Symptoms of hyperprolactinemia

summary

Hyperprolactinemia can cause a variety of female panic, especially infertility, clinically, there is a kind of female hyperprolactinemia can cause a variety of symptoms, so that the majority of women friends suffer, in order to let you have a comprehensive understanding of female hyperprolactinemia, next I will introduce the symptoms of hyperprolactinemia.

Symptoms of hyperprolactinemia

First: menstrual disorders and infertility: menstrual disorders, mostly secondary amenorrhea, can also be a small amount of menstruation, rare or anovulatory menstruation. The most common change of ovarian function is anovulation. It can also be infertility or abortion caused by luteal insufficiency.

Second: abnormal lactation: refers to non pregnancy or postpartum stop lactation > 6 months still have milk secretion.

Third: tumor compression symptoms: (1) growth retardation in childhood caused by decreased GH secretion; The decrease of gonadotropin (GN) secretion causes amenorrhea and puberty delay; The decrease of antidiuretic hormone secretion caused diabetes insipidus; Hypothyroid hormone (TSH) or adrenocorticotropic hormone (ACTH) secretion is secondary to hypothyroid or adrenocortical function（ 2) Headache, bilateral temporal visual field defect, obesity, drowsiness, anorexia and cranial nerve compression.

matters needing attention

It is not recommended to measure the serum PRL level during pregnancy, and routine MRI examination is not necessary. In addition to routine prenatal examination during pregnancy, attention should be paid to check the visual field and MRI plain scan (without enhancement) to determine the extent of lesions, such as headache and visual impairment. Bromocriptine can be used again to reduce the enlarged tumor. If the control is not satisfactory or the visual field defect is serious, emergency decompression can be performed, but pregnancy does not need to be terminated.