Greeny:
Walaikum Salam.
First of all, a serum prolactin level of 22.8 is considered normal for all practical purposes. Anything under 30 is considered normal in females ( even though some labs may consider 20 as the upper limit). It is true that elevated prolactin levels may interfere with the ability to get pregnant, and in those cases where prolactin level is high, Bromocriptine is the medication that is prescribed to bring the prolactin levels down. However, with your friend's level of 22.8, she doesn't need the bromocriptine at all. At best, I would recommend she should get a repeat prolactin level. Please also note that mild elevations of prolactin can also be caused by a variety of conditions, including stress, breast stimulation etc etc.
Her other meds are not related to infertility treatment. Motilium is prescribed for gastrointestinal problems, and calcium tabs and citro soda can be used for a variety of conditions , including supplementation, or gastrointestinal problems, or urinary problems etc etc.
If your friend has difficulty conceiving for the past 2 years, she should get her labs done on the 3rd day of her menstrual cycle, including FSH level, LH levels, TSH levels, Prolactin levels which she already had, blood glucose levels, if possible also testosterone levels, hemoglobin levels, and an ultrasound. Is your friend overweight?
She should also get her husband's semen analysis done.
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