Patient's question:
Because of a certain illness, I have been unable to stop taking medication for a long time. Due to the medication, my endocrine system has become problematic. Now, I want to stop taking the medication and regulate my body. Can hypothyroidism cause high prolactin levels?Doctor's answer:
Hyperprolactinemia can be treated with bromocriptine, which reduces PRL levels, normalizes ovulation function, and resolves infertility in patients. It directly inhibits the synthesis and secretion of PRL and also suppresses the growth of adenomas. The initial dosage starts at 1.25 mg/day, which can be gradually increased to 7.5 mg/day after one week. If the condition is caused by hypothyroidism, thyroid hormone tablets can be used as an alternative treatment. If a pituitary tumor leads to dysfunction of hypothalamic hormone secretion, treatment options may include medication or surgery based on the size of the tumor. Additionally, Traditional Chinese Medicine (TCM) can be used for syndrome differentiation and treatment, employing methods such as nourishing the liver and kidneys or clearing the liver and resolving depression.