What are the clinical symptoms of hyperprolactinemia? Pay attention to these small details

Hyperprolactinemia, also known as hyperprolactinemia, is a common endocrine disease. Hyperprolactinemia is common in women of childbearing age and is closely related to lifestyle and eating habits. Clinically, the main manifestations of hyperprolactinemia include amenorrhea, lactation, frequent menstruation, oligomenorrhea, infertility, etc. Hyperprolactinemia must be treated in time, otherwise it will affect women's fertility.

Hyperprolactinemia is commonly known as hyperprolactinemia. In clinical practice in my country, it is also called hyperprolactinemia. It is a disease caused by increased prolactin. In fact, the difficulty of treatment is not very high, but if it is not treated in time, it can easily lead to female infertility. So what are the clinical symptoms of hyperprolactinemia?
Lactation is the main clinical manifestation of hyperprolactinemia. About 2/3 of patients lactate when not pregnant or lactating, and male patients may also have breast development and lactation. The secreted milk is similar to colostrum or watery, slurry, yellow or white. In most cases, the amount of secretion is not much, and the milk can only flow out normally when squeezed. In severe cases, it can flow out on its own. Although lactation is closely related to increased blood prolactin levels, the amount of milk secretion has nothing to do with the degree of increased prolactin levels. Lactation is more common in patients with pituitary microadenomas, accounting for about 70%. Only 30% of non-tumor hyperprolactinemia is related to lactation.
Patients with hyperprolactinemia may experience menstrual disorders, secondary amenorrhea, and decreased libido. In severe cases, genital atrophy and osteoporosis may occur. When the patient is lactating, the menstrual volume decreases or even amenorrhea, which is called amenorrhea-galactorrhea syndrome. Patients with polycystic ovary syndrome (PCOS) often have hyperprolactinemia. In addition to increased prolactin, androgen levels in the blood also increase, as do obesity, hirsutism, acne, and menstruation.
Infertility and infertility Most cases of hyperprolactinemia are caused by pituitary microadenomas, and about 90% of patients show oligomenorrhea or amenorrhea, which can also lead to infertility, about 70%. Men may show decreased libido, decreased sperm quality, and infertility.
Other patients with hyperprolactinemia due to pituitary or intracranial tumors may also experience headaches, blurred vision or loss of visual field, blindness, diplopia, and hypopituitarism; those with growth hormone adenomas may also experience gigantism and acromegaly; and Cushing's disease may also occur in patients with adrenocortical adenomas. Thyroid-stimulating hormone tumors may also cause hyperthyroidism and nonfunctional tumors.