Do I still need a follow-up test for high prolactin after getting my period?

In general, even if menstruation occurs, patients with high prolactin levels should still undergo reexamination to avoid delaying treatment and prevent worsening of the condition. If any physical discomfort arises, it is recommended to seek medical attention promptly and receive treatment under the guidance of a qualified physician. The specific analysis is as follows:

Prolactin is a peptide hormone and also a stress-related hormone primarily secreted by the pituitary gland. It promotes breast development and maintains normal lactation. Elevated prolactin levels may result from endocrine disorders, hypothyroidism, polycystic ovary syndrome (PCOS), hyperprolactinemia, or other causes. When prolactin levels rise, estrogen levels in the body may decrease, preventing the normal shedding of the endometrium and leading to reduced menstrual flow or delayed periods. Therefore, even if menstruation occurs in patients with elevated prolactin, retesting is still necessary to accurately identify the underlying cause and initiate targeted treatment. However, patients should schedule the reexamination several days after menstruation has ended.

In daily life, patients should pay attention to getting adequate rest and sufficient sleep, avoiding prolonged熬夜 (staying up late), which could disrupt hormonal balance and negatively affect health. Additionally, a light diet is recommended, and consumption of spicy or irritating foods should be avoided.