Can hyperprolactinemia cause miscarriage?

Pregnancy is a happy thing, but the most worrying thing for pregnant mothers is fetal arrest. Fetal arrest means that the fetus stops developing, which is the most serious. Not only will the pregnant mother's body and mind and health be harmed. The following editor will tell you whether high prolactin will cause fetal arrest. Let's take a look.

Can high prolactin cause miscarriage?

The answer is yes. Excessive prolactin can lead to infertility. Increased prolactin can significantly inhibit the normal secretion of pituitary gonadotropins (such as follicle-forming hormone and luteinizing hormone), affecting the normal development of follicles, ovulation function and pregnancy function. Reduced follicle-forming hormone secretion will directly lead to developmental disorders of ovarian follicles, weak or incomplete development (B-ultrasound observations show follicles with a diameter of less than 18 mm or less), and ultimately inability to conceive; and insufficient secretion of progesterone (luteinizing hormone) causes impaired luteal function, making it difficult to maintain the fertilized follicles to continue implantation and development (such as testing the basal body temperature, it will show a low temperature phase below 36.8°C), making it difficult to get pregnant, and even if conception occurs, miscarriage is likely to occur.

In addition, excessive prolactin will also cause the ovaries to lose their ability to respond to gonadotropin, resulting in a significant reduction in the synthesis of estrogen and progesterone, causing estrogen, which plays an important role in the conception process, to be at a low level, directly affecting the fertility function. When the sex hormones are reduced to a certain level, the patient will also experience many symptoms similar to those of menopause.

What should I pay attention to when prolactin is high?

High prolactin levels should pay attention to the following:

1. If your prolactin level is high, you should pay attention to your diet and exercise: eat more vegetables and fruits, eat more high-protein foods, and exercise appropriately. In addition, you should have a regular life, don't stay up late often, and pay attention to rest.

2. Patients with high prolactin levels should pay attention to medication: Long-term use of drugs such as reserpine, chlorpromazine, and morphine can inhibit the release of prolactin inhibitory factors by changing the production, absorption, and metabolism of dopamine, resulting in excessive prolactin secretion and amenorrhea and galactorrhea. Therefore, patients with high prolactin levels must pay attention to medication.

3. People with high prolactin levels should avoid taking oral contraceptives: This is because oral contraceptives can cause increased prolactin secretion from the pituitary gland and decreased gonadotropin, leading to amenorrhea and galactorrhea. Some people who take oral contraceptives cannot get pregnant immediately for this reason.

4. Pay attention to pituitary tumors if prolactin is high: In some patients, high prolactin is caused by pituitary tumors. This is because the tumor is composed of cells that secrete prolactin. These cells are out of control and secrete prolactin without restraint. Infertility can also cause elevated prolactin due to pressure on the pituitary stalk and other reasons.

5. If prolactin is high, you should pay attention to some diseases: primary hypothyroidism, idiopathic amenorrhea, galactorrhea syndrome, primary hyperthyroidism, renal insufficiency, bronchial cancer and other diseases can also cause elevated prolactin.