Doctor insights on:
How Is A Prolactinoma Diagnosed
24 y/o male pituitary macro prolactinoma. Initial prolactin level at diagnoses was 4100. It is now 1900 after 3 months. Good progress so far? Thanks!
Cabergoline?: Are you receiving cabergoline? If so, the dose may need to be increased. Also, have you seen a good neurosurgeon to be evaluated for possible surgery -- and a good endocrinologist to check whether you have any other hormonal abnormalities that require treatment? ...Read moreSee 1 more doctor answer
25y/o male w/prolactinoma. Thyroid bloodwork normal. Doc says thyroid slightly swollen. Body temp 97.5 oral/feel cold a lot. How is hypothyroid diagnose?
Thyroid prolactin: Hypothyroid is diagnosed with thyroid blood tests. You would expect an elevated TSH and a low free t4. There is an interaction between thyroid and prolactin. If you are hypothyroid and have an elevated tsh, this will raise the prolactin; correcting the thyroid will normalize the prolactin. But this may not apply to you. The "swollen thyroid" may be separate. See your endocrinologist. ...Read more
Medication: Prolactinomas are almost always treated with one of two medications - bromocryptine or Cabergoline - both work on the Dopamine receptor to lower the prolactin levels and shrink the tumor. Such treatment is generally coordinated by an endocrinologist. ...Read moreSee 1 more doctor answer
Prolactinoma: Prolactin-secreting pituitary adenomas can usually be treated without surgery. The medications used are Cabergoline or bromocriptine. These usually can normalize the prolactin, shrink the tumor, and restore the person to normal. You probably want to see an endocrinologist. ...Read more
Treatment: Two possible treatments -- surgery or medication. Depending on size of adenoma, patient age, or the tumors effect on surrounding structures. Medication is usually the first-line treatment. Dostinex (cabergoline) is a very effective med which decreases prolactin production and usually shrinks tumor size over several years of therapy. ...Read more
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
I gained 30 pounds over the past year with a prolactinoma. I just had surgery this past week. Wil l surgery help me lose the weight?
Possibly: Prolactinomas have been known to cause weight gain, but I feel that good dietary measures are also going to be needed. If you need counselling on your diet, make one appointment with the dietician at your hospital for the best diet for you and you will be told what your ideal weight and daily calorie intake should be for best results. ...Read moreSee 1 more doctor answer
My prolactin lvl was high. For more than 2years. I did nothing. What can I do to decrease the prolactinoma. Use pergabalin? Am a male. Single.24years
I don't know: What "high" means numerically. Is your level still high? When you say prolactinoma, has that been demonstrated by CT or MRI? If so, the best medication is cabergoline. Pregabalin won't help. Check w/your doctor or see an endocrinologist, There are many medications which can cause elevated prolactin levels, as well as hypothyroidism. ...Read moreSee 1 more doctor answer
Prolactine has been elevated double the upper normal range for years. Trh test showed no increase in prolactine. Is this proving for prolactinoma?
Probably: Hi. Or Tschüss! You most likely have a micro-adenoma (small prolactin-producing benign tumor). There are some medication that increase prolactin (PRL) such as anti-dopaminergics or narcotics; you could check with an endocrinologist to see if any meds you're on could. Pituitary stalk compression/compromise is much less likely in your clinical condition, I would think. ...Read more
Unlikely: The symptoms of excessive prolactin include infertility and possible lactation. If the pituitary tumor is a mixed tumor where there is excessive acth secreted or growth hormone secretion, these hormones in excess can cause hypertension. Your endocrinologist has probably checked for this already as part of your work-up. If the tumor is very large and you have headaches, that might contribute to htn. ...Read moreSee 2 more doctor answers