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Do High Levels Of Prolactin Shrink The Ovaries?

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Posted on Thu, 6 Aug 2015
Question: What is the normal volume in millilitres of ovaries for someone my age (39 years)? I have not taken any contraceptives for approximately 4 years. I have had high prolactin levels for decades due to taking antipsychotic medication. Do high levels of prolactin shrink the ovaries? If prolactin levels are reduced will this mean I will be more fertile? I recently had an ultrasound due to painful periods and it was revealed that my ovaries were 2mL and 2.9mL in volume. From my internet research this makes my ovaries about 1/3 of the size they should be. I have never had a pregnancy.
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Answered by Dr. Nidhi Setia (3 hours later)
Brief Answer:
The normal ovarian volume at your age should be 6-7 ml.

Detailed Answer:
Hello
Welcome to HCM.
I understand your concerns.

High prolactin levels can affect ovarian reserve. It decreases gonadotrophic hormones and thus affects fertility.

In my opinion, hyperprolactinemia might have caused shrinkage of ovaries in your case because you had raised prolactin chronically.

The normal ovarian volume at your age should be 6-7 ml.

I would advise you to go for thyroid examination. This can also contribute to hyperprolactinemia.

Discuss with your doctor about reducing the dose of psychotropic medications to minimum possible dose.

Bromocriptinne or cabergoline (prescription drug) will also help in treatment of raised prolactin.

Hope this helps.
Feel free to ask further.
Thanks.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Nidhi Setia

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Practicing since :2009

Answered : 761 Questions

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Do High Levels Of Prolactin Shrink The Ovaries?

Brief Answer: The normal ovarian volume at your age should be 6-7 ml. Detailed Answer: Hello Welcome to HCM. I understand your concerns. High prolactin levels can affect ovarian reserve. It decreases gonadotrophic hormones and thus affects fertility. In my opinion, hyperprolactinemia might have caused shrinkage of ovaries in your case because you had raised prolactin chronically. The normal ovarian volume at your age should be 6-7 ml. I would advise you to go for thyroid examination. This can also contribute to hyperprolactinemia. Discuss with your doctor about reducing the dose of psychotropic medications to minimum possible dose. Bromocriptinne or cabergoline (prescription drug) will also help in treatment of raised prolactin. Hope this helps. Feel free to ask further. Thanks.