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Luteal phase hyperprolactinemia

R J Falk1, L Anderson

  • 1Division of Reproductive Endocrinology and Infertility, Columbia Hospital for Women Medical Center, Washington, D.C.

International Journal of Fertility and Menopausal Studies
|September 1, 1994
PubMed
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Sporadic hyperprolactinemia (elevated prolactin) in the luteal phase is common in infertile women. This condition shows an abnormal response to TRH stimulation, but normal progesterone levels suggest unclear pathological significance.

Area of Science:

  • Reproductive Endocrinology
  • Infertility Research
  • Hormonal Imbalances

Background:

  • Luteal phase defects can impact fertility.
  • Hyperprolactinemia is typically associated with infertility.
  • The role of transient prolactin elevations in the luteal phase is not well understood.

Purpose of the Study:

  • To determine the incidence of luteal-phase hyperprolactinemia (LPH) in normoprolactinemic women.
  • To investigate the association between sporadic LPH and progesterone deficiency.
  • To explore the physiological basis of sporadic LPH using thyrotropin-releasing hormone (TRH) challenge tests.

Main Methods:

  • Prospective study of 133 infertile, ovulatory women with normal baseline prolactin.
  • Luteal phase serum prolactin and progesterone levels were measured.

Related Experiment Videos

  • TRH stimulation tests were performed in women with repetitive LPH and in normoprolactinemic controls.
  • Main Results:

    • 36% of women experienced sporadic LPH, with 25% showing repetitive elevations.
    • Women with repetitive LPH had an exaggerated initial prolactin response to TRH, followed by a rapid decline.
    • Luteal phase progesterone levels were normal in women with LPH.

    Conclusions:

    • Sporadic LPH is a frequent finding in infertile women.
    • Repetitive LPH demonstrates an abnormal physiological response to TRH stimulation.
    • Despite abnormal TRH response, normal luteal phase progesterone raises questions about the clinical significance of LPH in infertility.