prolactinlowering

Prolactin lowering refers to the process of reducing elevated levels of prolactin in the blood. Prolactin is a hormone primarily produced by the pituitary gland that plays a role in lactation, but it also has other functions in the body. High prolactin levels, known as hyperprolactinemia, can be caused by various factors, including certain medications, pituitary tumors (prolactinomas), kidney disease, hypothyroidism, and stress. Symptoms of hyperprolactinemia can include irregular or absent menstrual periods, infertility, and galactorrhea (inappropriate milk production) in women, and decreased libido, erectile dysfunction, and infertility in men.

The primary treatment for hyperprolactinemia is often medication. Dopamine agonists, such as bromocriptine and cabergoline, are the most commonly prescribed drugs. These medications work by mimicking the effect of dopamine, a neurotransmitter that normally inhibits prolactin release from the pituitary gland. By stimulating dopamine receptors, these drugs effectively suppress prolactin production. In cases where hyperprolactinemia is caused by a pituitary tumor that does not respond to medication or is causing significant symptoms, surgery to remove the tumor may be considered. Addressing underlying medical conditions like hypothyroidism or discontinuing causative medications can also lead to a reduction in prolactin levels. Regular monitoring of prolactin levels is essential to assess the effectiveness of treatment and adjust accordingly.