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Doctor insights on: Infertility And Prolactinoma

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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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Dr. Khurram Rehman
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What to do if I have a prolactinoma?

Usually cabergoline: Hi. Usually medication therapy with cabergoline is all you need. Very rarely, surgery is needed for large, aggressive tumors. Talk about this with your endocrinologist. Good luck! ...Read more

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Prolactinoma sufferers able to be helped?

ProlactinomaYourProl: Yes absolutely. Medication is well tolerated, has few adverse affects and been around for many years. Surgical intervention also an option. See an endocrinologist. ...Read more

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Can prolactinoma cause hypertension?

Can prolactinoma cause hypertension?

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 more

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Does prolactinoma condition inhibit oxytocin production?

Does prolactinoma condition inhibit oxytocin production?

Usually does not: Prolactinoma from a pituitary tumor affects the anterior pituitary. The posterior pituitary is usually not affected-this is where the cells for oxytocin reside. The excess prolactin secretion does not usually impact the oxytocin production. ...Read more

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Are there other treatment options besides cabergoline for prolactinomas?

Bromocriptine: Bromocriptine. If side effects intolerable, trans-sphenoidal surgical resection still an option. ...Read more

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What to do if I have hyperprolactinoma from a prolactinoma can I get pregnant?

What to do if I have hyperprolactinoma from a prolactinoma can I get pregnant?

Control: Hi. Yes, control the hyperprolactinemia, and you should start ovulating. We use cabergoline, and results are excellent. Your profile says you're 47, so menopause is looming. Don't expect miracles. That's a higher risk pregnancy. Talk with your gyn. ...Read more

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How long does it take before cabergoline starts to shrink my macro prolactinoma? Thanks

It varies: This drug blocks the secretion of prolactin and causes the cells to shrink or involute. The tumor will shrink as the cells get smaller but it can take several months. Serial imagining studies can demonstrate the shrinkage. ...Read more

Dr. Soren Singel
169 doctors shared insights

Pituitary Adenoma (Definition)

Benign growth on the pituitary ...Read more