OpenHealth Q&A

Get answered by medical professionals

Prolactin Levels: Should I Be Concerned?

2/6/2026, 7:00:28 PMMale25-34

I am a 21-year-old female living in the UK. I stand at a height of 167 cm and weigh 63 kg. Currently, I am not taking any medication. In April 2025, I underwent a blood test which revealed that my plasma prolactin level was at 619 mIU/L. This result fell slightly above the normal range and was categorized as borderline. My physician reassured me that this level was not alarmingly high and recommended that I follow up with another test in the future to monitor any changes. Recently, just a few weeks ago, I had a subsequent blood test, and this time the results indicated my plasma prolactin level had increased to 848 mIU/L. This reading was noted as satisfactory, and my doctor mentioned that there was no reason to discuss it further with me. I'm left wondering: is this increase in prolactin levels something I should be worried about, or is it acceptable? Should I consider scheduling an appointment with my GP to discuss this finding?

Thyroid DisordersEndocrinologyRheumatology

Answers (1)

Cony

2/6/2026, 7:00:45 PM

OpenHealth AI

It’s understandable to feel concerned about your prolactin levels, especially with the recent increase. Prolactin is a hormone that can be influenced by various factors, including stress, sleep, physical activity, and more. Although your levels are considered as "satisfactory" by your doctor, it’s important to understand what these results mean for you.

Explanation:

Prolactin is produced by the pituitary gland and is primarily associated with lactation. Elevated prolactin levels can sometimes indicate underlying conditions, such as hormonal imbalances or issues with the pituitary gland, but there can be many benign reasons for elevated levels too. Factors such as stress, recent illness, or even certain foods can transiently raise prolactin.

Since your first reading was borderline and the second has increased, it’s good that you’ve already taken the step to monitor this condition. While your physician reassured you, your concerns are valid, especially if there are changes in your health or symptoms that accompany these hormone levels.

Next Steps:

  1. Monitor Symptoms: Take note of any unusual symptoms, such as changes in menstrual cycles, breast tenderness, headaches, changes in vision, or unexplained weight changes. Keep a record of these, as they can provide helpful information for your healthcare provider.

  2. Consult Your GP: Considering the increase in your prolactin levels, I would recommend scheduling an appointment with your GP. It’s important to discuss your concerns and consider possible next steps, which may include further blood tests to assess other hormone levels or imaging studies if necessary.

  3. Lifestyle Check: Focus on maintaining a healthy lifestyle. Ensure you have regular sleep patterns, manage stress through techniques like mindfulness or yoga, and engage in regular physical activity. These can help balance hormone levels.

Remember, monitoring and understanding your health is important, and it’s okay to seek clarification and support regarding your test results. You are your best advocate!

Related Questions

Understanding Hormonal Migraines

**Demographics:** 33 years old, 5 feet 6 inches tall, 12 stone. My alcohol consumption is minimal, with just an occasional Baileys every four months. I don’t smoke or use recreational drugs. I try to walk daily for about 30 to 60 minutes, though my overall physical activity is limited due to frequent migraine discomfort. Since around the age of 14 or 15, I’ve been experiencing migraines, which I suspect are triggered by factors such as stress and caffeine, but I believe they’re predominantly hormonal. Previously, I would typically suffer from migraines one or two days prior to my menstrual cycle. For roughly four years, I’ve been receiving hormonal injections to manage my migraines, which have reduced the frequency to about one or two occurrences each month. Taking rizatriptan has been quite effective during these episodes. I generally prefer to avoid medications unless absolutely necessary, so I decided to discontinue the injections to assess their true impact on my health. There are concerns about potential long-term side effects from extended use. After stopping the injections in early September, I have noticed a concerning increase in my migraine frequency, now averaging one to two per week, with no menstrual cycle since the cessation. I’m cautious about exceeding the use of rizatriptan, as I fear the development of rebound headaches. Consequently, I’ve been enduring the pain as best I can. During an appointment with a doctor prior to halting my injections, she suggested that if my migraines return, a hormonal coil could be a viable option, as it regulates hormones but is reportedly less potent than the injections. My inquiry is: how long should I hold off before considering the coil? I’m uncertain whether the increase in migraine intensity is a result of discontinuing the injections—essentially revealing my baseline hormonal state—or if the withdrawal itself could be causing fluctuations in my hormonal levels, leading to these migraines. Perhaps I should wait a few months to see if the situation stabilizes on its own? In the past, I have tried amitriptyline but experienced significant weight gain without any migraine relief. One physician suggested propranolol as a preventive measure; however, I have additional hormone-related concerns, including sebaceous cysts and ulcers during specific phases of my cycle. Thus, if I pursue preventative treatment, I would prefer a method that addresses multiple issues, including my migraines.

LupusThyroid DisordersEndocrinology
Male25-34
26 minutes ago

Dealing with Unattended Joint Pain: Seeking Solutions

For the past year and a half, I've been grappling with significant joint pain, yet it feels like my concerns aren't being taken seriously. At only 14 years old, I'm not able to navigate my own healthcare for another two years, which makes me feel a bit helpless. My pain manifests as a dull, stabbing sensation that varies in intensity and location; some days my left arm is unbearable, while on other days, my knees bear the brunt. Additionally, my joints are chronically stiff and make cracking sounds whenever I move them. Initially, my parents attributed my discomfort to growing pains and possibly a lack of calcium, which delayed any further action. We did consult the doctors, but unfortunately, they haven't seen me in person. After a blood test ruled out rheumatoid arthritis, they decided against further examination, suggesting yoga as a remedy, which has provided me with no relief whatsoever. This ongoing pain is debilitating, and it frustrates me that my doctors won't see me more thoroughly. Meanwhile, my parents remain convinced that my symptoms aren't indicative of anything serious. The only temporary comfort I find comes from applying pressure to the affected areas, and wearing a wrist brace occasionally helps alleviate some discomfort. Am I overreacting to my situation, or do I have a legitimate reason to seek further medical attention? The pain persists daily, and I'm desperate for some answers.

ArthritisInternal MedicineRheumatology
Male25-34
46 minutes ago

Mild Hydronephrosis Case at Age 39

Weight: 85 kg; Height: 177 cm This is my first time sharing my experience here. I was born with a single kidney, which has resulted in it being noticeably larger compared to a typical paired set. About a year and a half ago, I began experiencing sporadic discomfort on my right side, where my kidney is located. After a series of blood tests revealed an eGFR of 61 (a decrease from 67 in 2013, likely influenced by my lifestyle), I sought further advice from my general practitioner. Eventually, I was referred to specialists in nephrology and urology. Following three ultrasounds and a CT scan, I was diagnosed with mild hydronephrosis. This condition may have stemmed from a urethral stricture dating back over 30 years, resulting from a surgical procedure. Thankfully, I have never had issues with urination and there were no stones detected. Just over two weeks ago, I underwent a procedure to dilate the stricture. Leading up to it, my discomfort was minimal, but post-surgery, I've been experiencing increased pain and occasional stinging sensations. I have brought this up with both my nephrologist and urologist and am currently awaiting their feedback. I had hoped that resolving the stricture would eliminate my previous aches, but perhaps that expectation was unrealistic. Does recovery usually take time? Also, I was somewhat frustrated by my urologist's dismissive reaction to my mention of prostatitis. I'm interested in hearing your opinions or any similar experiences you might have had.

Multiple SclerosisThyroid DisordersInternal Medicine
Male25-34
46 minutes ago

Potential Causes of Cecal Colon Compression

I am a 41-year-old female. During a colonoscopy conducted two years ago, it was noted that my cecal colon was experiencing "extrinsic compression." Additionally, around five small sessile polyps were excised during the procedure. Following that, I underwent a pelvic ultrasound to check for uterine fibroids which might be contributing to this compression. The ultrasound revealed only a very small fibroid, measuring between 1-2 cm, whereas the gastroenterologist indicated that the colon was compressed by approximately 5 cm. Is there a chance that there exists a fibroid that the ultrasound failed to detect? Currently, I’m not experiencing any symptoms, aside from occasional mild discomfort in that region, particularly when I have excessive gas, and it’s been two years since the last examination. What could be the potential underlying reasons for this compression? Is it truly necessary for me to pursue a pelvic MRI or CT scan? I am hesitant to increase my exposure to radiation, but this issue has resurfaced in my thoughts, leading to some concern. For additional context, I should mention that I also have a sizeable focal nodular hyperplasia in my liver, which is about 9 cm, potentially linked to my two decades of hormonal birth control usage.

ArthritisMultiple SclerosisRheumatology
Male25-34
46 minutes ago

Extended Hyperhidrosis and Heat Sensitivity: Male, 30

Greetings, I’m a 30-year-old male weighing 242 pounds. I have been diagnosed with Hashimoto’s thyroiditis, which we've managed to stabilize. Currently, I am prescribed Vyvanse, Lexapro, Rabeprazole, Ventolin, and an additional inhaler. However, I’m experiencing increasingly severe sweating during both day and night, a condition that has persisted for several months now. This issue appeared abruptly and has intensified over time. Additionally, I find myself feeling breathless even with minor physical activity, despite my significant weight gain from my hyperthyroid treatment before it was regulated. My predominant concern is the possibility of cancer or another serious condition. What specific tests should I discuss with my general practitioner? We previously conducted blood tests, but the results did not reveal any significant abnormalities, aside from elevated triglycerides, which I attribute to my poor dietary habits.

LupusThyroid DisordersEndocrinology
Male25-34
1 hour ago