What are the tests for hyperprolactinemia?

Hyperprolactinemia plays a very important role in female friends. When the phenomenon of hyperprolactinemia occurs, everyone must pay attention to it in time. What are the examination items for hyperprolactinemia? Examination is the key when this phenomenon occurs. How much do you know about the examination method of hyperprolactinemia? In order to give everyone a more detailed understanding, let us listen to the expert's introduction, hoping it will be helpful to everyone.

What are the examination items for hyperprolactinemia? The doctor introduced the examination methods for hyperprolactinemia as follows:

1. Sella turcica fault: CT scan should be performed if the following phenomena are present: ① ballooning; ② double sellar floors or double margins; ③ high/low density areas or inhomogeneity within the sella turcica; ④ saucer-like pattern; ⑤ suprasellar calcifications (hyperostosis); ⑥ osteoporosis of the anterior and posterior clinoid processes or cavitation within the sella turcica; ⑦ bone erosion.

2. Computed tomography and magnetic resonance imaging: effective localization and radiometric measurement of intracranial lesions.

3. Angiographic examination: The examination methods for hyperprolactinemia include sponge sinus angiography, pneumoencephalography and cerebral angiography.

4. Endocrine function examination

(I) Pituitary function: FSH decreases, LH/FSH ratio increases. If ≥100mg/ml, PRL adenoma should be excluded. If the tumor diameter is d≤5mm, PRL is 171±38ng/ml; if d=5～10mm, PRL is 206±29ng/ml; if ≥10mm, PRL is 485±158ng/ml. PRL may not increase when giant adenoma is hemorrhagic and necrotic.

(ii) Ovarian function test: E2 and T increased.

(III) Thyroid function test: When HPRL is combined with hypothyroidism, TSH increases, while T3, T4, and PBI decrease.

The above is an introduction to the examination methods for hyperprolactinemia. Everyone has their own understanding. Gynecological experts point out that understanding the examination methods for hyperprolactinemia can help one better understand one's own body. If abnormalities occur, timely examination and treatment will be of greater help to the body.