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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 · 1 month 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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  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 1 month ago