Hyperprolactinaemia- An Ayurvedic Perspective: A Case Study

Abstract

Hyperprolactinaemia is a condition of elevated serum prolactin level. Prolactin is a 198-amino acid protein (23-kd) produced in the lactotroph cells of the anterior pituitary gland. Its primary function is to enhance breast development during pregnancy and to induce lactation after child birth. The causes of hyperprolactinaemia are categorized broadly as physiological, pathological, drug induced and others (hypothyroidism, chronic renal failure etc.) Hyperprolactinaemia inhibits the secretion of GnRH from hypothalamus, thus FSH and LH secretion from pituitary gland are inhibited, leading to infertility. In this case report patient suffered from hyperprolactinaemia since 2 years. First she took allopathy medicine but was not benefited. Then she was treated with Ayurvedic medication- Arogyavaidhini Ras, Chandraprabha vati, Falghruta and Anutail-Pratimarsha Nasya. After 3 months of medication, improvement was noticed on Hb. (BT-10gms, AT-12gms), Serum Prolactin level (BT-83.66, AT-17.96), and Ovulation study (BT-anovulatory cycle and cyst formation, AT-ovulatory cycle). In the two follow up, ovulation study showed normal ovulatory cycle. The line of treatment was followed in this case was to treat the provoked Vata Dosha and vitiated Rasa Dhatu. There were no adverse effects found during the Ayurvedic medication.