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Living with Familial hyperprolactinemia

A rare inherited hormone condition with high prolactin levels that affects periods, fertility, and sex hormones.

Understanding Familial hyperprolactinemia

Familial hyperprolactinemia is a rare genetic hormone disorder with persistently high prolactin levels in several members of a family.

It is not caused by pregnancy, drugs, or a pituitary tumor. In women it can cause missing or light periods and milk flow from the breasts. In men it can cause low sex hormones and sexual problems. Infertility has been reported. It appears in adults.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Missing periods (amenorrhea)
  • Light or infrequent periods
  • Milk flow from the breast (galactorrhea)
  • Infertility
  • Ovarian cysts
  • Low sex hormones and sexual problems in men

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists, hormone specialists and urinary and male reproductive system specialists.

  3. Consider genetic testing

    Changes in PRLR are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Resolve: The National Infertility Association may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists); Urinary and male reproductive system specialists (urologists)
Expert care
Expert lists: Resolve: The National Infertility Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Resolve: The National Infertility Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the PRLR gene confirm this diagnosis?
How will high prolactin affect fertility, and what are the options?
Which specialist, such as an endocrinologist, should follow me?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesPRLR

Changes in the PRLR gene cause this condition. It is autosomal dominant, which means a change in one copy of the gene can cause it.

GeneticEndocrine

Also known as: familial isolated prolactin receptor deficiency; hereditary hyperprolactinemia (disease); hprl

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Familial hyperprolactinemiaGARD ID 17634 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Familial hyperprolactinemia.

Explore the Familial hyperprolactinemia blog

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