Pregnancy

Why is prolactin elevated when planning pregnancy? What is the role of the hormone?

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When planning a child, responsible future parents undergo a variety of examinations to prevent possible problems when conceiving and carrying. Sometimes, having passed the analysis for hormones, a woman finds out that she has an elevated hormone prolactin, and pregnancy will not come soon.

Hormonal disorders affect the ability to conceive, the success of gestation and lactation. Therefore, questions about how to normalize prolactin levels always remain relevant.

How does prolactin affect pregnancy?

Prolactin and pregnancy are "linked" by estrogen - sex hormones responsible for the maturation of the egg, ovulation, the preservation of the ovum and the blood supply to the placenta. After conception, their level increases, which leads to an increase in the secretion of prolactin, as the body begins to prepare for breastfeeding.

Under the influence of this hormone, the structure of the mammary glands changes: they increase in size, fat cells are replaced by secretory cells. By the time the baby is born, milk production begins.

A natural increase in prolactin during pregnancy leads to a decrease in pain sensitivity. This is especially important during childbirth.

Prolactin is involved in the formation of the internal organs of the fetus. Under its influence in the lungs, a surfactant is formed - a substance lining the walls of the alveoli and not allowing them to stick together. It is produced late in the period, shortly before birth. In premature babies, lack of or lack of surfactant can cause death.

If prolactin is elevated when planning a pregnancy, it reduces the likelihood of conception. The same can be said about lower rates. Deviations of prolactin levels from the norm cause menstrual disorders, prevent ovulation.

Reasons for increasing prolactin

An increase in the concentration of prolactin can be caused by disorders in the pituitary gland, since it is in this gland that it is produced. Physiological or biochemical changes, swelling, tumors in this part of the brain - all this leads to an increase in the secretion of hormones.

There are other reasons not related to the pituitary gland:

  • injuries of the muscles and glands of the breast,
  • an increase in the level of estrogen in the blood in case of disorders in the adrenal cortex, liver and / or kidneys (Addison's disease, cirrhosis, renal failure, etc.),
  • syphilis, tuberculosis,
  • disturbances in the organs of the reproductive system,
  • taking some antidepressants, estrogens, antipsychotics, amphetamines, opiates, antibiotics,
  • excessive exercise
  • low carb diet (hypoglycemia),
  • medical procedures affecting the neck, for example, massage (nerve nodes that control hormone levels are in the cervical region),
  • prolonged stress.

If prolactin is elevated, is it possible to get pregnant and how to cope with the problem? When disturbances are caused by physiological causes (nutrition, stress, exercise), you can independently normalize the level of the hormone. In this case, the reproductive function, as a rule, is restored without special difficulties. In other situations, medical care is required.

Diagnostics

A blood test is taken from a vein to determine the level of prolactin. Referral to the examination gives a gynecologist. The sampling procedure is carried out in the morning, 2-3 hours after sleep, on an empty stomach.

A day before donating blood, you must refrain from taking alcohol, visiting a sauna or a bath, or having sex. The results are interpreted taking into account the phase of the menstrual cycle and the characteristics of the reagents used by the laboratory.

Further diagnosis depends on the results of the blood test. Consultations of narrow specialists (gastroenterologist, nephrologist, endocrinologist), craniogram, computed tomography, fundus examination can be prescribed.

Treatment before pregnancy

Treatment of elevated levels of prolactin is selected based on diagnostic results. If the deviations are minor and there are no diseases that can affect the production of this hormone, then homeopathic remedies with an extract of Vitex sacred, decoction of licorice root or Potentilla goose are appointed.

It is recommended to adhere to food with sufficient carbohydrate content, avoid excessive physical exertion and stress.

If the increase in prolactin is significant, treatment of the disease that caused the hormonal failure. Also prescribed medication: Palodel, Bromocriptine, Dostinex. Read more about Dostinex when planning pregnancy →

Can I get pregnant with increased prolactin?

Prolactin is involved in the functioning of the reproductive system. Increasing its level leads to a decrease in the production of progesterone, a hormone that increases the likelihood of fertilization, contributes to the implantation of the ovum and prevents the rejection of the endometrium.

In addition, hyperprolactinemia leads to disruption of the menstrual cycle and prevents ovulation. An increased concentration of prolactin is found in 20% of women with infertility.

Can I get pregnant if prolactin is elevated? The probability of this is extremely small, since obstacles are created at all early stages: during ovulation, conception, implantation of the ovum, and also in the first days of gestation.

Even if fertilization occurs, there is a high risk of abortion at a short time, even before the delay of menstruation. However, such a disorder is treatable - in 80% of cases, the elimination of infertility is possible.

The rate of prolactin in pregnancy

Prolactin levels increase during pregnancy. The rate of its concentration in the blood depends on the period. Raising begins from the 2nd month and reaches its maximum by the 25-30th week. When the body begins to prepare for childbirth, the amount of prolactin decreases, but with the beginning of breastfeeding increases again.

Indicators of the norm of this hormone are very variable. The doctor assesses not so much the absolute value, as the dynamics of increasing concentration. Averaged over a period of 2-3 months, the indicators should be in the range from 500 to 2000 mU / l, in 3-5.5 months - from 200 to 6000 mU / l, by the end of the 7th month - to reach 10,000 mU / l.

Prolactin affects the onset of pregnancy and its course. At elevated concentrations of this hormone, abnormalities occur in the reproductive system, hormonal sterility develops. With proper treatment, as a rule, it is possible to eliminate hyperprolactinemia, conceive and carry out the child.

Author: Olga Khanova, doctor,
specifically for Mama66.ru

Analysis Algorithm

Blood donation to detect prolactin levels is done in the morning on an empty stomach. Women are recommended to conduct analysis in the first half of the menstrual cycleusually in the period from 3 to 5 days after the start of menstruation.

Some external factors can affect the amount of hormone in the blood. Therefore, it is important to follow the rules of preparation for the analysis. These include the following:

    on the eve can't be nervous,

Prolactin rate

When planning a pregnancy, the results of the analysis of prolactin are considered normal if they fall within from 4 to 23 ng / ml. Excess hormone is possible during pregnancy and during the feeding period. Its growth begins from the eighth week, and then constantly increases. Critical is considered as the excess and decrease in permissible norms.

Increased prolactin

The phenomenon in which there is increased prolactin, called hyperprolactinemia. It is characterized by a number of signs. These include the following:

    absence or irregularity menstrual cycle

    milk production in the absence of pregnancy,

An increase in the hormone may be due to physiological or pathological hyperprolactinemia. For the correct prescription of treatment, it is necessary to find out the factor that led to this deviation. For physiological reasons include:

    eating protein food

Factors of pathological hyperprolactinemia are:

In more severe cases, cysts are removed. surgically. Prolactin in women when planning pregnancy is of paramount importance. Its increase inhibits the process of release of the egg, making conception impossible.

To reduce the hormone medications are prescribed: Lizurid or Parlodelregulating the menstrual cycle. They are prescribed by the doctor, depending on the results of the analysis.

And also it is necessary to monitor nutrition, more often to be in the open air, to reduce strong physical exertion. Planning for pregnancy with increased prolactin is carried out only after bringing hormone bounce back.

How hormone prolactin is associated with conception

Prolactin is in all - both women and men. True, the latter - in the minimum concentration.

The main function of prolactin

In women, in addition to regulating the production of breast milk, the hormone also performs other functions:

  1. is a natural analgesic (reduces pain),
  2. takes part in the mechanism of formation of orgasm,
  3. responsible for sex drive,
  4. controls the menstrual cycle.

This lactic hormone inhibits the ovulation cycle, prolongs the existence of the corpus luteum in the ovary, extending the luteal phase of the cycle. If ovulation is inhibited, pregnancy does not occur.

This is a natural mechanism that prevents the next baby from getting pregnant while the previous one is still baby. That is why during the period of lactation there are no monthly periods.

Increased prolactin

Elevated prolactin and conception are often incompatible. If the concentration of lactotrope is above normal, this condition is called hyperprolactinemia.

Prolactin increase in breastfeeding

It is caused by several factors:

  • Physiological, while being a variant of the norm: during pregnancy and breastfeeding of the child, as well as during physical fatigue, stress, and even during sleep or sex.
  • Pathological, that is, caused by certain diseases (cirrhosis of the liver, renal failure, ovarian polycystic, brain tumor, etc.).
  • After therapy with certain drugs: antihistamines, contraceptives, hormonal.

What is the danger of increased prolactin, how does it affect conception?

With hyperprolactinemia, menstruation is lost or absent, and hence ovulation, without which fertilization is impossible.

Important! With a high hormone, the body is “misleading”, considering that there is already a pregnancy and does not allow a new one!

The effect of high prolactin levels on a woman’s breasts

It carries a high prolactin risk for planned breastfeeding: the mammary glands change the howling structure, possibly the development of breast cancer.

Reduced prolactin

With a low level of hormone, pregnancy is quite likely; a decrease is not as dangerous as a rise. It is more important that it “grows up” when conception happens.

The norm of prolactin for conception is 4-36 ng / ml. Accurately determine the level of the hormone allows a blood test.

He surrenders with absolute peace of mind, a couple of days before delivery, physical overload, stressful situations, coffee and alcohol, sex are excluded.

Blood test for prolactin concentration

Important! The hormone is sensitive to emotions and noticeably “grows up” when seratonin and adrenaline are produced!

Prolactin against pregnancy

When planning a pregnancy, any woman pays attention to her state of health and body condition. Especially if the conception does not take long and you have to pass a lot of tests. Individually for a woman, the gynecologist prescribes tests for hormones, one of the first places in the line of hormones is occupied by prolactin. He plays a crucial role not only in the process of becoming a woman a woman, but also in the process of conception, as well as feeding the baby in the future.

Prolactin: effect on the female body

The hormone prolactin is produced by the pituitary and extrahypophysis cells of the immune system, the inner walls of the uterus during the premenstrual period. If it is scientifically proven that the hormone created by the pituitary gland helps to conceive, bear and feed a child, then the appointment of extrahypophysis prolactin is still unknown.

This hormone is essential in the immune system, affects the metabolic processes of the female body.

Hormone norm

Changes in hormone levels depend on the day of the woman's menstrual cycle. Therefore, when testing for hormones, it is important to know what day to do it. The hormone level is individual for each woman, therefore there is no single norm, there are limit values.

Before conception

If a woman is not pregnant, does not have gynecological problems, then the rate of her prolactin ranges from 4.1 ng / ml to 34 ng / ml. The level of the hormone is affected by sexual intercourse, the cycle stage, stressful states and even food before the test is taken.

Gestation period

At different periods of pregnancy, the level varies:

  • For the first trimester, hormone levels range from 3.2 ng / ml to 43 ng / ml.
  • In the second trimester, the amount of prolactin increases significantly and becomes from 13 ng / ml to 166 ng / ml.
  • In the third trimester reaches its peak from 13 ng / ml to 318 ng / ml.

Indications for analysis

Analysis of prolactin is mandatory in the case of pregnancy planning, as well as the appearance of a number of other symptoms:

  • discharge from the chest and pain in a non-pregnant woman,
  • lack of milk after childbirth,
  • inflammation in the genitals
  • lack of puberty in a girl,
  • excess weight,
  • decreased libido,
  • changes in the pituitary gland,
  • hormonal screening.

Reasons for the decline

A sharp decrease in the hormone level in a woman’s body can be caused by extensive blood loss during childbirth. It can also be caused by problems with the pituitary gland, menstruation does not come from this, often there is low pressure, insufficient weight and lack of milk after birth. Such dangerous diseases as tuberculosis, cancer cause the complete dying of the pituitary gland, therefore, the production of prolactin stops and pregnancy is almost impossible.

Causes of increased prolactin without pregnancy

There are two groups of problems that are characterized by the appearance of increased prolactin in the blood:

  • physiological reasons
  • pathological causes.

Most often, after identifying an elevated hormone, a number of physiological causes are identified. In order to identify them, the gynecologist asks questions about what kind of lifestyle the woman led before taking the hormones.

An important role is played by:

  • sexual intercourse before analysis;
  • lactation,
  • taking drugs
  • operations,
  • abortions,
  • injuries
  • physical exercise,
  • intrauterine device,
  • stresses.

More serious causes are considered pathological. They can be identified only after a full examination of the woman’s body. In this case, various benign and malignant tumors, cirrhosis, diseases of the pituitary gland can reveal.

In making a diagnosis, it matters how many times the norm is exceeded, if it is two times less, then this is not a problem. In this case, you can safely plan a pregnancy.
The main cause of influencing the increase in the hormone are diseases of the pituitary gland, as well as hormonal failure due to stress and increased physical exertion.

Can I get pregnant at elevated rates

Treatment of elevated prolactin before pregnancy is selected individually after a complete diagnosis: X-ray, tomography, fundus examination and blood plasma analysis.
If the examination revealed no diseases that contribute to an increase in the level of the hormone, then homeopathic medicines are prescribed.

With excessive prolactin, a woman may experience a failure of the menstrual cycle, lack of ovulation, low progesterone production, so this problem should be treated. Because the probability of becoming pregnant in this case is very small. And even if it happens, it is impossible to endure it in the first trimester. However, this is treatable, even if a miracle occurred and the pregnancy occurred.

Can I get pregnant with low prolactin

A lowered hormone level or hypoprolactinemia, unlike an increase, will always be considered a pathology. Low blood levels can be:

  • Primary - characterized by the presence of a tumor in the brain, this occurs in 4% hypoprolactinemia.
  • Secondary - 96% of cases of reducing the hormone fall on increased physical exertion, stress. Medication, lack of menstruation for hormonal disruption, mental illness, tuberculosis, depression and obesity also affect hormone levels.

The diagnosis is made after a full examination, and treatment is prescribed depending on the reason for the decrease in prolactin. This pathology responds well to treatment, but pregnancy is not possible until prolactin levels recover.

It happens that ovulation occurs regularly, and conception occurs. In this case, the gynecologist will prescribe drugs that will keep the pregnancy so that miscarriage does not occur. As well as a low level of the hormone did not affect the formation of breast milk in the future.

Norm for conception

The level of prolactin is set in a girl already during the first menstrual periods; it should not exceed 36 ng / ml. This is enough for planning a pregnancy, and subsequently a safe bearing.

To pass the analysis it is necessary to properly prepare so that there is no false testimony. To pass on the days of the menstrual cycle, which the doctor prescribes, preferably on an empty stomach, three days before it is necessary to avoid sexual acts, stressful situations and excessive physical exertion.

What is prolactin in the body responsible for?

This is the main hormone for the formation and operation of the female reproductive system. It is produced in the lactotrophic brain cells that are located in the anterior lobe of the pituitary gland.

  • The hormone is involved in the appearance of secondary sexual characteristics in girls. In particular, in the development of the mammary glands, the formation of the ovaries.
  • Prolactin along with oxytocin is involved in the process of lactation. It is he who is responsible for the formation of milk.
  • The hormone regulates the formation of valuable colostrum, the arrival and formation of mature milk in a nursing mother.
  • A natural excess during the feeding period inhibits the process of ovulation. High level - natural protection against pregnancy. A decrease in hormone concentration, in contrast, triggers the menstrual cycle.
  • The substance regulates the preparation of the mother and fetus for childbirth and feeding, forms a number of organs and systems of the newborn.

Details on the symptoms of increased prolactin, see here.

On the treatment of disorders associated with excessive production of prolactin, read here.

Why during pregnancy prolactin?

Prolactin and estrogen are substances that work in pairs. During pregnancy, the level of estrogen in the blood increases significantly.

This is a signal to the body about preparing motherhood.

A chain reaction is launched and the pituitary gland synthesizes a greater amount of the hormone that is needed by both mother and baby.

As a result, the mammary glands increase in size.

Sometimes pregnant women notice breast enlargement in several sizes. This is due to the transformation of the adipose tissue of the breast in the secretory. Indeed, after the birth of a child, iron will be in active work. Sometimes the hormone concentration during pregnancy is so high that the colostrum appears a few months before the expected birth.

In addition to stimulating lactation, this hormone also serves as a powerful analgesic. High levels of prolactin alleviate the unpleasant symptoms of pregnancy, reduces pain in the pelvic region and mammary glands. When a newborn first captures a sensitive nipple, the mother does not experience excruciating pain precisely because of the facilitating action of prolactin. The composition of the amniotic fluid also depends largely on prolactin.

Prolactin is also involved in the formation of the fetus. Obvious signs of the presence of a hormone in the body of a newborn are slightly swollen mammary glands. In rare cases, babies in the first days of life will have discharge from the breast, which by chemical composition resembles milk.

Not without it, and the first children's breath. The substance is responsible for the formation of the inner walls of the alveoli. Surfactant is a thin film on the surface of the pulmonary vesicles that prevents them from sticking together.

Why can a woman have increased prolactin?

The increase may be due to physiological or pathological reasons.

It is best to prepare for a visit to the laboratory in advance and it must be done on an empty stomach, in the first phase of the menstrual cycle (from the onset of menstruation to the ovulatory period).

First of all, it is necessary to exclude the reasons causing an increase in the level of the substance in the blood.

For physiological reasons include:

  • Stress states. Even small experiences can change the indices of the hormone in the blood. It is noticed that patients unstable psychologically more often receive results with the overestimated content of hormone.
  • During pregnancy and breastfeeding. Fetal bearing and lactation are direct indicators for increasing the prolactin rate. However, there are situations where the level of the hormone is extremely high. This may indicate the development of pathology. An unequivocal answer to this question is possible only after the end of pregnancy or lactation. The decision to interrupt these conditions is made solely with the doctor.
  • Drinking alcohol. Alcohol affects the pituitary gland. In this case, the indicators of the hormone will also be affected by the degree of tolerance to alcohol and the amount of alcohol consumed.
  • Heat exposure. Baths, saunas and hot tubs can also cause an excessive release of a substance, so you should limit yourself to a shower with a temperature of no more than 37 degrees.
  • Intense physical exertion. Work on heavy production, training in the gym or just a general house cleaning can affect the performance of prolactin. Excessive muscle tension is stress for the body, and accordingly will be the reason for the release of prolactin.
  • Taking antidepressants. Psychotropic substances, sedatives directly affect the work of the brain and nervous system. Some antidepressants among the side effects of hyperlactacidemia. If the reception of funds observed discharge from the chest, you should immediately consult a doctor.
  • Intimacy on the eve of the study. Everyone knows that sex causes the release of huge amounts of hormones. Physiologically, the body is set to conceive, and therefore prolactin will be produced in high doses.
  • Contraceptive use. Some oral contraceptives change the release process. Usually, these data are indicated in the annotation to the drug.

Pathological causes of increased prolactin, or when it is worth sounding the alarm

Unfortunately, an increase in the level of the hormone may indicate violations in the body.

Illustration of the production of prolactin

Suffering from similar ills and strong and weaker sex.

At the same time, it is somewhat more difficult to recognize pathologies associated with secretion in men.

Women are much more sensitive to changes in the hormone, so dangerous diseases are diagnosed in them, as a rule, earlier.

Diseases accompanied by changes in prolactin levels:

  • hypothalamic dysfunction, development of benign and cancerous tumors,
  • pathology of the pituitary gland in the form of tumors, cysts, traumatic injuries,
  • disruption of the thyroid gland,
  • single or multiple ovarian cystic masses,
  • renal failure
  • liver diseases (cirrhosis, viral and chronic hepatitis).

What to do when lower testimony

If a decrease in the level of prolactin is not associated with diseases, then usually eliminating the symptoms. Sometimes it is enough to begin to lead a correct lifestyle: stop smoking, eat right, reduce the number of stressful situations, stop excessive physical exertion on the body.

If pathology is found, treatment with drugs is carried out. These are hormonal drugs and drugs to strengthen the immune system. When tumors or cysts are found in the pituitary gland, surgical intervention is performed to remove the neoplasms.

Treatment of high prolactin levels

If high prolactin is detected in the blood, therapy is prescribed to restore the menstrual cycle and ovulation. More often, the treatment is made by hormonal drugs, as well as homeopathic. Sometimes these drugs need to be taken from 1 to 3 years. Gynecologists prescribe Dostinex or Norprolak, the latest means is considered Sebergin.

The level of hormones in the blood during pregnancy planning, and especially prolactin, affects the onset of conception, the carrying of a baby, and its further feeding with breast milk. Therefore, it is important to diagnose problems and initiate appropriate treatment. Changing the level of prolactin is treatable, so if you find this problem you should not panic. Competently prescribed drugs will lead to improved health and lead to a long-awaited pregnancy.

Causes of an increase in the hormone

Prolactin is a special hormone that is produced “under the control” of the pituitary gland. Therefore, its second name is brain hormone. Thanks to him, healthy sex cells are actively produced in men, the prostate and seminal vesicles are developing correctly.

In women, the functions of prolactin are aimed at the development of the mammary glands. The hormone helps in the period of sexual development to form the breast, controls its growth. During pregnancy, under his "control" an increase in the mammary glands occurs. And after delivery, during lactation, thanks to prolactin, the right amount of milk is produced for an infant.

If the level of hubbub is normal, then the woman has a stable menstrual cycle and a pronounced instinct of motherhood. Normal hormone levels by cycle days are presented in the table.

The increase in the concentration of prolactin in the blood occurs under the influence of two reasons: pathological and physiological. In the first case, the problem is caused by impaired functionality of the pituitary gland or other organs. Among these pathological problems include factors:

  • Diseases caused by impaired hypothalamus (damage, neoplasm),
  • Pathological changes in the pituitary gland (prolactinoma, adenoma),
  • Syphilis,
  • Cirrhosis of the liver,
  • Chronic kidney disease,
  • Shingles,
  • Gynecological diseases,
  • Tuberculosis,
  • Hypothyroidism.

The causes of the physiological order are not dangerous, since the decrease in the level of the hormone occurs immediately after their elimination. These include such provoking factors:

  • The period of carrying a child
  • Lactation time
  • Intense physical exertion
  • Prolonged stress
  • Breast injury,
  • Low carb diet.

Hormonal "jump" can be fixed even after intense sexual intercourse, massage, prolonged sleep.

In a separate category of factors that provoke an increase in brain hormone, take some medications. The most "dangerous" in this regard are hormonal contraceptives.

How does it affect reproductive health

Prolactin and pregnancy are closely interrelated concepts. Immediately after conception, the entire period of gestation and during breastfeeding, a high level of this hormone is necessary for the correct functioning of the reproductive system. This is how the natural protection against a possible new pregnancy works. High rates of prolactin block the maturation of the follicles in the ovaries and prevent the corpus luteum from developing.

Together with estrogen, it “protects” the ovum, promotes better blood supply to the placenta. Hormones are directly involved in the formation of the internal organs of the baby. Structural changes in the mammary glands become noticeable gradually: the breast is preparing for the birth of a child. It is this hormone that is responsible for reducing the threshold of sensitivity, which helps women to pass the generic period.

Such a natural, correct hormonal background during pregnancy and lactation causes the development of hyperprolactinemia and infertility during the rest periods of a woman’s life. Hyperprolactinemia is a condition caused by a critically high level of prolactin. It adversely affects ovulation, completely depriving the egg cell of a chance for maturation, causing infertility. Consequently, prolactin affects conception very badly.

The list of “troubles” with health at a high level of the hormone is supplemented by a decrease in libido, menstrual disorders, pronounced premenstrual syndrome.

Can I get pregnant with increased prolactin

We have already said that a high concentration of prolactin in the blood, which is directly involved in all reproductive functions of the body, completely "blocks" the possibility of conception. At the same time, there are no chances at any stage of the development of pregnancy: ovulation, conception, introduction of an egg into the uterine cavity, development of the ovum. That is, if prolactin is elevated, getting pregnant is extremely difficult. If it does happen, the fertilized egg cannot develop. Miscarriage occurs before a woman learns about the delay of the menstrual cycle.

However, the corrected high prolactin and conception is a very real situation. The rate of pregnancy depends on the factors that caused hormonal disorders. If we are talking about physiological causes, then in this case it is not difficult to get pregnant with a high level of the hormone. It is enough to eliminate what causes such a hormonal surge.

Most often we are talking about proper rest: it is important for a woman to take off her psychological and physical stress. Reducing stress levels, healthy sleep and a varied, balanced diet allow you to normalize the state of hormones without the use of drugs.

Also simply solved the issue of the absence of pregnancy and increased prolactin, if the cause of these phenomena have become medicines. It is enough to stop taking them or "go" to similar means. However, this should be done only after the recommendations of the attending physician.

If the "explosion" of prolactin provided the pathology of internal organs, conduct a thorough examination. This is necessary to accurately identify the location and extent of the problem. After diagnosis, you should consult with the endocrinologist. Since the subsequent treatment is always aimed at “balancing” the hormonal background, the doctor needs to find out which hormonal drugs are best suited for a particular patient.

How to lower it

To reduce prolactin to get pregnant, you can with the help of medicines, the choice of which should be dealt with only by a doctor. An experienced doctor will recommend consulting with specialists before prescribing medications.

  • With thyroid abnormalities, counseling of the endocrinologist and the use of hormone therapy is indicated,
  • Reproductive system issues are solved by a gynecologist, prescribing hormone stabilizing agents,
  • Chronic nervosa arising on the background of stressful situations “require” a visit to a psychologist who will select the necessary sedatives,
  • Neoplasms in brain structures are examined by a neuropathologist and a neurosurgeon.

In the latter case, the treatment depends on the severity of education. Often it is a surgical intervention. As its alternative, use of radiation or chemical therapy.

The reduction of prolactin when planning pregnancy is carried out with the help of hormonal drugs: Lysuride, Parlodel, Dostinex and others. During medication, a woman should eliminate external factors that can trigger a violation of the concentration of hormones. She needs to provide herself with proper rest and balanced nutrition. It is important to change the lifestyle, eliminating bad habits. Especially provokes the growth of the hormone nicotine, so the expectant mother should completely eliminate smoking.

If during pregnancy planning prolactin is low

Low prolactin also "will not allow" to take place conception. Such deviations in the hormone are less common, but the reasons for them are always serious. Moreover, they cause an imbalance in the ratio of other hormones, which leads to infertility.

The most common causes of critical reduction of prolactin:

  • Tuberculosis,
  • Traumatic brain injury
  • Pathological processes in the ovaries,
  • Improper nutrition with the inefficient distribution of fats and carbohydrates,
  • Pituitary apoplexy,
  • Radiation therapy,
  • Significant blood loss.

Consequences of a low hormone concentration in a woman’s blood:

  • Complete or partial absence of the menstrual cycle
  • Excessive hair growth,
  • Excess weight,
  • Problems with the nervous system, manifested in prolonged depressive states.

Prolactin is also increased with the help of hormonal agents. However, a woman can "help" drugs. To do this, she needs to learn to enjoy life and get pleasure from it: to eat tasty and varied, to laugh more often and not to forget about regular intimacy.

An optimistic attitude, confidence in the successful outcome of treatment in combination with medicines will help to achieve the cherished goal: to normalize hormones and quickly conceive a child.

Symptoms of elevated prolactin levels

The main symptoms of an increase in prolactin in the blood include:

  • disturbances and failures of the menstrual cycle (spotting, cycle failure, lack of ovulation),
  • discharge from the breast (galactorrhea),
  • frigidity or reduced libido,
  • excessive hair growth
  • acne pimples
  • infertility.

If you can not get pregnant you need to check the level of prolactin

Causes of elevated blood prolactin levels

An increase in hormone levels and problems with the onset of pregnancy may be closely associated with the diseases and lifestyle of a woman. Prolactin rapidly increases with the transferred emotional overload, especially affect its level of stress and active sex life.

Important! A high level of prolactin will not give an opportunity to conceive a child.

The main reasons for the increase in the hormone:

  • intense exercise
  • taking antiemetic, psychotropic, contraceptive drugs, tranquilizers,
  • surgery, injuries of the chest, curettage of the uterus,
  • the presence of intrauterine device.

Some diseases can also affect the level of prolactin:

  • hypothyroidism
  • anorexia,
  • prolactinoma (a type of pituitary tumor),
  • болезни печени и почек,
  • новообразования.

Как определить уровень пролактина

To determine the level of prolactin in the blood will be enough to pass a blood test.

Important! Before taking blood, it is necessary to minimize the receipt of stress, not to take hot showers and baths, not to go to the bath and sauna, to refrain from sex and alcohol.

Blood sampling is carried out in the morning, 2-3 hours after lifting, on an empty stomach. If after receiving the results revealed deviations, you will need to consult an endocrinologist and a gynecologist.

For laboratory determination of prolactin levels, venous blood is examined.

Prolactin during pregnancy

Cases where pregnancy occurred with an increased level of prolactin at conception are not uncommon. But in such a situation there is a threat of spontaneous abortion. Therefore, it is necessary as soon as possible to normalize the level of the hormone in the blood, so as not to provoke a miscarriage.

Treatment to normalize the level of prolactin is carried out after a medical examination. This is mainly drug therapy. They take such drugs: Cyclodinone, Mastodinon, Bromocriptine, Dostinex, Parlodel, etc. The course of medication is long: from six months to a year. Periodically you need to pass control tests and measure the basal temperature.

When a neoplasm is found in the pituitary, first prescribe a drug treatment, and if it does not bring the desired result, carry out surgery.

Dostinex is often prescribed to normalize hormone levels.

Prolactin and IVF

Before conducting the IVF procedure (in vitro fertilization), it is necessary to determine the level of prolactin.

Important! Increased prolactin and IVF are incompatible, and the operation will fail. The whole procedure will end with the rejection of the embryo.

In order for the long-awaited pregnancy as a result of IVF, it is necessary to reduce prolactin. An increase in prolactin after embryo transfer indicates that the pregnancy is successful, and the embryo has taken root in the body of the uterus. After embryo transfer, women are prescribed progesterone levels, such as Duphaston or Utrogestan. They need to take up to 14 weeks of pregnancy, while forming a baby seat.

In Vitro Fertilization (IVF)

Take care of your health, less are under the scorching rays of the sun, which stimulate the hypothalamus and, consequently, the pituitary gland. You should not get carried away with hypnotic drugs. Having noticed secretions from the mammary glands, it is not necessary to squeeze them out, thereby stimulating the production of prolactin. It is better to seek help from a gynecologist in order to start correcting the hormones in the blood in time.

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