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Doctor insights on: How Does Prolactinoma Affect Pregnancy

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How does prolactinoma affect pregnancy?

How does prolactinoma affect pregnancy?

Prolactinoma: A prolactinoma is a tumor of the pituitary gland and part of the hormonal regulation in the human body. If you have a prolactinoma with high secretion of the prolactin this can definitely prevent a pregnancy from occurring. You would need to see an hormone specialist for evaluation and drug treatment or if the lesion is large then a neurosurgeon for possible surgical resection. ...Read more

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Dr. Sandra Lora Cremers
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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How does hypothyroidism affect pregnancy?

How does hypothyroidism affect pregnancy?

Cretinism: Until about 14 weeks gestation the fetus depends on the mother's thyroid hormone before it can make its own. Severe low levels of maternal thyroid hormone can cause cretinism which is a syndrome of severe physical stunting and mental developmental delay. If already diagnosed with hypothyroidism be diligent about taking daily thyroid hormone medication and get levels checked every 3 months at least. ...Read more

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How does pregnancy affect diabetes?

How does pregnancy affect diabetes?

Worsens it: Just as important, your diabetes can affect your pregnancy. You need stricter control to help prevent birth defects, macrosomia (large infant), birth or maternal injuries, fetal death, and maternal diabetes worsening; leading to renal problems (kidney failure), other organ damage, or other health issues...The good news is that all of these problems can be improved or avoided with proper care. ...Read more

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How does pregnancy affect thyroid function?

How does pregnancy affect thyroid function?

False increase in T4: Levels of thyroid binding protein increase in pregnancy and levels of T4 are higher than during the non-pregnant state. This change does not affect thyroid function. Both hypothyroid and hyperthyroid states impair fertility. ...Read more

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How does pregnancy affect ibd?

How does pregnancy affect ibd?

May worsen disease: Activity of uc and cd at time of conception greatly predicts disease course. If in remission, most stay in remission (2/3) where as 1/3 will flare. Disease that is active during conception usually does not go into remission during the course of pregnancy and may even get worse. ...Read more

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How does pregnancy affect thyroid disease?

How does pregnancy affect thyroid disease?

Many ways: It depends on the type of thyroid problem. Hypothyroid women may need more thyroid in each trimester. By delivery many patients are taking half again more thyroid replacement. Hyperthyroidism is more complicated due to the different causes of hyperthyroidism. Any hyperthyroid woman should be followed by an endocrinologist or high risk obstetrical team to determine the best type and amount of meds. ...Read more

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How does endometriosis affect pregnancy?

How does endometriosis affect pregnancy?

It normally doesn't: Endometriosis can cause problems with getting pregnant due to scarring that can affect the tubes or involve the ovaries so that the egg and sperm can't meet. It can increase your risk of a tubal pregnancy since it is harder for the fertilized egg to move down to the uterus. There are also chemical changes that can do both those things.Once you are pregnant, endometriosis is inactivated. ...Read more

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How does lupus affect pregnancy?

How does lupus affect pregnancy?

A variety of ways: The type and organ involvement of the lupus can be important. Year ago people with lupus were advised not to get pregnant. Now we know people with lupus can have great pregnancy outcomes. There is a risk of miscarriage, preterm delivery, lupus flares, hypertension especially with kidney invovlement and smoking. You will need to be evaluated for your lupus risks before pregnancy. ...Read more

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How does lupus affect you during pregnancy?

How does lupus affect you during pregnancy?

See details: If you do not have clotting issues or major disease activity lupus is unlikely to effect pregnancy. If your lupus is not under excellent control at the start of pregnancy it is likely to significantly flare the disease. ...Read more

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How does asthma affect pregnancy?

How does asthma affect pregnancy?

Variably: It is important for both mother and baby that the asthma remains under good control, and this can be achieved with medications. Pulmicort and singulair (montelukast) have category b ratings for pregnancy.It is reported that approximatley 1/3 of pregnant asthmatics improve, 1/3 worsen and 1/3 remain the same. Deterioration of asthma during pregnancy can deprive the baby of oxygen and lead to premature birth. ...Read more

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How does ic/pbs affect pregnant women?

How does ic/pbs affect pregnant women?

Doesn't : No direct effect on pregnancy, a few cases have reported temporary improvement during pregnancy. Elmiron (pentosan) is category b, considered safe. All medications would need discussion with your doctor. ...Read more

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How will hyperthyroid affect pregnancy?

How will hyperthyroid affect pregnancy?

Thyroid & pregnancy: The most common cause of hyperthyroidism in pregnancy is grave's disease. Most women and babies will not experience any significant problems if the graves' is mild. Treatment is with a drug to lower the thyroid production. Risk of hyperthyroidism in pregnancy: hypertension with protein in urine (increase risk of pre-eclampsia), infection, iron def anemia. Baby might have hyperthyroidism as well. ...Read more

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How does pregnancy affect seizure disorders?

How does pregnancy affect seizure disorders?

Seizure pregnancy: Pregnancy increases weight and liquids and dilute seizure meds, thus trigger seizures. Need regular check of blood levels of meds. Change in protein content in blood also contributes to altered levels of med in blood. Increased liquid pressures in brain can alter state of control of seizure also. If you had no sz for a long time, you may have a chance to go free during pregnancy. Good luck +++++. ...Read more

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How does diabetes affect my health if pregnant?

How does diabetes affect my health if pregnant?

Not good.: There are varying degrees of involvement (e.g. Onset during pregnancy, diagnosed before pregnancy, etc..). Risks of big baby, shoulder dystocia, fetal anomalies, mom could develop notable end organ damage (e.g. Eyes, kidney, nerves and other systems), etc... ...Read more

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How do hormone levels affect fertility?

How do hormone levels affect fertility?

Hormones: There are many articles online or in the local public library that will provide you with easy to read and understand information. That should answer most questions on fertility, but you may need to discuss with your doctor any concerns you have after reading. ...Read more

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How does pregnancy affect your skin?

How does pregnancy affect your skin?

In several ways: Your skin goes through several changes during pregnancy. Some areas become darker due to changes in the pigment of your skin. Luckily, this generally fades. Blood vessels can become for prominent, moles can change in appearance & stretch marks develop due to connective tissue changes. Itching may be normal or a sign of something more concerning. Always discuss any skin changes with your dr. ...Read more

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How does being overweight affect pregnancy?

How does being overweight affect pregnancy?

Weight and pregnanct: May contirbute to increase birth weight of the baby, gestational diabetes and hypertension. ...Read more

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How can fibromyalgia affect pregnancy?

How can fibromyalgia affect pregnancy?

Meds?: Fibromyalgia is not thought to have an adverse effect on pregnacy, although their may be some issues with medications during pregancy. Best to avoid them, unless signficant co-existent depression is there. Exercise daily, get good sleep, and talk to your doc about discontinuing meds or continuing meds. ...Read more

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How does hsv1 affect pregnancy?

How does hsv1 affect pregnancy?

HSV1 ; Pregnancy: Pregnant women who are infected with herpes simplex virus 1 (hsv-1) genital herpes have a higher risk for miscarriage, premature labor, retarded fetal growth, or transmission of the herpes infection to the infant while in the uterus or at the time of delivery. ...Read more

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How does prolactinoma affect pregnancy?

Prolactinoma: A prolactinoma is a tumor of the pituitary gland and part of the hormonal regulation in the human body. If you have a prolactinoma with high secretion of the prolactin this can definitely prevent a pregnancy from occurring. You would need to see an hormone specialist for evaluation and drug treatment or if the lesion is large then a neurosurgeon for possible surgical resection. ...Read more

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I've had an untreated prolactinoma for about 3 yrs and just found out i'm six weeks pregnant. In what ways, if any, will this affect my pregnancy?

I've had an untreated prolactinoma for about 3 yrs and just found out i'm six weeks pregnant. In what ways, if any, will this affect my pregnancy?

Carefully monitor: This is definitely something to bring up with your OB doc, if you haven't already. They may want you to see an endocrinologist. There are many issues to consider. If the prolactinoma was small, you will probably be ok. But the pituitary will get bigger during pregnancy; beware of headaches, visual changes, vomiting, signs of a mass. If necessary, bromocriptine can be used during pregnancy. ...Read more

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Im4 months pregnant and due to a prolactinoma my dr told me to take bromocriptine during pregnancy.i want a 2nd opinion.is it realy safe for baby n me?

Im4 months pregnant and due to a prolactinoma my dr told me to take bromocriptine during pregnancy.i want a 2nd opinion.is it realy safe for baby n me?

Prolactinoma: It is a category B drug which means it is generally considered safe in pregnancy. But only for use in your condition. Just to be safe I would check with a Maternal-Fetal Medicine Specialist. This is a drug you should not stop abruptly so continue to take it unless you are told to stop it please. ...Read more

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I have prolactinoma and im pregnant.dr is telling me to take bromocriptine.is it safe?and if i dont take it, is high prolactin bad during pregnancy?

Prolactinoma: And pregnancy: generally, data indicate that there is no risk for a fetus during first month. Continuing further may cause risk for a fetus. Treatment depends whether you have micro or macroadenoma and whether you have any symptoms. ...Read more

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How accurate are blood pregnancy tests when you have a pituitary adenoma?

How accurate are blood pregnancy tests when you have a pituitary adenoma?

Very accurate: The pituitary adenoma will not decrease the accuracy of the blood pregnancy tests unless it is lh the adenoma is secreting, which is very rare. Most pituitary adenomas secrete prolactin, which will not interfere with a blood pregnancy test. ...Read more

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If I can't take bromocriptine because I'm allergic to it. What can I take for prolactinoma ?

"Allergic"?: Do you mean "allergic" or just "intolerant"? Most people have no idea what "allergy" really means. Ask your doctor which you are. In pts who are intolerant to even small doses of bromocriptine, one alternative is to administer the same daily dose intravaginally, a method that has almost equal efficacy. The other major option is cabergoline, a long-acting non-ergot dopamine agonist. It's expensive. ...Read more

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Can prolactinomas build tolerance to medication?

Can prolactinomas build tolerance to medication?

Tolerance: Yes, sometimes higher doses of Cabergoline or bromocriptine are needed. It could be drug tolerance, or it could be another medication or condition that is increasing prolactin. Usually the prolactinoma will shrink with treatment. Sometimes, relatively high doses of Cabergoline are needed. Talk to your endocrinologist. ...Read more

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How is a prolactinoma diagnosed?

How is a prolactinoma diagnosed?

Lab test and imaging: A lab test will tell you if you have high prolactin and an imaging study (MRI) will tell you the size and what the tumor looks like. ...Read more

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How do you know if you have prolactinoma?

ProlactinomaYour: Prolactin will be elevated without other cause for it ie pregnancy, medication, nipple stimulation... Perform an MRI of pituitary and brain with and without contrast to confirm an adenoma or growth on the pituitary gland. ...Read more

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Could prolactinoma cause seizures?

Could prolactinoma cause seizures?

Possibly: 1 study from the uk reported small incidence of patients with temporal lobe seizures when they were diagnosed with large prolactinomas that were infiltrating adjacent brain tissue. Treatment of the prolactinomas can reduce seizure frequency in that study. ...Read more

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Can women with prolactinoma become pregnant?

Can women with prolactinoma become pregnant?

Yes: Yes, prolactinomas that are smaller than 1 CM can be treated with medications to reduce the prolactin level, which will help normalize ovulation and help with conception attempts. Be sure to remember to check visual fields to avoid compromising the optic nerve. ...Read more

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Is a prolactinoma a kind of pituitary cancer?

Is a prolactinoma a kind of pituitary cancer?

It's not a cancer: A prolactinoma is a benign, non-cancerous growth in the pituitary that produces too much prolactin hormone. It's the only functioning pituitary tumor that can be treated with a pill without the need for surgery. ...Read more

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Can prolactinoma patients stop bromocriptine?

Sometimes: Some patients, especially those with small tumors, will continue to have normal prolactin levels if they stop bromocryptine after successful treatment, but this should only be done under the supervision of an endocrinologist. ...Read more

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Why can a prolactinoma cause heat intolerance?

Why can a prolactinoma cause heat intolerance?

Usually not: Unless the excess prolactin decreases lh and fsh causing hot flashes or the tumor is making TSH stimulating the thyroid to make excessive thyroid. Both are rare! ...Read more

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Why will a prolactinoma cause heat intolerance?

Why will a prolactinoma cause heat intolerance?

Not common: Common symptoms of prolactinoma are: headache, visual problem, abnormal milk production/flow, sexual dysfunction, infertility, breast tenderness...Heat intolerance is not a common symptom of prolactinoma unless this is how you feel when your estrogen level is low which can happen with a prolactinoma. ...Read more

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Could prolactinoma patients stop bromocriptine after some years?

Prolactinoma: Patients with prolactinoma typically have to take medications like bromocriptine for a life time - there might be some cases of patients that were able to come off the medication but in my experience this is quite rare unless there is surgery to remove the prolactinoma. ...Read more

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Is a young man with 2ndary hypogonadism and a prolactinoma likely to be infertile?

Is a young man with 2ndary hypogonadism and a prolactinoma likely to be infertile?

Probably: High prolactin levels can cause lower levels of testes-stimulating hormones (lh & fsh) as well as low t. Without treatment, sperm may be absent or decreased (but take precautions if pregnancy not wanted!) treatment to normalize prolactin may restore normal levels of fsh, lh, t & normal sperm production and fertility. Talk to your doctor about treatment options. ...Read more

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Does having a benign pituitary macro prolactinoma put me at a higher risk for other forms of cancer? Thanks!

Does having a benign pituitary macro prolactinoma put me at a higher risk for other forms of cancer? Thanks!

No: Not that we know of and it has not to my knowledge been reported in the neurological literature, this is a benign lesion limited to a specific part of the pituitary gland and can be managed with medication. ...Read more

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Is it possible for a macro prolactinoma to completely shrink away due to cabergoline, or do they always require surgury in the end? Thanks

It can: Prolactinoma should be treated with medication first, not surgery. Frequently it can be controlled on the medication and never requires surgery. Keep close contact with your physician and do the followup as suggested. ...Read more

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Dr. Soren Singel
176 doctors shared insights

Pituitary Adenoma (Definition)

Benign growth on the pituitary ...Read more