Treatment of hyperprolactinaemia
If a pituitary tumour is producing excess prolactin, a prescription medication called bromocriptine (Parlodel or Kripton) is commonly used. This drug lowers prolactin levels, shrinks the pituitary tumour and restores regular ovulation and menstruation. It is best to start with a small dose of bromocriptine, as it can cause nausea and dizziness. The dose can be increased gradually until the prolactin level is normalised. Another medication called Cabergoline can also be used for the same purpose but it is not suitable for women wishing to become pregnant.
Fortunately it is often possible to reduce excess prolactin just with dietary changes and herbal medicine. We have found that eliminating all dairy products from the diet is very important for women with hyperprolactinaemia. The hormones found in dairy products may stimulate the pituitary gland to manufacture excess prolactin. Therefore all cow, goat and sheep milk should be avoided, along with foods that contain milk. It is also important to increase the quantity of antioxidants in your diet, through fresh vegetables, fruit and vegetable juices. Losing weight usually helps to get prolactin levels down.
There are some herbs that can help to lower prolactin. It is best to consult a naturopath or herbalist who will be able to prescribe the most appropriate herbs for you, at an effective dose. To maximise the chances of a successful and healthy pregnancy, plus a healthy child, it is best for both parents to focus on maximising their health before conception. Consider doing the Dr Cabot 15 Day Cleanse program to support healthy liver, gut and immune system function.
If your prolactin level is high enough to cause infrequent or absent menstruation then the use of a cream containing natural progesterone can reboot the hypothalamus- pituitary axis to send the right messages to your ovaries to get you ovulating again. This will help to bring back a regular menstrual cycle and relieve symptoms of premenstrual tension. For more information on progesterone see Dr Cabot’s excellent books titled Hormones – Don’t Let Them Ruin Your Life and How Not To Kill Your Husband
If you would like to make an appointment to see Margaret Jasinska, please email her or call our Camden Clinic on 02 4655 4666