hiii madam im rajeshwari i trying to conceive for 5 month but no result then my periods cycle is 28 day regular but one day only. my prolactin level is 36 how i control this it affect my pregnancy

Question

Accepted Answer

yes the prolactin level is on higher side and you should consult with your gynecologist to start with medication as prolactin when high definitely causes problem in conception of pregnancy

Accepted Answer

Elevated prolactin levels (hyperprolactinemia) can interfere with ovulation and thus affect your ability to conceive. A prolactin level of 36 is slightly elevated and may need attention. Here are steps you can take to address this issue:

### 1. **Consult a Healthcare Professional**
   - **Endocrinologist or Gynecologist**: They can determine the cause of elevated prolactin and recommend appropriate treatment.

### 2. **Medications**
   - **Dopamine Agonists**: Drugs like bromocriptine and cabergoline are commonly prescribed to lower prolactin levels.

### 3. **Lifestyle Changes**
   - **Reduce Stress**: High stress levels can increase prolactin production.
   - **Balanced Diet**: Ensure a healthy diet rich in fruits, vegetables, whole grains, and lean proteins.
   - **Regular Exercise**: Moderate physical activity can help regulate hormones.

### 4. **Identify and Manage Underlying Conditions**
   - **Thyroid Function**: Hypothyroidism can cause elevated prolactin. Ensure your thyroid levels are normal.
   - **Pituitary Gland**: In rare cases, a pituitary tumor can cause high prolactin. Imaging tests like an MRI may be necessary.

### 5. **Monitor Prolactin Levels**
   - **Regular Testing**: Your doctor may recommend periodic blood tests to monitor your prolactin levels and adjust treatment as needed.

### 6. **Avoid Prolactin Stimulants**
   - **Certain Medications**: Avoid medications that can raise prolactin levels, such as some antipsychotics, antidepressants, and antiemetics.
   - **Herbal Supplements**: Some herbs, like fenugreek and fennel, may increase prolactin.

### 7. **Improve Fertility Naturally**
   - **Track Ovulation**: Use ovulation predictor kits, basal body temperature charting, or fertility tracking apps to identify your fertile window.
   - **Healthy Weight**: Maintain a healthy weight, as being underweight or overweight can affect ovulation.
   - **Fertility-Friendly Practices**: Avoid smoking, limit alcohol intake, and reduce caffeine consumption.

### 8. **Patience and Persistence**
   - It can take several months for prolactin-lowering treatments to take effect. Continue following your doctor's advice and maintain a healthy lifestyle.

If you have been trying to conceive for over a year (or six months if you are over 35), it may be time to seek further evaluation from a fertility specialist. They can provide a comprehensive assessment and additional treatment options tailored to your situation.