Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

139 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

On cabergoline for high prolactin levels. Having irregular periods. MRI showed pituitary macroadenoma. Any suggestion?

Answered by
Dr.
Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 822 Questions

default
Posted on Tue, 19 Nov 2013 in Thyroid Problem and Hormonal Problems
Question: hi dr i have been suffering from high prolactin from last 4 years and also my mri showed pituitary macroadenoma. i have been regularly taking cabergoline but still my prolactin levels are not normal and also my periods are iregular. please help.
doctor
Answered by Dr. Minal Mohit 22 hours later
Brief Answer:
Need more details Ma'm.

Detailed Answer:
Dear Ma'm, Hi! As per your statement you are suffering from prolactinoma. You are on cabergoline already and you still have high prolactin and irregular periods. I need to know the size of your macroadenoma in the last 4 MRI starting from first before starting the treatment and now after four years, also the values of prolactin first and now. I would appreciate if you can tell me the values of other hormones as well that is - TSH, FT4, Cortisol, ACTH, LH, FSH, Estradiol.
How is your vision? is the macroadenoma big enough to reach near optic chiasma? Are you having breast discharge as well because of high prolactin? Please Tell me if you can so that I can answer you better. Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Minal Mohit 41 minutes later
mam my all other hormones are normal and also my vision is normal. i also donot have any discharge from breast. I will also get my prolactin test this week and will attach the reports.

mam can u please suggest me as if homeopathy is successful in treating this problem completely.
thanks
doctor
Answered by Dr. Minal Mohit 4 hours later
Brief Answer:
Homeopathy is not my cup of tea.

Detailed Answer:
Dear ma'm, Homeopathy is not known to me. Please tell me if the size of adenoma is decreasing? you can increase cabergoline to thrice a week. regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Minal Mohit 18 hours later
Mam I need one more advice is watching tv working on laptop and using harmful for high prolactin and also is macroadenoma has any bad impact on health apart from irregular periods. Thanks a ton for ur advice
doctor
Answered by Dr. Minal Mohit 4 hours later
Brief Answer:
Screen time is not related to adenoma.

Detailed Answer:
Dear Ma'm,

Screen time will affect your vision otherwise , not because of adenoma.

Second query, high prolactin can cause irregular periods because of two reasons 1. hormonal effect 2. mass effect.
If it is hormonal effect and is physiological then no it will not cause any problem other than irregular periods. But irregular periods will cause all features of early menopause. But if irregular periods are because of mass effect of adenoma, causing suppression of all hormones including LH, FSH, then it must be suppressing GH , TSH, ACTH as well.

In this case we must take an action depending upon the reports and the size of adenoma in last 4 years.

Regards!
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,   ,  
Treatment/Therapy
Lab Tests
Medical Topics ,  

Recent questions on  Prolactin

doctor1 MD

just got blood test results back and my prolactin levels are high...im 44 and have not had a period in two months.my breast are so sore and my entire spin aches and hurts..my joints feel swollen as well..ive never been able to get pregnant..does high levels of prolactin cause any spine muscle pain?

doctor1 MD

hi

This is Pallavi ,. I am 26 yrs married girl. with 5.7 height and my weight is approx 65.

i got married in 2009. Now we both are planning to have kid ASAP. We consulted a gynecologist , also gone through my Tyroied checkup and my husband's semens analysis.

My report says my free T3,serum by CMIA is 3.06 and TSH(ultrasensitive)serum by CMIA is 7.03

and prolactin total is 26.

And my husband's Grade 1 (Immotility is 95%

grade 2 (non progressive motility ) is 05%

grade 3(slow progressive motillity) is 00 %

grade 4 rapid progressive motillity is 00% and sperms count is 37 millions /ml .

he took this test on 5th may.

So our doc suggest me to take T.Eltroxin ,T . cabgolin and Letroz

and for my husband Maxiza,Hey Forte .



So my querry is how many days require to balance my hormone and to get increase his spearms motillity.

How much time require to concieve ( to have baby).

Also is there any side effect of the medicine which i mentioned above ?

Is it the case of infertility?

Please reply me soon , waiting for your precious reply .



Thanks

Pallavi



doctor1 MD

Hello Dr.
I'm 26 yrs old .I have very very much hairloss problem n every time after washing my hair is fallen to much . I have dandruff n itching problem . N my tsh point is 35.77, my prolactin is 37.3 . That's why doctor advising at me to take androanagen n sebwash shampoo .
Nw I want to know is it good for my hairloss problem. N will it work ?


doctor1 MD

I m 29 year unmarried girl..i used to hav irregular periods some timez getying delayed by amonth or two..i was prescribed by doc todo lh n fsh levels n prolactin..it came Fsh 4.50,Lh 6.17.this test was done on 2nd day of my periods(natural way without any medication )n prolactin came 26.63.doctor didnt gav any medication n tild ne no need to worry.now i again git iregular peroids with delay appx 3 months.Doc advised me to repeat prolactin which came 13.71.n normal thyroid levels.she prescribed me cylcoreg(norethisterone) 5mg tid for 5 days..two days passed i didnt get my periods ..she told ti wait for a week ..can u please tell wat shud i do

doctor1 MD

I had a zit in my left nipple. I squeezed it and puss came out. I never knew you could get a zit in your nipple?!?! Is that ok?

doctor1 MD

Hi Sir, I hope you remember me ! My father got pituatory macrodenema surgery 3 and half years back. Its because of prolactin production and the surgery went well. he lost vision in one eye before the surgery only due to pressure because of the...

doctor1 MD

Hi,my periods are delayed for 2 months. I took a bhcg on 2nd Nov and 15th Nov, it is negative. TVs shows pcos , I took primolut from 5th till 10th of Nov, twice in a day. No periods. Insulin , tsh normal , no prolactin