Prolactin Level Modulation refers to the clinical and physiological process of adjusting the circulating concentration of the pituitary hormone prolactin, primarily secreted by the lactotroph cells of the anterior pituitary gland. While traditionally associated with lactation, prolactin also plays roles in immune function, reproductive health, and stress response in both sexes. Maintaining prolactin within an optimal, non-pathological range is critical for preserving libido, fertility, and mood stability.
Origin
The term combines prolactin, named for its function of promoting lactation, with modulation, which denotes the act of adjusting or regulating. Its primary regulatory mechanism was discovered to be inhibitory, controlled by dopamine from the hypothalamus. Clinical focus on modulation arose from recognizing that both excessively high and pathologically low levels can disrupt the hypothalamic-pituitary axes.
Mechanism
Prolactin secretion is predominantly under tonic inhibitory control by dopamine, also known as Prolactin-Inhibiting Hormone (PIH), released from the arcuate nucleus of the hypothalamus. Modulation strategies typically involve pharmaceutical agents or natural compounds that influence the activity of dopamine D2 receptors on the lactotrophs, either enhancing or reducing the inhibitory signal. This mechanism directly impacts the hormone’s concentration, which in turn affects the balance of other reproductive hormones like GnRH.
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