What are the symptoms of hyperprolactinemia in life?

What are the symptoms of hyperprolactinemia in life? If we have hyperprolactinemia in life, it will affect the fertility plans of our female patients. The incidence of this disease is very low, but the treatment is very troublesome. Many of our patients will experience galactorrhea and scanty menstruation.

Hyperprolactinemia has the following symptoms

1. Decreased menstrual volume, oligomenorrhea, secondary or primary amenorrhea account for about 15.1%.

2. Infertility: About 33.5% of women in their ovulation period are infertile.

3. Decreased libido

4. 27.9% of women experience galactorrhea during the non-pregnancy and non-lactation period, and 75.4% of women experience both amenorrhea and galactorrhea. This condition needs to be differentiated from nipple discharge in patients with multiple papilloma in the milk ducts or breast cancer. Galactorrhea caused by prolonged stimulation of the breasts should also be ruled out.

5. Obesity.

6. Progressive bone pain, decreased bone density, and osteoporosis due to low estrogen levels.

7. Compression symptoms of pituitary tumors PRL adenoma is the most common cause of pathological hyperprolactinemia. Like other pituitary tumors, it causes related clinical symptoms due to the change of its position, especially for pituitary macroadenomas of 10 mm, including headache, decreased vision, visual field defects. Due to compression of the optic chiasm, typical bilateral defects and other cranial nerve compression symptoms, epileptic seizures, cerebrospinal fluid rhinorrhea, etc. 15-20% of patients are at risk of spontaneous bleeding in pituitary adenomas, and 1/3 of them have pituitary apoplexy, that is, headache, vomiting, decreased vision, eye muscle paralysis and other neurological symptoms.