The most advanced method for diagnosing hyperprolactinemia

Among gynecological diseases, there are many causes of female infertility, among which hyperprolactinemia is also one of the causes of female infertility. When infertility occurs, the patient will be given some relevant examinations clinically. So, what is the diagnosis method of hyperprolactinemia? Let the experts answer for you below.

How is hyperprolactinemia diagnosed?

Physiological hyperprolactinemia Normal healthy women have elevated plasma prolactin at night and during sleep (2-6am), in the late follicular phase and in the luteal phase. Plasma prolactin increases 5-10 times during pregnancy. Prolactin concentrations in amniotic fluid are higher than in plasma after the second trimester of pregnancy. In lactating women, plasma prolactin concentrations are 1 times higher than in non-pregnant women. Plasma prolactin in fetuses and newborns (≥28 weeks of gestation to 2-3 weeks postpartum) is equivalent to maternal levels.

Breast massage and nipple sucking reflexively promote prolactin secretion. Plasma prolactin remains high during the puerperium (within 4 weeks). Prolactin in non-lactating women drops to non-pregnant levels within 3 months. Prolactin increases significantly during fasting, insulin-induced hypoglycemia, exercise, stress, and sexual intercourse.

In the diagnosis of hyperprolactinemia, one diagnostic method is to ask questions, which includes whether to take drugs for treating peptic ulcers, central nervous system diseases, and hypertension and when to take the drugs. Chills, dry skin, and reduced sweating that occur when hypothyroidism occurs. How long is the breastfeeding time after delivery? Have you ever had miscarriage or premature birth? Do you have visual impairment?

During the initial visit, the breasts must be checked for milk secretion. Patients with the syndrome secrete the most milk, while other patients generally need to be squeezed to secrete milk. Use progesterone to observe whether there is withdrawal bleeding. Most patients with pituitary adenoma have second-degree amenorrhea.

The above introduces the diagnosis method of hyperprolactinemia, so that female friends can understand the causes of infertility, pay attention to the diagnosis method of hyperprolactinemia, and care about women's health!