Can I get pregnant with increased prolactin?


  1. Prolactin in preparation for pregnancy
    1. Prolactin functions during gestation
    2. Pathology Risk Factors
    3. Methods for diagnosing hormone levels
  2. Symptoms of Hyperprolactinemia
  3. Increased Prolactin Therapy
    1. Why is low prolactin dangerous?

The norm of prolactin – the hormone produced by the endocrine system, is crucial for a successful flow pregnancy, while its increased level can cause difficulties in conception and even cause infertility. What is the role the milk hormone in a woman’s body, you’ll find out right now, after reading our article.

Prolactin in preparation for pregnancy

The hormonal system has a direct effect on the process of conception and bearing a baby. When Health Problems no, and pregnancy does not occur for a long time, you should pay special attention to hormones, and specifically to prolactin. Its high the content in the blood leads to malfunctions of the menstrual cycle, suppresses ovulation not only during pregnancy and lactation, but also on planning stage. Thus, the question logically arises, can to get pregnant if prolactin is elevated? Obviously do it difficult, and in some cases simply impossible.

Important: according to available statistics, more than 30% women diagnosed with infertility are diagnosed with high levels prolactin.

Problems arise at almost all stages of conception:

  • with the onset of ovulation;
  • with fertilization of the egg;
  • when implanting and fixing the fetal egg in the uterus;
  • in the normal development of the embryo in the first weeks of gestation.

The increase in milk hormone, as it is also called, is negative affects the production of progesterone – a female hormone, responsible for reproductive function.

Important: optimal prolactin levels range from 252 to 612 mMe / l.

Prolactin functions during gestation

With the onset of pregnancy, all body systems begin to function differently, ensuring safe bearing a child. As for prolactin, he is primarily responsible for lactogenesis is the process of formation of breast milk. That’s why the second name of the hormone is milk.

Under the influence of prolactin, the mammary glands enlarge, fat cells are transformed into secretory cells.

Attention: throughout the entire period of gestation of prolactin provides immune tolerance of the embryo and the fetus.

In addition, it is scientifically proven that increased prolactin with pregnancy gradually reduces the pain threshold, preparing organism to the process of childbirth.

Prolactin also affects the fetal development. So, under its effect forms pulmonary surfactant – a special substance, which covers the inner surface of the alveoli of the lungs and does not give their walls stick together. Thanks to this substance, the newborn takes his first breath in.

Pathology Risk Factors

Deviation of prolactin from normal before and during pregnancy in most cases are caused by pathologies of the pituitary gland. It is this body produces a hormone, and any serious physiological or biochemical changes can cause hormonal imbalance.

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Other risk factors include:

  • mechanical damage to the mammary gland;
  • diseases of the adrenal cortex;
  • reproductive dysfunction;
  • hypothyroidism;
  • renal failure;
  • taking a certain group of drugs;
  • excessive physical exertion on the body;
  • hypoglycemia;
  • neck and head massage;
  • protracted, frequent stresses.

Methods for diagnosing hormone levels

For the most accurate determination of prolactin concentration in a pregnant woman needs a blood test from a vein to laboratory study. Biomaterial is taken early in the morning on an empty stomach.

At the same time, approximately a day before blood sampling recommended by:

  • exclude sexual intercourse;
  • do not bathe in the bath;
  • do not eat junk food, alcohol.


The interpretation of the data takes into account the phase the menstrual cycle and the characteristics of laboratory reagents. Important know that prolactin levels in pregnant women at the beginning and at the end of the term unequal:

  • in 1 trimester – 500-2000 mU / l;
  • in 2 – 200-6000 mU / l;
  • in 3 – 1000 mU / l.

If the results do not correspond to the norm, then additionally appoint another series of studies:

  • CTG;
  • MRI
  • Ultrasound
  • craniogram.

Consultations with specialized specialists are advisable: endocrinologist, neurologist.

In addition to laboratory and instrumental diagnostics, the doctor in compulsorily examines the pregnant woman and collects anamnesis.

Symptoms of Hyperprolactinemia

Detect pathologically high prolactin outside pregnancy a woman can for a number of symptoms that become quite obvious with careful attention to your health:

  • amenorrhea;
  • meager, irregular periods;
  • the disappearance of ovulation or its serious disorders;
  • the allocation of drops of colostrum or milk from the nipples;
  • hypertrichosis
  • infertility;
  • adenoma, breast cyst.

Thus, having discovered a pathology by external manifestations, a woman goes for a detailed examination where the disease either confirmed or disproved.

prolactin increased

Increased Prolactin Therapy

Accept attempts to lower, as well as increase prolactin in the blood is advisable in order to become pregnant. After a detailed diagnosis and determination of the degree of deviation from norms, the doctor selects the appropriate treatment.

hormoneIf the indicators are minimal discrepancies with averaged norm values, then in most In cases, a correction of lifestyle and nutrition is enough:

  • add more carbohydrate-rich foods to the menu;
  • exclude any diet and especially starvation;
  • reduce physical activity;
  • completely remove the reinforced power loads;
  • limit stressful situations.

When it comes to hyperprolactinemia, accompanied by a significant increase in prolactin, it is likely to be required drug treatment. We have already answered the question whether get pregnant with elevated prolactin. In view of the negative answer women planning pregnancy are prescribed this question drugs that block the production of prolactin. Quite often with this purpose in obstetric and gynecological practice use Dostinex. The drug has a prolonged effect, so it is enough take once a week, but at a certain time. Dostinex has an inhibitory effect on the production of the hormone by the pituitary gland and, conversely, activates estrogen synthesis.

Why is low prolactin dangerous?

A significant decrease in the hormone prolactin is also undesirable as well as its increase. Note that the deviation of indicators from the norm in side of lowering is observed much less often, but is also associated with hormonal imbalance. In this case, a woman may suffer from:

  • psycho-emotional disorders;
  • obesity
  • abundant hair growth on the body according to the male type;
  • lack of menstruation;
  • disorders of the nervous system.

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After a comprehensive diagnosis to determine the causes of low prolactin woman receives hormone therapy and only after her successful completion, she is allowed to plan a pregnancy.

It becomes apparent that for conception, a prosperous pregnancy and subsequent feeding the baby hormonal system women should work like clockwork, but directly level prolactin in this case – correspond to the norm.

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