Symptoms associated with an elevated serum prolactin

Patient : My breasts are leaking. I have not had my period in three months. A pregnancy test is negative. What can be the problem?
Doctor :   The symptoms you describe, leaking breasts, absence of periods, with a negative pregnancy test, may be due to an imbalan ce in your prolactin hormone levels. Prolactin hormone stimulates the female breast to produce milk, and it is secreted from the posterior pituitary gland. High prolactin hormone levels are common in pregnancy, post nipple stimulation and stress but many drugs can cause an elevated prolactin level. Atypical antipsychotic drugs e.g. Respiridone (Risperdal), antidepressant drugs e.g. Clomipramine (Anafranil), and gastrointestinal drugs e.g. Cimetidine (Tagamet) or Metoclopramide (Reglan) all elevate prolactin levels, mainly by blocking of Dopamine D2 receptors. Less common causes of high prolactin levels include pituitary tumours which secrete excess prolactin. In your case it is most likely a drug side-effect, therefore I would advise attending your family physician for prescription of a suitable alternative.

Related Q&A

Q: Hi Doctor, I am 37 year old male and I have been in a relationship for 7 years. I had an sti test at the start of the...

Q: Wanting advice on whether I have an STI. Near the opening of my penis on one side there is a raised bump that is not ...

Q: Hi , I'm in a long distance relationship with my partner who was just tested for std's for the first time. After the ...

Q: I've one wart on my anus, but I've been in a monogamous relationship for > 20 yrs. Neither of us has ever had geni...

Q: Around rim of my penis head is red

 


DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews