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1 Breast stimulation can modestly increase the amount of prolactin in the blood. 2  Chest wall trauma (for example, an injury from a car steering wheel after an accident) can lead to increased levels of prolactin.  Marijuana use is also a well documented cause of elevated levels of prolactin.
Ovulation problems caused by hyperprolactinemia is an uncommon cause of ovulation problems. High prolactin can cause reduced FSH levels which then results in ovulation problems. The ovulation and fertility problems are treated with drugs to reduce prolactin levels back to normal so that regular ovulation will resume. High prolactin will decrease FSH (follicle stimulating hormone) levels. 2  This leads to irregular ovulation and irregular menstrual periods, or no periods at all-amenorrhea. 3  Galactorrhea-spontaneous milky nipple discharge (outside of nursing). 4  Fertility problems.