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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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What Causes Increase In Prolactin Level Even When On Bromocriptine After Miscarriage?

Hi, I just had a miscarriage 5 weeks ago, my prolactin level id 153ng/ml after being on bromocriptine 5mg twice a day, when I tested prolactin two weeks ago it was 139ng/ml, even tthough been on bromocriptine levels increased to 153ng/ml. Please advise
Fri, 14 Mar 2014
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OBGYN 's  Response
Hello and welcome to HCM.

The prolactin levels must reach to non pregnant levels maximum 6 weeks after abortion. In fact most of the time they may not be significantly elevated in early pregnancy. However I am not sure why you were prescribed bromocriptine? We do not use it in women with abortion as it is not needed. Did you have elevated levels before abortion or pregnancy? are you on chronic bromocriptine therapy? Please upload these answers if possible along with a complete obstetric history for me to provide better suggestions.

Nevertheless, the levels may show a rising trend in normal women for a few days and then decrease. Also check to see if you are using some other drugs like metoclopramide that may increase prolactin levels. As of now, if there are no other symptoms. You may wait for a week if there is no increased prolactin pre pregnancy.

Retest after 2 weeks, if still high levels, visit a doctor and get evaluated for other causes of raised prolactin like pituitory gland tumor or hyperfunction.

Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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What Causes Increase In Prolactin Level Even When On Bromocriptine After Miscarriage?

Hello and welcome to HCM. The prolactin levels must reach to non pregnant levels maximum 6 weeks after abortion. In fact most of the time they may not be significantly elevated in early pregnancy. However I am not sure why you were prescribed bromocriptine? We do not use it in women with abortion as it is not needed. Did you have elevated levels before abortion or pregnancy? are you on chronic bromocriptine therapy? Please upload these answers if possible along with a complete obstetric history for me to provide better suggestions. Nevertheless, the levels may show a rising trend in normal women for a few days and then decrease. Also check to see if you are using some other drugs like metoclopramide that may increase prolactin levels. As of now, if there are no other symptoms. You may wait for a week if there is no increased prolactin pre pregnancy. Retest after 2 weeks, if still high levels, visit a doctor and get evaluated for other causes of raised prolactin like pituitory gland tumor or hyperfunction. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist