Yes. A woman with a prolactinoma can become pregnant. There are medications such as bromocriptine and Cabergoline that will lower the prolactin level so that patients can become pregnant. This needs to be coordinated carefully with the help of an ob/gyn physician and an endocrinologist. Also, the proper formulation of the medication needs to be given to avoid affects on the fetus.
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.