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Causes of High Prolactin Levels

Dec 31, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Elevated prolactin levels may be caused by pregnancy, stress, medication side effects, hypothyroidism, hepatitis, and other conditions, and can be managed according to the specific situation. During pregnancy, a woman's body increases prolactin production in preparation for milk secretion, which helps with lactation and provides nutrition for the newborn. Prolactin elevation due to pregnancy or breastfeeding generally does not require treatment.

High prolactin levels may be caused by pregnancy, stress, drug side effects, hypothyroidism, hepatitis, and other factors. Management can be tailored according to the specific situation. If symptoms occur, timely medical consultation is recommended to clarify the condition and follow medical advice for treatment to avoid delaying the illness.

1. Pregnancy: During pregnancy, a woman's body increases prolactin levels in preparation for milk secretion, which aids lactation and provides nutrition for the newborn. Prolactin elevation caused by pregnancy and breastfeeding generally does not require treatment, as it is a normal physiological response.

2. Stress: Mental tension, strenuous exercise, and various stressful conditions, such as undergoing surgery, anxiety, or nervousness, may cause a temporary increase in prolactin levels, possibly accompanied by symptoms like fatigue, poor concentration, and physical exhaustion. It is recommended to adjust lifestyle habits, maintain regular作息 (作息 translates to作息 here as "作息 time" or daily routine), and avoid excessive fatigue and mental stress.

3. Drug Side Effects: Certain medications, such as antipsychotics and antidepressants, may interfere with normal dopamine function, leading to elevated prolactin levels. It is recommended to discuss with a doctor about adjusting the medication regimen, seeking alternative drugs or reducing dosages to minimize the increase in prolactin levels.

4. Hypothyroidism: When hypothyroidism occurs, the pituitary gland releases more thyroid-stimulating hormone to compensate for the deficiency in thyroid hormones, which may mistakenly lead to increased prolactin secretion. Symptoms may include fatigue, weight gain, and memory impairment. It is recommended to follow medical guidance in using medications such as levothyroxine sodium tablets, thyroid tablets, and Yikang capsules for improvement.

5. Hepatitis: Hepatitis may be related to environmental and infectious factors. When liver function is impaired, the body may not effectively clear prolactin from the bloodstream, leading to elevated levels, which may be accompanied by symptoms such as jaundice and ascites. It is recommended to follow medical advice in using hepatoprotective medications such as Hugan Pian (Liver Protecting Tablets), bicyclol tablets, and Anluohuaxian pills for improvement.

Maintaining healthy lifestyle habits in daily life is essential. Avoid excessive fatigue and strenuous exercise to prevent physical discomfort. It is recommended to engage in appropriate physical activities such as walking and jogging according to individual conditions, which can help enhance immunity and promote recovery.

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