Etiology Hyperprolainemia

• Physiologic:

• Luteal Phase

• Pregnancy

• Nursing/Nipple Stimulation

• Stress/Post-ictal

• Pharmacologic:

• Dopamine Antagonists: Phenothiazines, Haloperidol, Respiridone, Metoclopomide, Domperidone

• TCAs

• SSRIs

• Antihypertensives: Methyldops, Reserpine, Verapamil

• H-2 Blockers: Cimetidine

• Opiates

• Estrogens

• Pathophysiologic:

• Prolactinoma: Microadenoma (<10 mm), Macroadenoma (≥10mm)

• Hypothalmic Lesion

• Macroprolactinemia

• Idiopathic

• Primary Hypothyroidism

• PCOS

• CKD 5

• Chest-wall lesions