Laboratory tests for hyperprolactinemia

Although hyperprolactinemia is a common and frequently-occurring disease in gynecology, it still needs to attract the attention and attention of the majority of women. Many patients have doubts about their symptoms and suspect that they have already suffered from hyperprolactinemia, but they are not very sure. In this case, do not blindly take medicine or take antibiotics casually. Go to a regular hospital for examination and diagnosis in time. Many patients do not know much about the items they go to the hospital for examination, and are afraid of spending more money and not being able to get a diagnosis. The following professional gynecologists introduce the examination items for hyperprolactinemia.

1. Ultrasound examination

At present, B-ultrasound examination is more common in China. The accuracy rate of identifying prolactin can reach 93%.1 It can show that the uterus is enlarged and irregular in shape; the number, location, size and whether the prolactin is uniform or liquefied cystic; and whether there is compression of other organs around. Due to the dense cells per unit volume of prolactin cells in prolactin nodules, the content of connective tissue scaffold structure and the arrangement of prolactin and cells are different, so that prolactin nodules show three basic changes when scanning: weak echo, equal echo and strong echo. The weak echo type has high cell density, high elastic fiber content, mainly nested arrangement of cells, and relatively rich blood vessels. The strong echo type has a high content of collagen fibers, and prolactin cells are mainly arranged in bundles. The equal echo type is between the two. Posterior wall prolactin is sometimes unclear. The harder the prolactin, the heavier the attenuation performance, and the benign attenuation is more obvious than the malignant. When prolactin is degenerated, the acoustic penetration is enhanced. When it is malignant, the necrotic area increases and the echo inside is disordered. Therefore, B-ultrasound examination is helpful in diagnosing prolactin and providing a reference for distinguishing whether prolactin is degenerated or has malignant changes. It is also helpful in distinguishing ovarian prolactin or other pelvic masses.

2. Detection of the uterine cavity

When measuring the uterine cavity with a probe, intramural prolactin or submucosal prolactin often enlarges and deforms the uterine cavity. Therefore, a uterine probe can be used to detect the size and direction of the uterine cavity. Comparing it with the findings of a double-comprehensive clinic can help determine the nature of the mass, and at the same time understand whether there is a mass in the cavity and its location. However, it must be noted that the uterine cavity is often tortuous, or blocked by submucosal prolactin, so that the probe cannot be fully inserted, or if it is subserous prolactin, the uterine cavity often does not enlarge, but instead causes misdiagnosis.

3. X-ray film

When prolactin is calcified, it appears as scattered consistent spots, or a shell-like calcified capsule, or a honeycomb with rough and wavy edges.

There are six types of examination items for hyperprolactinemia introduced above. I hope that patients will understand them. If you have symptoms, you should go to a regular hospital for examination in time and choose the examination items that are suitable for you according to your condition and symptoms. If you are still not sure about your examination items, you can also consult a professional doctor and conduct relevant examinations and treatments under the guidance of a professional doctor.