WOMENS-HEALTH Messages for December, 1997: Re: Achieving pregnancy with an elevated prolactin level

Re: Achieving pregnancy with an elevated prolactin level

From: Geffrey H. Klein, MD (anonymous@obgyn.net)
Wed, 3 Dec 1997 19:53:44 -0600

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In reply to: Francine: "Achieving pregnancy with an elevated prolactin level"

On 12/3/97, Francine wrote this:

Q> I used to experience irregular menstrual cycles, so after visiting my Q> ob/gyn, he suggested I test my hormones. The results showed that my Q> prolactin level was in the 60s. Therefore, he prescribed me parlodel Q> 2.5 mg. My prolactin level is now in the low 40s. My husband and I are Q> now ready to begin trying to have a baby, however, I was told that a Q> high prolactin level will make it extremely difficult to conceive. Is Q> this true? Is there anything I can do additionally to achieve pregnancy? Q> I welcome any and all suggestions regarding my issue. Thank you! Q> Francine

A high prolactin level can prevent pregnancy is by preventing ovulation. If you have regular monthly cycles, you likely are ovulating. You can check if you are ovulating by keeping track of your basal body temperature (though some question its use) or by having a mid-luteal progesterone level drawn.

Other helpful hints..

about half of infertility is male factor.. If you have been an infertile couple (traditional definition: inability to conceive after 1 year of unprotected intercourse) then a semen analysis is needed.

If you have had problems with endometriosis or pelvic infections, you might consider asking your doctor if a hysterosalpingogram (an xray study of the anatomy of the uterus and fallopian tubes) is needed.

An abnormality in prolactin may signal the need to test for other endocrine disorders like an underactive thyroid.

You should be taking a vitamin with folic acid 0.4 milligrams daily to decrease the liklihood of spina bifida and other birth defects of the central nervous system.

You should have any medical problems addressed and if you are taking any other medications, they should be reviewed.

If you are not immune to rubella, you should be vaccinated and wait 3 months to attempt to conceive.

You might consider reviewing the medical history of both sides of the family to determine if your child will be at risk for inheriting a genetic disease. Genetic counseling might be appropriate.

Visit Dr. Mark Perloe's web site: http://www.ivf.com/

Good luck!!!

-- Geffrey H. Klein, MD geffrey.klein@obgyn.net Houston, Texas Advisory Board Chairman OBGYN.net

_______ Note: This is for information purposes only. It is not intended to supplant the need for consultation with your doctor prior to planning therapeutic intervention.

Next message: Francine: "Overweight and trying to have a baby"
Previous message: Geffrey H. Klein, MD: "Re: concerns about Ob doc's care"
In reply to: Francine: "Achieving pregnancy with an elevated prolactin level"

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