What to do with elevated prolactin in subclinical hypothyroidism

Patients with subclinical hypothyroidism can be treated with regular checkups or medication; elevated prolactin may be caused by physiological factors as well as diseases such as pituitary tumors, etc. Physiological factors do not require special treatment, while disease-induced diseases require targeted treatments, such as medication and surgery under the guidance of a doctor. Patients with subclinical hypothyroidism need to consider using levothyroxine if TSH is greater than 10 mIU/L or accompanied by elevated lipids, but if not accompanied by the above conditions, regular review is sufficient. Elevated prolactin can be seen in pregnancy, postpartum breastfeeding and other physiological conditions, generally do not need special treatment; can also be caused by pituitary tumors and other disease factors, pituitary tumors need to take drugs such as bromocriptine or surgical treatment. In the case of subclinical hypothyroidism combined with elevated prolactin, it is recommended to go to the hospital and ask the doctor to make a judgment and formulate an individualized treatment plan.