Some experience with pregnancy with hyperprolactinemia

High prolactin is also called hyperprolactinemia, which is the most common pituitary disease. What should women who are preparing for pregnancy do if they suffer from hyperprolactinemia? This article introduces some successful experiences in preparing for pregnancy with high prolactin, I hope it will be helpful to you!

Successful experience in preparing for pregnancy with high prolactin: treatment

High prolactin levels can affect ovulation, so treatment is necessary first, and then you can prepare for pregnancy after your prolactin levels return to normal.

1. First rule out physiological and pharmacological hyperprolactinemia, and only treat it if it is pathological

The goal is to control serum prolactin levels, restore normal menstruation and ovulation in women, reduce milk secretion, and improve compression symptoms such as headaches and visual dysfunction. Therefore, only patients with amenorrhea, menstrual disorders, or infertility symptoms, or giant pituitary adenomas with compression symptoms, need treatment. Some patients with hyperprolactinemia do not have these symptoms and do not need treatment, but only need close observation.

2. Medication

The main ones are dopamine receptor agonists (such as bromocriptine, cabergoline, quinagolide). For patients who want to have children, after controlling prolactin, ovulation induction treatment is carried out.

① Bromocriptine is the preferred dopamine receptor agonist. If the therapeutic effect of bromocriptine is unsatisfactory or the patient cannot tolerate it, cabergoline can be used instead.

②Once you decide to take bromocriptine, you must take it orally every day under the guidance of a doctor and cannot stop taking it at will, otherwise it will cause a rebound increase in serum PRL levels.

③ Generally, it takes at least two years to take the medicine. The dosage can be reduced or even stopped according to the condition of the disease. Infertile patients should not stop taking the medicine until they become pregnant. There is no evidence that bromocriptine is toxic to the fetus.

3. Surgery

It is suitable for patients who are ineffective, ineffective or cannot tolerate drug treatment, or patients with giant pituitary adenomas accompanied by obvious compression symptoms. Patients with residual tumors after surgery need further drug treatment or radiotherapy when necessary.

Successful experience in preparing for pregnancy with high prolactin: monitoring ovulation

After the prolactin value returns to normal, you can start preparing for pregnancy. At this time, you can start monitoring the ovulation time.

To improve the pregnancy rate, women can learn to monitor ovulation. Having sex after ovulation can increase the pregnancy rate. There are many ways to monitor ovulation clinically, including basal body temperature, blood and urine hormone measurement, cervical mucus scoring, B-ultrasound, etc. B-ultrasound is the most accurate method to monitor follicular development. It can continuously and dynamically observe the morphological changes of follicles, understand the whole process of follicular development and ovulation, and determine whether ovulation has occurred.