Differential diagnosis of hyperprolactinemia are:
-stress
-trauma
-surgery
-sleep / REM phase
-exercise
-idiopathic
-macroprolactinemia
-nipple stimulation
-suckling
-post partum
-pregnancy
-oral contraceptive
-tricyclic anti depressant
-cimetidine
-psychotropics
-spinal cord lesions
-optic neuritis
-multiple sclerosis
-chronic chest wall stimulation – nipple piercing, breast augmentation, herpes zoster, thoracotomy, mastectomy
-systemic lupus erythematosus
-hypothalamic disease
-acromegaly
-renal failure
-cirrhosis
-hypothyroidism
-prolactinoma
-stress
-trauma
-surgery
-sleep / REM phase
-exercise
-idiopathic
-macroprolactinemia
-nipple stimulation
-suckling
-post partum
-pregnancy
-oral contraceptive
-tricyclic anti depressant
-cimetidine
-psychotropics
-spinal cord lesions
-optic neuritis
-multiple sclerosis
-chronic chest wall stimulation – nipple piercing, breast augmentation, herpes zoster, thoracotomy, mastectomy
-systemic lupus erythematosus
-hypothalamic disease
-acromegaly
-renal failure
-cirrhosis
-hypothyroidism
-prolactinoma