Common causes of high prolactin are physiological and pathological. Prolactin is relatively high during the luteal phase and pregnancy. It can also be caused by diseases, the most common of which are cirrhosis, decreased thyroid function, and renal failure, which require timely treatment. 1. Causes (1) Hypothalamic-pituitary lesions 1. Tumors: Non-functional - craniopharyngioma, sarcoid glioma. Functionality - PRL Adenoma 46%; GH adenoma 22-31%, PRL-GH adenoma 5-7%; ACTH adenoma & Nelsons syndrome 4~15%, multifunctional adenoma 10%; undifferentiated tumor 19~27%. (2) Primary and/or secondary hypothyroidism. (3) Ectopic PRL secretion syndrome: undifferentiated bronchogenic carcinoma, adrenal carcinoma, embryonal carcinoma. (4) Adrenal gland and kidney diseases: Addison's disease, chronic renal failure. (5) Polycystic ovary syndrome. (6) Cirrhosis of the liver. (7) Gynecological and obstetric surgery: artificial abortion, induced labor, stillbirth, hysterectomy, tubal ligation, and oophorectomy. (8) Local irritation: papillitis, chapped skin, chest wall trauma, herpes zoster, tuberculosis, surgery. 2. Prevention of Hyperprolactinemia 1. External self-treatment of amenorrhea: 1500 grams of stinking sycamore bark, 90 grams of asafoetida. First, boil the stinking sycamore bark with water to obtain a concentrated juice, add asafoetida to make a paste, apply it on a one-inch square gauze, and stick it on Guanyuan acupoint for 2-3 days as a course of treatment. Guanyuan acupoint: 3 inches directly below the middle of the navel, 9 grams each of white pepper, yellow ochre, and saltpeter, grind them into fine powder, make them into 3 cake heads, take 1 piece each and stick it under the navel, change it after 24 hours, and use it for 3 consecutive days, 2 grams of cyperus rotundus, 1 gram of peach kernel, 1 leech, grind the previous medicines into powder and mash them into a paste with the leech, apply it to the navel, and apply the analgesic plaster for injury and dampness externally, change it once every 2-3 days, Grind 2 grams each of Puhuang, Aconiti Lateralis Preparata and Pangolin into powder, apply it on the analgesic plaster for injuries and dampness, and stick it on the navel. 2. Home treatment measures for amenorrhea: Dairy products should be avoided in the diet: Yogurt, dairy products, sugar, and meat can easily cause skin fever, so dairy products should be avoided in the diet as much as possible. 3. You can eat more lettuce, kelp, salmon (including bones), sardines, etc., and you should eat small meals frequently: eating small meals frequently helps the body regulate body temperature. 4. Reduce caffeine and alcohol: Beverages containing caffeine and alcohol will stimulate the secretion of certain hormones and induce skin fever. |
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