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
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