Nursing record of hyperprolactinemia

How to care for and treat hyperprolactinemia? High prolactin has a great impact on the physical health and fertility of female friends. In particular, the treatment of high prolactin is not very easy. The following editor will introduce to you the symptoms and treatments of high prolactin. Friends who are troubled by this may wish to take a look at the analysis provided by experts, how to choose appropriate treatments for different symptoms, etc.

PRL is a dynamic stress hormone, and its secretion is unstable. It may change due to different physiological conditions, such as sleep, mood, depression, tension, exercise, sexual intercourse, hunger and after eating, etc., which may affect its secretion state. In order to exclude the above influencing factors, it is generally advisable to draw blood on an empty stomach at 9-10am in the morning to measure the PRL level in blood. Normal PRL of women of childbearing age should be 5-25ng/ml. If it is 35ng/ml, PRL is elevated. If the PRL level is found to be elevated in the first measurement of infertile women, a second examination should be conducted. HPRL should not be diagnosed easily. For those who have been confirmed to be HPRL, T4 and TSH levels should be measured to exclude hypothyroidism. Such patients often show normal thyroid function but TSH may rise, abnormal BBT graph, low P level in the middle of the luteal phase, and poor follicular development monitored by B-ultrasound.

For patients with HPRL or galactorrhea, radiological examinations should be performed according to the situation to exclude pituitary lactoma. Some people believe that once PRL is found to be elevated, CT or MRI examinations should be performed; while others believe that it can be used when PRL reaches a certain level, such as 50-100ng/ml. Some data show that when PRL is 26gt;50ng/ml, 20% are prolactin adenomas, and when the PRL value reaches 100ng/ml, about 50% are at risk of prolactinoma. If PRL is 26gt;200ng/ml, it often indicates the presence of microadenomas. The diagnosis and treatment of HPRL is not complicated in clinical practice, but it requires certain professional equipment and conditions. Therefore, patients with infertility should go to hospitals with conditions for comprehensive examinations and tests. Only through careful, careful and scientific treatment can ideal results be achieved.

Prognosis: The dosage of bromocriptine should be gradually reduced. If it is stopped immediately, the drug will rebound. At the same time, pay attention to health care.

How to care for and treat hyperprolactinemia? The editor above introduced the relevant examinations and judgment standards for prolactin. Do you have a certain understanding of this? And once you find this situation, you must go to a regular hospital for treatment as soon as possible.