Hyperprolactinemia

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 7, 2026

Elevated serum prolactin levels, which suppress hypothalamic GnRH pulsatility, thereby reducing LH and FSH secretion. Results in ovulatory dysfunction, luteal phase insufficiency, and impaired fertility. Common causes include pituitary microadenoma (prolactinoma), hypothyroidism, and medications. Treated with dopamine agonists (cabergoline, bromocriptine) or management of the underlying cause.³

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