Question 1

What is Hyperprolactinemia?

Accepted Answer

Hyperprolactinemia is a hormonal condition characterized by abnormally high levels of prolactin in the blood. It is caused by excessive production of prolactin hormone by the pituitary gland, often due to a benign tumor called a prolactinoma. The Prolactin blood test is the most important test for diagnosis as it directly measures prolactin hormone levels in the bloodstream.

Question 2

What causes hyperprolactinemia?

Accepted Answer

Hyperprolactinemia is caused by excessive production of prolactin hormone by the pituitary gland. The most common cause is a prolactinoma, a benign tumor on the pituitary gland that secretes too much prolactin. Other causes include certain medications (particularly antipsychotics and antidepressants), hypothyroidism, kidney disease, chest wall injuries, and stress. In some cases, the cause remains unknown, which is called idiopathic hyperprolactinemia.

Question 3

What is the best test for hyperprolactinemia?

Accepted Answer

The Prolactin blood test is the most important test for hyperprolactinemia because it directly measures the amount of prolactin hormone circulating in your bloodstream. This test provides clear diagnostic evidence since hyperprolactinemia is defined by elevated prolactin levels above the normal range. Your doctor may order this test multiple times on different days to confirm consistently high levels, as prolactin can fluctuate due to stress, sleep, or recent physical activity. Normal prolactin levels typically range from 4-25 ng/mL for women and 4-15 ng/mL for men, with levels above these ranges indicating hyperprolactinemia.

Question 4

When should I get tested for hyperprolactinemia?

Accepted Answer

You should get tested if you experience irregular or absent menstrual periods, unexpected milk production when not pregnant or breastfeeding, fertility problems, reduced sex drive, or erectile dysfunction in men. Women who notice breast discharge without a clear cause or men experiencing breast enlargement should also consider testing. Additionally, if you have persistent headaches or vision problems alongside these symptoms, prompt testing is important as these could indicate a larger pituitary tumor pressing on nearby structures.

Question 5

What are the symptoms of hyperprolactinemia?

Accepted Answer

Hyperprolactinemia causes different symptoms in women and men. Women typically experience irregular menstrual periods or complete absence of periods, unexpected milk production from the breasts, difficulty getting pregnant, vaginal dryness, and reduced sex drive. Men often notice erectile dysfunction, decreased sex drive, breast enlargement, and rarely, breast milk production. Both sexes may experience headaches, vision problems, fatigue, and reduced bone density if the condition persists untreated. Some people with mildly elevated prolactin levels have no symptoms at all.

Question 6

Who is at risk for hyperprolactinemia?

Accepted Answer

Hyperprolactinemia affects women more frequently than men, particularly women of childbearing age. People taking certain medications including antipsychotics, antidepressants, blood pressure medications, and anti-nausea drugs are at higher risk. Those with thyroid problems, kidney disease, or polycystic ovary syndrome have increased risk. Chest wall injuries, surgical scars, or shingles affecting the chest area can also trigger elevated prolactin levels. Additionally, people with a family history of pituitary tumors or multiple endocrine neoplasia syndrome have a higher likelihood of developing hyperprolactinemia.

Question 7

What happens if hyperprolactinemia is left untreated?

Accepted Answer

Untreated hyperprolactinemia can lead to serious long-term complications. Prolonged elevated prolactin levels cause decreased estrogen in women and testosterone in men, leading to osteoporosis and increased fracture risk. Persistent infertility affects both sexes, making conception difficult or impossible without treatment. If caused by a prolactinoma, the tumor can grow larger and press on the optic nerves, causing permanent vision loss or blindness. Women may experience ongoing menstrual irregularities and unwanted lactation, while men may develop progressive erectile dysfunction and reduced muscle mass. Early diagnosis and treatment prevent these complications.

Question 8

Can hyperprolactinemia be diagnosed with a blood test?

Accepted Answer

Yes, hyperprolactinemia is definitively diagnosed with a blood test that measures prolactin levels. The Prolactin blood test is the gold standard for diagnosis since the condition is characterized by elevated prolactin concentrations in the bloodstream. Your healthcare provider may order the test multiple times to confirm consistent elevation, as prolactin levels naturally fluctuate throughout the day and can be temporarily elevated by stress, exercise, or eating. Blood is typically drawn in the morning after fasting for the most accurate results. If levels are significantly elevated, additional imaging tests like an MRI may be ordered to check for pituitary tumors.

Question 9

How is hyperprolactinemia treated?

Accepted Answer

Hyperprolactinemia is primarily treated with medications called dopamine agonists, including cabergoline and bromocriptine, which reduce prolactin production and shrink prolactinomas. These medications are highly effective, with most patients seeing normalized prolactin levels and symptom improvement within weeks to months. If medication is ineffective or a tumor grows despite treatment, surgery to remove the pituitary tumor may be recommended. Radiation therapy is rarely used but may be considered for tumors that do not respond to medication or surgery. Treatment continues until prolactin levels normalize and remain stable, though some patients require long-term medication management.

Question 10

How can I prevent hyperprolactinemia?

Accepted Answer

While you cannot prevent all causes of hyperprolactinemia, you can reduce your risk by managing certain factors. Discuss alternative medications with your doctor if you are taking drugs known to raise prolactin levels, such as certain antipsychotics or antidepressants. Maintain proper thyroid health by getting regular thyroid function tests if you have thyroid problems, as hypothyroidism can cause elevated prolactin. Protect your chest area from injuries that could stimulate prolactin production. Regular medical checkups help detect hormonal imbalances early. If you have a family history of pituitary tumors, inform your healthcare provider so they can monitor you appropriately.

Question 11

What can I do at home for hyperprolactinemia?

Accepted Answer

While medical treatment is essential for hyperprolactinemia, certain lifestyle measures can support your overall hormonal health. Manage stress through relaxation techniques like meditation, yoga, or deep breathing exercises, as stress can temporarily elevate prolactin levels. Ensure adequate sleep with consistent sleep schedules, as sleep deprivation affects hormone regulation. Avoid excessive chest stimulation, tight-fitting bras, or frequent breast self-exams, as these can trigger prolactin release. Maintain a balanced diet rich in vitamin B6, zinc, and magnesium, which support healthy hormone metabolism. However, always follow your healthcare provider's treatment plan and attend regular monitoring appointments to track your prolactin levels.

Question 12

How’s this work?

Accepted Answer

Getting your blood test with us is easy, private & backed by the power of science.Long story short:
            
                In the test options, use the filters or search box to narrow your choices and find the test you want.
                If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
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                If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
                When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
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Question 13

How do I know which test to get?

Accepted Answer

In the test options, find the test you want.
            If you’re not sure which test to get, we can lend a hand in finding the right option.
            Just text or call us at 754-799-7833, email us at support@privatemdlabs.com, and we'll gladly help you. We've got your back and reply quickly.

Question 14

When will my lab results be available?

Accepted Answer

Most test results will be available within 1–3 business days. Once they're ready, we'll send an email and text message to let you know.
            After your blood draw, just hang tight and don't worry – we'll keep you updated and in the loop!
            If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com, and we'll gladly help you.

Question 15

Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?

Accepted Answer

Absolutely! We totally understand that errors can happen. No worries, we're here to help you.
            Just reach out to us via text at 754-799-7833 or shoot us an email at
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            Our awesome team will jump right in and make sure everything is sorted out and accurate for you.
            There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.
            Our lab requires an address to be listed to generate an order.

Question 16

Do you accept health insurance?

Accepted Answer

Only HSA & FSA is accepted.
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Question 17

Can I cancel my order?

Accepted Answer

Yes.
            We get it – sometimes your needs change.
            As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.
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            You can read more about our cancellation policy here.

Question 18

How can I find a lab location near me?

Accepted Answer

During the ordering process, you’ll be able to select a specific lab near you, with no strings attached!
            You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).
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            If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.

Hyperprolactinemia Blood Test

What is Hyperprolactinemia?

What causes hyperprolactinemia?

What is the best test for hyperprolactinemia?

When should I get tested for hyperprolactinemia?

References

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