HomeAnswersObstetrics and Gynecologyhigh prolactin

Can high prolactin with regular periods affects ovulation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My doctor said that I have high prolactin, almost 200, but I have regular periods. My periods are regular and usually have an interval of 30-33 days. I do not have any other menstrual symptoms, other than milky nipple discharge. I take ovulation tests every month and comes back positive on my fertile days, yet I have not been able to conceive.

My doctor said that, it is just a matter of time and that I should be able to conceive. I want treatment for the prolactin levels because, I believe that is the reason I am not able to conceive.

I just want a second opinion please.

Kindly help.

Thank you.
Answered by Dr. Sameer Kumar

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome to icliniq.com.

High prolactin levels with galactorrhea (milky nipple discharge other than normal breast feeding) can often cause delayed ovulation and irregular menses. The ovulation kits detect the LH surge and do not exactly tell us if there has been ovulation at all.

There may be delayed ovulation which can be ascertained only by regular follicular monitoring.

An excessive PRL (prolactin) secretion decreases the pulsatile release of GnRH (Gonadotropin Releasing Hormone) impairing the pituitary production of FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone).

Furthermore it may directly impair the endocrine activity of ovarian follicles.

  • As a consequence: defective luteal phase, inconstant ovulation and chronic anovulation are conditions frequently observed in young hyperprolactinemic patients.
  • So it is important that the prolactin levels are controlled.
  • If prolactinoma (benign pituitary tumour that produces prolactin) has been ruled out on MRI then you may take tablet Cabergoline 0.25mg twice a week for 3 weeks and then evaluate your prolactin levels again.
  • And then, if required the dose can be escalated to 0.5mg twice a week depending on the response.

I hope this addresses your concerns.

Please feel free to follow up if you need any additional clarification.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 29, 2015
Reviewed At June 4, 2026

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Listen to related tracks in our music library

Related Questions

Is a fatty lump under the nipple normal for a 16-year-old?

Faint T line, but ultrasound says not pregnant. Why?

I have high prolactin.Will this affect my fertility?

What causes delayed periods with a negative pregnancy test?

Juvenile Papillomatosis of the Breast - Types, Diagnosis, and Treatment

According to scan, the fetus growth is lagging. Kindly clarify it.

Comprehensive Second Opinion

Read answers about:

prolactinomafollicle stimulating hormoneluteinizing hormone (lh)gonadotropin releasing hormonedelayed conceptionhigh prolactingalactorrheacabergoline

Ask your health query to a doctor online

Obstetrics and Gynecology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.