FEMALE HORMONE SPECIALIST – DHA LAHORE
Specialist diagnosis and treatment of elevated prolactin causing menstrual problems, infertility, and breast discharge in DHA Lahore.
پرولیکٹن ہارمون کی زیادتی خواتین میں ماہواری کی بے قاعدگی، بانجھ پن اور چھاتی سے دودھ آنے کا سبب بنتی ہے۔ ڈاکٹر رضوان نیازی دوائی سے پرولیکٹن کو نارمل کرتے ہیں، آپریشن کی ضرورت اکثر نہیں ہوتی۔
Hyperprolactinaemia is the medical term for abnormally high levels of prolactin in the blood. Prolactin is the pituitary hormone responsible for stimulating milk production after childbirth.
When prolactin levels are elevated outside of pregnancy and breastfeeding, it suppresses the hormones needed for ovulation and normal menstrual function, leading to irregular periods, absent periods, infertility, and sometimes breast discharge.
The most common cause is a prolactinoma, a benign pituitary tumour. Other causes include medications, hypothyroidism, and hypothalamic dysfunction. The condition is almost always manageable with medication.
Prolactin levels can be elevated by several distinct causes, each with a different management approach.
A small benign pituitary gland tumour is the most common identifiable cause. Dopamine agonist medication shrinks the tumour and normalises prolactin in the majority of patients.
Antipsychotic drugs, antidepressants, antiemetics, metoclopramide, and certain antihypertensives raise prolactin as a side effect.
An underactive thyroid raises TRH, which stimulates prolactin release. Treating hypothyroidism often resolves the prolactin elevation.
In some cases, prolactin is elevated without a clearly identifiable cause. These patients are monitored and treated based on symptoms and prolactin levels.
Elevated prolactin affects multiple aspects of reproductive and hormonal health.
Suppression of LH and FSH by prolactin disrupts ovulation, causing irregular or absent periods in most affected women.
Absent ovulation is a direct consequence of chronically elevated prolactin. Normalising prolactin restores ovulation and fertility in most patients.
Unexpected breast discharge occurs in many women with elevated prolactin, even without pregnancy or breastfeeding.
Low oestrogen resulting from prolactin suppression reduces sexual drive and contributes to low mood and fatigue.
Book a consultation with Dr. Rizwan Niazi for a full prolactin evaluation and personalised treatment plan.
Hyperprolactinaemia is an endocrine condition requiring specialist management. The right dose of medication normalises prolactin, shrinks prolactinomas, and restores fertility without surgery.
Prolactin is measured fasting. Serial testing and MRI imaging confirm the diagnosis and guide treatment decisions.
Dopamine agonist medication is carefully dosed and adjusted based on response. Most patients achieve normal prolactin levels within weeks.
Once prolactin normalises, ovulation typically resumes. Pregnancy outcomes in treated hyperprolactinaemia are excellent.
An elevated prolactin result always warrants specialist review. Dr. Rizwan Niazi evaluates the cause, arranges any necessary imaging, and begins appropriate treatment.
Normal prolactin in non-pregnant women is generally below 25 ng/mL. Levels above this should be confirmed with a fasting repeat test and evaluated by a specialist.
No. Prolactinomas are almost always benign. They do not become cancerous and are highly responsive to medication. Surgery is rarely needed.
In many cases, yes. Medication controls prolactin levels effectively and, for prolactinomas, often permanently reduces the tumour. Some patients can stop medication after sustained normalisation.
Yes, once prolactin is normalised with medication. Ovulation resumes in most women, and pregnancy outcomes are good. Medication management during pregnancy is discussed individually.
Prolactin levels usually normalise within 4-6 weeks of starting medication. Tumour shrinkage occurs more gradually over months. Regular monitoring continues throughout treatment.
Prolonged elevated prolactin causes persistent menstrual irregularity, infertility, and bone loss from low oestrogen. Larger prolactinomas can press on the optic nerve. Treatment prevents these complications.