Our expert says:
Dear Curious Candy
It is true that patients with significant increase in Prolactin levels may experience fertility problems mainly due to ovulatory dysfunction. However, not all patients with mildly elevated Prolactin levels will experience this problem and therefore the nature of the menstrual cycle by itself would be a very good indication of whether the Prolactin levels are interfering with fertility. In particular the number of menstrual days usually would shortened as Prolactin levels become increasingly problematic and in extreme cases menses may completely disappear. A simple hormone profile together with a pelvic gynaecological examination and ultrasound may be of great value and fortunately the treatment for high Prolactin levels is reasonably effective and simple in most cases. In extreme cases however, a brain scan may need to be done to exclude the possibility of a pituitary tumour.
Answered by: Dr M.I. Cassim
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