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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 41 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.
Dr. Gerard Honore
Fertility Medicine 29 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.

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