Idiopathic Hyperprolactinemia

Idiopathic Hyperprolactinemia: Causes, Symptoms, and Treatment

Idiopathic hyperprolactimemia is a condition in which levels of the hormone prolactin are elevated to an abnormal level. It is associated with an overproduction of prolactin without having an identifiable cause. Some people can experience few or no symptoms of this condition, while others may experience physical or psychological symptoms.

Causes of Idiopathic Hyperprolactinemia:
  • Head trauma
  • Neoplasia (cancer or tumor)
  • Have a history of pituitary adenoma (benign tumor)
  • Underlying diseases, such as kidney or liver diseases
  • Use of medications, such as estrogen or antipsychotics, etc.

Symptoms of Idiopathic Hyperprolactinemia:

The symptoms of idiopathic hyperprolactimemia vary from person to person, but they can include:

  • Mental health problems, such as depression or irritability
  • Changes in menstrual cycle or lack of menstruation
  • Infertility or difficulty in achieving pregnancy
  • Vaginal dryness
  • Loss of libido (sexual desire)
  • Headaches

Treatment for Idiopathic Hyperprolactinemia:

The treatment of idiopathic hyperprolactinemia depends on the individual case. Usually, the first approach is to identify and treat any underlying causes, such as taking medications or removing tumors. In cases where this isn't possible, there are medications such as cabergoline, bromocriptine, and quinagolide that bind to the dopamine receptors in the pituitary gland to reduce the release of prolactin.

Surgery is another option, but it's more invasive, so it's usually only used for people with large tumors. Surgery often involves removing part or all of the pituitary gland.

It is important to consult your doctor to determine the best approach for your individual case. Treatment of this condition can allow you to lead a normal life and may also reduce your risk of other complications, such as infertility and hormone-related cancers, which are associated with high levels of prolactin.