Hyperprolactinemia Treatment Cost in India

Hyperprolactinemia treatment in India typically ranges from $500 to $6,000 USD, depending on the hospital, city, and type of procedure.

Hyperprolactinaemia means high levels of the hormone prolactin. It can be caused by a benign pituitary tumour (prolactinoma), certain medicines, thyroid problems or other conditions. Cost depends on:

• Blood tests: prolactin and other hormones, including thyroid function.
• Pituitary MRI: to look for a prolactinoma.
• Medicine: usually cabergoline, taken once or twice a week.
• Monitoring: repeat blood tests, MRI and sometimes heart scans.

Before treatment, doctors check for causes other than a tumour:

• Medicines: some antipsychotics and anti-sickness medicines raise prolactin.
• Underactive thyroid: can raise prolactin.
• Pregnancy: naturally raises prolactin.
• Prolactinoma: a benign pituitary growth, confirmed by MRI.

Symptoms can include irregular or absent periods, breast milk production, low sex drive and reduced fertility.

A University Hospitals Sussex NHS Foundation Trust leaflet explains cabergoline reduces prolactin and can shrink a prolactinoma:

• Dosing: started low and increased gradually; taken once or twice a week.
• Side effects: dizziness, nausea and headaches are common.
• Rare effects: heart valve problems (so an echocardiogram is done) and impulsive behaviour; report these promptly.
• Remission: some patients go into remission after about two years and can stop treatment, with monitoring.

• Fertility often returns quickly: the leaflet advises non-hormonal contraception from the start if pregnancy is not wanted.
• If pregnancy occurs: many with small tumours are advised to stop cabergoline; specialist advice is needed.
• Breastfeeding: cabergoline must not be taken while breastfeeding.
• Visit plan: tests and an MRI can be completed in a few days, with treatment continued at home.