Got Milk? Understanding Hyperprolactinemia and Fertility

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In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols breaks down one of the most commonly overlooked causes of infertility: elevated prolactin levels, also known as hyperprolactinemia.

If you’ve ever been asked about nipple discharge at a fertility consult and thought, “What does that have to do with getting pregnant?”—this episode is for you.

Dr. Amols dives into:

• What prolactin is and why your body produces it
• How elevated prolactin shuts down ovulation by disrupting GnRH, FSH, and LH
• The connection between dopamine and prolactin control
• Causes of high prolactin—including prolactinomas, medications, thyroid issues, and even stress or exercise
• Diagnostic steps: when to repeat the test, when to order an MRI, and how to rule out macroprolactin
• First-line treatments (cabergoline, bromocriptine) and what to expect during recovery
• How untreated hyperprolactinemia affects IUI, Clomid, Letrozole, and IVF outcomes

Learn how to identify this hormone imbalance, when to treat it, and how correcting it can restore ovulation and dramatically improve your chances of pregnancy.

Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform.

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Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.