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Hyperprolactinemia is a condition in which a person has higher-than-normal levels of the hormone prolactin in the blood. Prolactin is a hormone produced by the brain’s pituitary gland. In women, prolactin regulates periods and helps the breasts produce milk. A high level of prolactin reduces estrogen (female sex hormone) and interferes with ovulation, causing irregular or absent periods and affecting fertility. It also leads to low bone density and causes women who aren’t pregnant to produce breast milk. High prolactin also affects the levels of testosterone (male sex hormone).
A blood test can show whether your prolactin level is higher than normal. If it’s borderline, you may be tested twice to be sure. Your doctor may also give you a physical exam and order an MRI to get an image of your brain.
Sometimes the cause of hyperprolactinemia is unknown. Few include a noncancerous tumor in the pituitary gland, an overactive pituitary gland, underactive thyroid (hypothyroidism), certain medications, and stress.
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