How many chances of success do patients with hyperprolactinemia have when undergoing IVF?

Patient's question:

No

Doctor's answer:

When prolactin levels in the body are excessive, it can inhibit the secretion of gonadotropins by the pituitary gland and directly affect the synthesis of sex hormones in the ovaries, leading to low serum estrogen levels. This can result in ovarian dysfunction, reduced ovulation, or anovulatory galactorrhea, and in severe cases, amenorrhea, leading to infertility. Meanwhile, the success rate of in vitro fertilization (IVF) is inherently low, and even if it is successful, it is prone to natural miscarriage.