If your doctor told you that your prolactin levels are high, you probably wonder what to do next. High prolactin (hyperprolactinaemia) can cause irregular periods, unwanted milk production, or low libido. The good news is there are clear ways to bring the hormone back into balance.
The go‑to treatment is a dopamine agonist. These pills tell your brain to stop making prolactin. The most common ones are cabergoline and bromocriptine. Cabergoline is usually taken once or twice a week, which many people find easier than daily dosing. Bromocriptine requires a daily schedule but works well for those who can’t tolerate cabergoline.
Both drugs start lowering prolactin within days, and most patients see symptom relief in a few weeks. Side effects are mild for most folks – you might feel a little nausea or light‑headedness at first, but they often fade as your body adjusts.
If medication isn’t enough, doctors sometimes add a second agent like quinagolide or switch to a different dopamine agonist. The key is regular blood tests so the doctor can see how levels are changing and tweak the dose if needed.
Medication isn’t the only piece of the puzzle. Stress, lack of sleep, and certain foods can push prolactin higher. Simple habits like getting 7‑8 hours of sleep, practicing relaxation techniques, and limiting alcohol can help keep levels stable.
For people with a pituitary tumor (a prolactinoma) that’s too big for pills alone, surgery becomes an option. A neurosurgeon can remove the tumor through a minimally invasive approach, often called transsphenoidal surgery. Recovery is usually quick, but you’ll still need medication afterward to make sure prolactin stays low.
Regular follow‑up visits are essential. Your doctor will check hormone levels every few months until they’re stable, then maybe once a year. Keep a symptom diary – note any changes in menstrual cycles, milk discharge, or libido – and share it at each appointment.
In short, most people manage hyperprolactinaemia with a dopamine agonist, some lifestyle tweaks, and routine labs. Surgery is reserved for larger tumors or when meds don’t work. Whatever route you take, staying informed and keeping open communication with your healthcare provider will get you back to normal faster.
This article explores various treatment methods available for Hyperprolactinaemia, ranging from medications to possible surgical interventions. It aims to present an informative and human-friendly guide on addressing this hormone condition. Readers will find practical tips, interesting facts, and in-depth insights into the treatments available to manage and treat Hyperprolactinaemia effectively.
