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A 29-year-old female asked:

Ttc fr 10 mnths. blood test showed high prolactin, took cabergoline. last mnth was put on clomid, (clomiphene) right now day 43 still no period n hpt -ve. plz adv?

2 doctor answers5 doctors weighed in
Dr. Douglas Miller
Pathology 42 years experience
Pituitary tumor?: I'm not sure about "ttc" but a high serum prolactin may be due to a pituitary tumor. This produces absent periods ("amenorrhea") and, in some, milk secretion ("galactorrhea"). Such tumors may also end up interfering with vision and cause other problems. Ask your doctors for a brain MRI concentrating on the sella, where the pituitary is located.
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Dr. Gerard Honore
Fertility Medicine 30 years experience
Cabergoline: Can be a correct treatment for high prolactin, but evaluating for a pituitary tumor is often important too. How high was the prolactin level? If there is no concern about tumor and your prolactin has been normalized, Clomid (clomiphene) can also be a good choice but it sounds like you did not respond (ovulate) to the medicine this cycle. You'd do well to get back with the prescribing doctor on this one.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 28, 2017

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