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Prolactinoma
My prolactin was around 150 twice measured at 10 days gap
Doctor suggested to go for MRI pituatary
Findings in my MRI report
"There is an ovoid nodule measuring 6.6 x 8.8 x 5.7 mm (AP x TR x CC) seen in
pituitary gland on left side, which appears isointense on T1, heterogeneously
hyperintense on T2, hypoenhancing on early phase of dynamic contrast images
and intense homogeneous contrast enhancement on delayed images of dynamic
study. Pituitary stalk is deviated towards right side. Imaging findings are
suggestive of pituitary microadenoma. Serum prolactin estimation is suggested"
Now Doctor has suggested me Cabergolin 0.25mg twice a week
Is this good?? Does it have side effects?? Who should avoid this??
I felt a lil dizzy i think next day of consumping it
I also have PCOS other than this
Answers (11)
Cabergoline is one of the best medication for prolactinoma.side effects are minimal u might feel diziness nause amd vomiting.In case any of these symptoms appeared dosage of the medication has to be adjusted
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Cabergoline is the right treatment â it is the most effective drug for prolactinomas with minimal side effects. Dizziness on day 1 is very common; take it at night with a meal to reduce this. It usually settles within 2 weeks. Your prolactin of 150 with a microadenoma of ~9mm on MRI is a clear indication. High prolactin suppresses ovulation and worsens PCOS â so bringing prolactin to normal range with Cabergoline should help your cycles too.
Next Steps
Recheck prolactin in 4 weeks. Do not stop medication without doctor's advice. Repeat MRI at 6 months. Please consult me directly on Practo for a detailed evaluation.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Contine the medicine , its drug of choice in micro adenoma .its c/i in pregnancy, and safer drug in pregnancy is bromocriptine.so in nonpregnant female ,cabergoline is good drug of choice.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its good
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.