WOMENS-HEALTH Messages for May, 1997: Re: prolactin level

Re: prolactin level

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 30 May 1997 17:15:59 -0500 (CDT)

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In reply to: Follis: "prolactin level"

At Thu, 29 May 1997, Follis wrote: >
>--Can having a slightly high prolactin blood level cause PMS? It is 60.

In our lab that's not slightly elevated, That's elevated!

>Could this cause fluid retention, and weight gain?

Should not, in and of itself, cause these sypmtoms unless other things are off. Was thyroid testing done? Occasionally thyroid abnormalities are found along with prolactin elevation. That can be the cause of a variety of symptoms, some of which you listed

>I understand a high
>prolactin level is not treated until it hits 100,

Not true. Above 100, the chance for elevated prolactin to be associated with a microadenoma of the pituitary increases to a point where MRI is necessary to evaluate it. In our lab (I state "our lab" because all labs have different "normals") 60 would definitely be treated, especially if it were associated with menstrual irregularities. Why was the prolactin drawn? Galactorrhea (nipple discharge), amenorrhea (lack of periods or other symptoms?

but my PMS is baddd!!!

Just wrote a repsonse to someone about perimenopause/PMS that might also be helpful

>Thanks for any information.

You're welcome. Hope the info helps. I know Dr. Lovely could put her two cents in and more eloquently answer your query.

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/heroes/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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In reply to: Follis: "prolactin level"

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