Treatment for high prolactin in men

Many men suffer from high prolactin levels, which causes many diseases to manifest themselves. Therefore, in order to get effective treatment and recovery as soon as possible, many men want to learn about the treatment methods for high prolactin levels. In order for you to be treated and recover as soon as possible, let's take a look at the treatment methods introduced below.

1. Etiological treatment, that is, different treatment methods are adopted for different causes. If it is caused by drugs, the drugs should be stopped first. If it is caused by hypothyroidism, thyroid hormone tablets can be taken as replacement therapy. If it is a pituitary tumor, it can be treated with drugs or surgery according to the size of the tumor.

Second, inhibit the secretion of prolactin. Bromocriptine is the first choice of drug. This drug can inhibit the synthesis and secretion of prolactin, control the growth of pituitary microadenomas, and even significantly shrink the tumor. The common side effects of bromocriptine are nausea, headache, fatigue and constipation. Therefore, the drug should be used under the guidance of a doctor. Data show that prolactin can be significantly reduced after one week of medication, galactorrhea stops and menstruation resumes after 2-4 weeks of medication, and ovulation and pregnancy can occur after 3-6 months of medication.

3. Combined treatment: Patients with hyperprolactinemia who want to have children can first be treated with bromocriptine. If ovulation still cannot be restored, ovulation-inducing drugs can be added.

4. Formulate different treatment measures for different causes. Patients with hypothyroidism need to use L-thyroid hormone replacement therapy. Allogeneic PRL secretion should be treated with primary cancer. For the treatment of pituitary tumors and PRL tumors, please refer to the relevant chapters. For drug-induced diseases, stop taking related drugs. Patients with high RPL blood symptoms and hypogonadism for 1 to 2 years, and imaging examinations cannot make a definite diagnosis of pituitary lesions, can be treated with bromocriptine to inhibit PRL secretion and restore gonadal function.

Female patients suspected of PRL tumors are prohibited from taking estrogen to prevent the PRL tumor from growing. If clinical symptoms persist after stopping the use of oral contraceptives, gonadotropin or chlorpheniramine can be used for treatment to promote the complete recovery of the physiological function of the hypothalamus-pituitary-ovarian axis. Lactational amenorrhea caused by postpartum can be treated with oral contraceptives (administered as contraceptives, but not for a long time to avoid the PRL release effect of oral contraceptives themselves) and oral vitamin B6 (200-600 mg/d). The latter is a coenzyme of dopamine decarboxylase, which increases the conversion of dopa to dopamine in hypothalamic peptide neurons.

The above is a detailed introduction to the treatment of high prolactin in men for many patients suffering from this disease. Therefore, in order for high prolactin in men to no longer cause serious harm to their bodies, after understanding the above content, you must choose the correct treatment method as soon as possible to effectively control your high prolactin.