Hyperprolactinemia: Causes, Symptoms, and Treatment Options

When your body makes too much prolactin, a hormone produced by the pituitary gland that mainly controls milk production and reproductive health. Also known as high prolactin, it can mess with your periods, lower your sex drive, and even cause milk to leak from your breasts—even if you’ve never been pregnant. This condition is called hyperprolactinemia, a medical condition where prolactin levels rise abnormally in the blood. It’s not rare, and it doesn’t always mean you have a tumor—but it does need attention.

Most of the time, high prolactin comes from a harmless, slow-growing lump in the pituitary gland called a prolactinoma, a noncancerous tumor that overproduces prolactin. But it can also be triggered by stress, certain medications like antidepressants or antipsychotics, kidney problems, or even hypothyroidism. Some women notice it when their periods stop or become irregular. Men might feel tired, lose interest in sex, or have trouble getting an erection. In both cases, it’s easy to blame lifestyle—but if your prolactin is really high, it’s not just "being stressed." It’s biology.

What you do next matters. The good news? Most cases respond well to simple drugs called dopamine agonists, medications that mimic dopamine, the brain chemical that naturally lowers prolactin. Drugs like cabergoline or bromocriptine shrink tumors and bring levels back to normal in most people. You don’t always need surgery. You don’t always need radiation. Often, just taking a pill once or twice a week fixes it. But if you ignore it, you risk bone loss, infertility, or the tumor growing big enough to press on your vision nerves.

What you’ll find below are real comparisons and guides from people who’ve been there. We’ve pulled together posts that break down how these drugs work, what side effects to watch for, how they stack up against other treatments, and when surgery might actually be needed. You’ll see how prolactinoma compares to other pituitary issues, how thyroid problems can mimic high prolactin, and how to tell if your symptoms are from medication or something deeper. This isn’t theory. It’s what works—for women trying to get pregnant, for men losing their energy, for anyone who’s been told "it’s just stress" and knew better.

Cabergoline’s Impact on Modern Hormone Therapy
Wyn Davies 22 October 2025

Cabergoline’s Impact on Modern Hormone Therapy

Explore how cabergoline, a powerful dopamine agonist, is reshaping hormone therapy for prolactinoma, infertility, and emerging hormonal conditions.

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