Doctor insights on:
Infertility And Prolactinoma
I have severe hypogonadotropic hypogonadism with very low testosterone levels caused by pituitary adenoma (prolactin). Is fertility still a possibility or not?
Yes.: Medication, surgery, or even radiation. Medication sometimes fails and surgery can lead to other issues and even affect vision. Some of these tumors are not resectable fully with out causing issue(s). Once the lesion is controlled, the key is having the situation reviewed by your endocrinologist to see what needs to be done to allow normal fertility. ...Read moreSee 2 more doctor answers
What are treatment options for high testosterone. I'm trying to conceive and I have pcos caused by high testosterone. Clomid (clomiphene) and metformin failed.
Here are some ...: With thus far in your care for PCOS, it would not most logical and beneficial to bring this Q to the treating doctor so timely modification of care could be given. At this time, further online inquiry tends to cause more unnecessary confusion and anxiety. So, contact your treating doc who should be in line of today's knowledge and options of care. Worst, seeking second opinion is still easier &... ...Read more
25y/o male being treated for prolactinoma.Was able to conceive with wife!testosterone only slightly low. Any chance birth defects due to my high prl?
I am 36 years old and diagnosed with hypothalamic amenorrhe; 1 miscarriage through IVF. Can hypothalamic amenorrhea be reversed?
Treated: This condition can be treated medically but not completely reversed also it's important to know what is causing the dysfunction of the level of the hypothalamus ( infection inflammatory process tumor lack of releasing factors etc.) Stay well. ...Read more
I have elevated prolactin, not due to pituitary tumor, will
cabergoline enable thyroid and estrogen/progesterone ratio
to all become balanced?
Probably: High prolactin can result from certain medications, narcotics, stress, as well as from pituitary tumors that are too small to see on imaging studies. High prolactin will cause female pituitary hormone levels to become abnormal, resulting in irregular periods or loss of periods. Cabergoline will lower prolactin and improve this imbalance. High prolactin does not typically cause abnormal thyroid. ...Read moreSee 1 more doctor answer
What to do about hypothyroidism, polycystic ovarian syndrome infertility, all in all hormone issues?
Pcos help: PCOS treatment revolves around the goals of the patient. If the goal is pregnancy, the treatment will revolve around promoting ovulation and the carrying of a healthy fetus to term. Before you see your provider, starting a fitness, weight loss strategy if you are overweight, a diet geared towards reducing carbohydrates, taking a prenatal supplement with Folic Acid are all steps you can take. ...Read more
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 moreSee 1 more doctor answer
Can you have normal testosterone and estrogen levels with multiple ovarian cyst and still be considered to have pcos?
Yes: Pcos is a clinical syndrome. It is not diagnosed by blood test results, though high male hormone levels, or other tests suggestive of Insulin resistance, can support the diagnosis. If you have problems with irregular periods, weight gain, excess hair growth, you can be diagnosed with pcos, despite normal lab results. ...Read more
I have PCOS. Estrogen is very low, high androgen. GYN not treating hormone levels. Joint problems, hirtuism. should hormones be regulated?
PCOS: It sounds plausible you may have PCOS if you have had hormone testing, BUT in most PCOS the estrogen is high, not low as you describe. There are other causes of elevated androgens that should be tested. If another problem is found, or if PCOS is confirmed then treatment should be given. Seek a second opinion. ...Read more
Likely that severe hypogonadotropic hypogonadism has other causes than just prolactinoma if cabergoline fails to normalize testosterone levels?
Yes: If a pituitary growth is big (2 cm) , and the initial prolactin wasn't very high, then the growth is most likely not a prolacatinoma. This non-functioning growth can "take up normal space" in the pituitary and physically suppress the hormones that control testosterone production and release. How big is your tumor and what was the original prolactin level? ...Read more
Common for young male with hypogonadotropic hypogonadism/prolactinoma to still have low t after cabergoline tx. (therefore needing supplemental t)?
Reverse Testicular atrophy after epididymitis? HCG and Clomid (clomiphene) was suggested as many body builders have restored size and function with both.
If only PCOS symptoms are a little excess hair, secondary amenorrhea, and elevated liver functions, can diagnosis still be PCOS?
PCOS: Most experts (not all) agree that pcos is diagnosed based on 1) irregular/skipped periods, 2) ultrasound appearance, 3) elevated blood androgen levels. The reason it's called a syndrome is because not all patients have exactly the same symptoms. Hair is not a diagnostic criterion for PCOS, nor are liver function tests. ...Read more
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