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  5. What should I do next since my prolactin level is high? Do I need additional tests or medication? I have had PCOS for the last 5 years.

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What should I do next since my prolactin level is high? Do I need additional tests or medication? I have had PCOS for the last 5 years.

Asked by Male, 50 · 8 months ago

Y. Lakshmi Thulasi

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

8 months ago

Elevated prolactin levels, particularly in PCOS, may be a sign of a pituitary dysfunction or other underlying condition. To screen for a prolactinoma or other causes, you may require more testing, such as an MRI. If needed, your doctor could recommend drugs like cabergoline to reduce prolactin.
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What medications are used to lower prolactin?How long does it take for prolactin levels to normalize?Can high prolactin cause other health issues?Is surgery needed for prolactinoma?What are the side effects of prolactin-lowering medicines?

  1. Diagnosis Confirmation:

    • PCOS is not applicable to males. Consider a possible miscommunication.
    • Confirm high prolactin levels with repeat testing, ideally fasting and stress-free.

  2. Identify Underlying Causes:

    • High prolactin can result from pituitary issues, medications, or hypothyroidism.
    • Consider an MRI of the pituitary gland and thyroid function tests.

  3. Treatment Options:

    • Medications like dopamine agonists may be prescribed to lower prolactin.
    • Address any identified underlying conditions.

  4. Consultation:

    • Seek an endocrinologist for specialized evaluation and management.

Discuss these steps with your healthcare provider for tailored advice. Avoid self-diagnosing or assuming conditions like PCOS apply to males.

Answered 8 months ago

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