Prolactin
Newsletter

Prolactin: the anti-life hormone

  • Lowers DHT
  • Inhibits metabolism
  • Blocks dopamine
  • Destroys bones
  • Erection antagonist
  • Causes gyno
  • Shrinks testicles
  • Raises serotonin and estrogen
Live model

Dopamine is the brake on prolactin

Dopamine60%
Prolactin12 ng/mLNormal
Side view of the brain. Dopamine neurons in the hypothalamus send dopamine down the pituitary stalk to the prolactin cells of the anterior pituitary, which release prolactin into the blood. tap to zoom HypothalamusOptic chiasmPituitary glandDopamine neuronsHypothalamusOptic chiasmPituitary stalkAnterior pituitaryprolactin cellsPosteriorpituitaryBlood vesselSella turcica
Dopamine
60
drag
  • Dopamine
  • Prolactin
  • Prolactin cell

Dopamine is normal: the D2 brake keeps the pituitary's prolactin cells quiet.

Chestno gland tissue
Testiclesnormal size
  • Lowers DHT
  • Inhibits metabolism
  • Blocks dopamine
  • Destroys bones
  • Erection antagonist
  • Causes gyno
  • Shrinks testicles
  • Raises serotonin and estrogen

A teaching model. The dopamine-to-prolactin curve shows the direction, not measured values; most labs flag prolactin above about 15 to 20 ng/mL in men. Changes in the chest and testicles take weeks to months; here they are sped up.

Anti-prolactin compounds

  1. Salt

    Food

    In rats, a sodium-deprived diet raised prolactin. Enough salt keeps it in check.

    Rat study, 1973 · the study page

  2. Cabergoline

    Prescription

    Switches on the dopamine D2 receptor on the prolactin cells. In 51 men with prolactin tumors, 24 months brought prolactin back to normal in 75.6% (large tumors) and 80% (small tumors).

    Colao 2004

  3. Bromocriptine

    Prescription

    The first dopamine agonist used for high prolactin. Same D2 brake as cabergoline, taken more often.

    How to lower prolactin

  4. Vitamin E

    Supplement

    In a randomized trial, 300 mg a day for 8 weeks took very high prolactin from 50.8 to 15.4 ng/mL. The patients were on dialysis.

    Yeksan 1992

  5. Cyproheptadine

    Prescription

    Blocks serotonin receptors. Serotonin is one of the signals that push prolactin up.

    Serotonin and prolactin, Clemens 1977

  6. Exemestane

    Prescription

    An aromatase inhibitor: it lowers estrogen. When an aromatase inhibitor lowered estradiol in healthy men, prolactin fell from 11.2 to 6.5 ng/mL.

    D'Agata 1982 · the review

  7. Bromantane

    Nootropic

    Raises dopamine production: in rats it switched on the genes for the enzymes that make dopamine.

    Rat study, 2004 · Bromantane guide

  8. Tyrosine

    Amino acid

    The building block the brain makes dopamine from (tyrosine, then L-DOPA, then dopamine).

    See the pathway in 3D

  9. Thyroid hormones

    Hormone

    Low thyroid is a common cause of high prolactin. When the thyroid was treated, 70% of patients with full data had prolactin back to normal.

    Khan 2025, review · thyroid blood tests

Cabergoline, bromocriptine, cyproheptadine, exemestane and thyroid hormones are prescription drugs. Take them only with a doctor, after a blood test. Prolactin that is too low is not good either: the target is low-normal.

Go deeper: the full article · how to lower prolactin · prolactin and dopamine studies · androgens

Get the next article in your inbox

Join the free newsletter. Science-backed health, no spam.