pituitary gland and responsible for milk production. Outside of pregnancy and breastfeeding, elevated levels can cause irregular or absent periods, nipple discharge (galactorrhea), decreased libido, vaginal dryness, difficulty becoming pregnant and, over the long term, bone loss. The most common causes are the use of certain medications — such as antidepressants, antipsychotics and anti-nausea drugs —, hypothyroidism, stress and prolactinomas, benign pituitary tumors that usually respond to medication. The investigation includes measuring prolactin under appropriate conditions, thyroid tests and, when indicated, pituitary MRI. Treatment depends on the cause: adjusting medications, treating the thyroid, or using medication that lowers prolactin, with periodic follow-up.
## Most common symptoms
- Irregular, infrequent or absent periods
- Nipple discharge outside of breastfeeding
- Decreased libido and vaginal dryness
- Difficulty becoming pregnant
- Headache or vision changes
- Hot flashes and long-term bone loss
## Causes and risk factors
- Use of antidepressants, antipsychotics and anti-nausea medications
- Hypothyroidism
- Prolactinoma, a benign pituitary tumor
- Physical or emotional stress and irregular sleep
- Frequent breast stimulation and certain kidney or liver diseases
- Pregnancy and breastfeeding, which naturally raise prolactin
## How it is diagnosed
The investigation begins with the clinical history, paying attention to medications in use, thyroid symptoms and the possibility of pregnancy, and with a physical exam that includes a breast assessment. Prolactin is measured under appropriate conditions, at rest and avoiding stimuli that raise it, and the test may be repeated to confirm the result. Your gynecologist also orders thyroid tests and, when levels are high or there are neurological symptoms, a pituitary MRI to check for a prolactinoma.
## How we treat it at Femi Saúde
Treatment depends on the cause. When a medication is responsible, the Femi Saúde gynecology team works with the prescribing physician to consider adjusting or switching it. If hypothyroidism is present, correcting the thyroid usually normalizes prolactin. In prolactinomas and in elevations with no apparent cause, medications that lower prolactin are the mainstay of treatment, with follow-up through periodic testing. When there is estrogen deficiency, hormone replacement may be considered to protect bone health. Pituitary surgery is reserved for specific situations, together with endocrinology. Women who wish to become pregnant receive individualized guidance, and the plan is reviewed according to the response.
## When to see a gynecologist
See your gynecologist if your periods have become irregular or stopped, if there is nipple discharge outside of breastfeeding, persistent headache, vision changes or difficulty becoming pregnant. Book a consultation to measure prolactin and investigate the cause.
## What we offer
1
Investigation of the causes of elevated prolactin
2
Regularization of the menstrual cycle
3
Treatment of galactorrhea and estrogen-deficiency symptoms
4
Guidance for those wishing to become pregnant
5
Follow-up with periodic testing
## Gynecology specialists
[Dra. Melissa Amoroso
Gynecologist](https://femisaude.com.br/en/doctors/dra-melissa-amoroso) [Dra. Vanessa Amoroso
Gynecologist and Mastologist](https://femisaude.com.br/en/doctors/dra-vanessa-amoroso) [Dra. Aline Matos
Gynecologist](https://femisaude.com.br/en/doctors/dra-aline-matos) [Dra. Andrea Novellino
Gynecologist](https://femisaude.com.br/en/doctors/dra-andrea-novellino) [Dra. Fabiane Sloboda
Gynecologist](https://femisaude.com.br/en/doctors/dra-fabiane-sloboda) [Dr. Igor Chiminacio
Gynecologist](https://femisaude.com.br/en/doctors/dr-igor-chiminacio) [Dra. Isadora Goetten
Gynecologist and Obstetrician](https://femisaude.com.br/en/doctors/dra-isadora-goetten) [Dra. Sabrina Oliveira
Gynecologist](https://femisaude.com.br/en/doctors/dra-sabrina-oliveira)
## Gynecology treatments at Femi Saúde
[CO2 Laser Rejuvenation and Lubrication
Skin Improvement and Lubrication](https://femisaude.com.br/en/treatment/laser-co2-rejuvenescimento-lubrificacao) [Implanon® — Hormonal Contraceptive Implant
Freedom and safety in a small implant](https://femisaude.com.br/en/treatment/implanon) [Menopause and Perimenopause
Care and hormone therapy when indicated](https://femisaude.com.br/en/treatment/menopausa-climaterio) [Family Planning
Preparing for a healthy pregnancy](https://femisaude.com.br/en/treatment/planejamento-pre-concepcional) [IUD — Intrauterine Device
Preventing pregnancy effectively](https://femisaude.com.br/en/treatment/diu) [Pap Smear
Cervical cancer screening](https://femisaude.com.br/en/treatment/papanicolau)
[See all Gynecology treatments ](https://femisaude.com.br/en/specialties/ginecologia)
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