Does 50ug/L prolactin require an MRI?

If the blood test for prolactin is 50ug/L, a pituitary MRI enhancement is recommended in this case to rule out a pituitary prolactinoma.
In general, the normal value of prolactin in fertile women should be under 25ug/L. If prolactin levels are high, it may lead to symptoms such as menstrual disorders, infertility, breast overflow, and changes in sexual function in women.
A common cause of elevated prolactin is pituitary disease, with pituitary prolactinoma being the most common, with more than 1/3 of patients having pituitary microadenomas. In addition, if there is primary hypothyroidism, hypothalamic disease, long-term use of antipsychotics, anti-epileptic drugs, antidepressants, antihypertensive drugs, etc., may lead to elevated prolactin.
Blood test prolactin is 50ug/L, this value is relatively high, it is recommended to consult a doctor in time, improve the relevant examination, under the guidance of professional doctors to clarify the cause of the disease, targeted treatment.