Use of blockers and stimulators of prolactin secretion in persistent lactorrhea-amenorrhea syndrome
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Conclusions
- 1.
Rifathyroin — a domestic preparation of thyroliberin — is a powerful stimulator of prolactin secretion in healthy women.
- 2.
In patients with the syndrome of persistent lactorrhea-amenorrhea the initial level of prolactin is considerably increased, however, prolactin secretion is decreased or absent when rifathyroin is administered.
- 3.
In patients with a combination of primary hypothyroidism and lactorrhea-amenorrhea a moderate increase is observed in the initial level of prolactin, but an excessive increase in the secretion of the hormone occurs in response to the administration of rifathyroin.
- 4.
In selecting a method of treatment for patients with the syndrome of persistent lactorrhea-amenorrhea without clinical or roentge nological signs of an adenoma of the hypophysis it is preferable to prescribe clomiphene or L-dopa, since these substances promote a decrease in the level of prolactin in the blood and restoration of a diphasic menstrual cycle, whereas against the background of treatment with estrogens prolactin secretion intensifies.
Keywords
Estrogen Adenoma Prolactin Hypothyroidism Menstrual CyclePreview
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