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  5. I am not pregnant. What are the implications of a prolactin level of 36.8 ng/mL or a TSH level of 3.8 mIU/L?

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I am not pregnant. What are the implications of a prolactin level of 36.8 ng/mL or a TSH level of 3.8 mIU/L?

Asked by Female, 34 ยท 1 month ago

A prolactin level of 36.8 ng/mL is mildly elevated and may cause irregular periods or breast discharge. A TSH of 3.8 mIU/L is at the upper limit of normal and may indicate borderline thyroid underactivity, which can affect menstrual cycles (periods) and fertility.
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  1. Understanding Prolactin Levels

    • Prolactin is a hormone involved in lactation. Normal levels are typically below 25 ng/mL for non-pregnant women.
    • A level of 36.8 ng/mL is mildly elevated and could be due to stress, medications, or pituitary issues.
  2. Understanding TSH Levels

    • TSH regulates thyroid function. Normal range is generally 0.4-4.0 mIU/L.
    • A TSH level of 3.8 mIU/L is within normal limits but may suggest subclinical hypothyroidism if symptoms are present.
  3. Clinical Implications

    • Mildly elevated prolactin can cause menstrual irregularities or galactorrhea.
    • TSH level should be correlated with symptoms to assess thyroid function.
  4. Next Steps and Recommendations

    • Consider repeat testing and checking Free T4 levels.
    • Consult an endocrinologist if symptoms persist or for further evaluation.
    • Review lifestyle and medications that might affect hormone levels.
  5. Reassurance and Monitoring

    • Mild elevations are common and often manageable.
    • Regular follow-up is important to ensure appropriate management.

Answered 1 month ago

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