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HYPERPROLACTINEMIA AND ITS CORRELATION WITH HYPOTHYROIDISM IN INFERTILE WOMEN
Dr. Wafaa Salah Abd-Alamieer, *Dr. Sahar Abdul Baqi Sabti Al Dulaimi and Dr. Mina Taha Al-Wassiti
Hyperprolactinemia is a common endocrine disorder of hypothalamic-pituitary ovarian axis affecting the reproductive functions. Despite the significant role of hyperprolactinemia in infertility. Aim of the study to find the prevalence of hypothyroidism in hyperprolactinemic infertile women and the prevalence of hypothyroidism in primary and secondary infertility and the prevalence of galactorrhea and menstrual disorder in hyperprolactinemic infertile women. Methods: Prospective case study 108 cases of primary and secondary infertility investigated for serum prolactin levels serum TSH levels at Al-Kadhimya Teaching Hospital, Baghdad-Iraq. Results: There were 64 (59%) of the 108 infertile women were primary infertility and 44 (40.7) were secondary infertility. Their ages ranged between (20-45) years with a mean ± SD (33.44 ± 7.29) years. Most of age group were (30-35) years, and most of women with duration of infertility above 4yearse. Prevalence of hyperprolactinemia was (46.9 %) in primary and (45.5 %) in secondary infertility. There were 50(53.7%) cases of hyperprolactinemia out of 108 cases of infertility. 6 (12.0%) cases of hyperprolactinemia had hypothyroidism. Conclusion: The high prevalence of hyperprolactinemia with infertility stresses the fact that all the cases of infertility subjected for serum prolactin estimation. Prolactin estimation done at early stages of infertility checkup rather than straight away going for more costly tests or invasive procedures. There is a prevalence of hypothyroidism in hyperprolactinemia. All the cases of hyperprolactinemia need to have TSH estimation.[Full Text Article]