Ever heard of hyperprolactinaemia? It's when your body has too much prolactin, a hormone mainly responsible for milk production after childbirth. But excess prolactin doesn't just affect new moms. It can sneak into men and women of any age, causing unexpected symptoms and concerns.
So, what causes this hormone to jump out of balance? One of the common culprits is a benign pituitary tumor called a prolactinoma, which makes too much prolactin. Other reasons include certain medications, thyroid problems, or even stress. Sometimes, the cause remains mysterious, but that doesn't mean treatment isn't possible.
Symptoms vary, but you might notice changes in your menstrual cycle if you're a woman—like skipped or irregular periods. Men might see a drop in sex drive or even experience erectile dysfunction. Both sexes can have unexplained breast milk production, which can be surprising and confusing if you're not pregnant or breastfeeding. Some people also face headaches or vision changes if a tumor presses on nearby areas.
If you spot any of these signs, a simple blood test measuring prolactin levels can guide your next steps. Your doctor might also want brain imaging to check for pituitary tumors. Don’t ignore these symptoms; catching hyperprolactinaemia early helps keep your health on track.
Good news — hyperprolactinaemia is usually treatable. Doctors often start with medications called dopamine agonists, like bromocriptine or cabergoline. These drugs lower prolactin and shrink tumors in many cases, making symptoms fade away. Surgery or radiation is rarely needed but can be options if medicine doesn't work or side effects are an issue.
Besides treatment, lifestyle matters too. Managing stress and avoiding medications that raise prolactin can help. Regular check-ups are important to watch how you’re doing and adjust therapy as needed.
Dealing with hyperprolactinaemia can feel overwhelming, but understanding it makes a big difference. If you suspect anything, talk to your healthcare provider. With the right info and care, you can get life back in balance.
