Which symptoms are typical of hyperprolactinemia in premenopausal women?

Hyperprolactinemia is characterized by elevated levels of prolactin in the blood, which can significantly impact women's reproductive health. In premenopausal women, this condition often leads to symptoms such as infertility and menstrual irregularities, specifically oligomenorrhea (infrequent periods) or amenorrhea (absence of periods).

Elevated prolactin levels can disrupt the normal hormonal feedback mechanisms, affecting the secretion of gonadotropin-releasing hormone (GnRH) from the hypothalamus, which in turn influences the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary gland. This disruption can result in anovulation and irregular menstrual cycles, contributing to challenges with fertility.

In summary, the link between hyperprolactinemia and reproductive dysfunction is well-established, making infertility, oligomenorrhea, or amenorrhea typical symptoms in premenopausal women experiencing this condition.