Recently Answered Questions
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I have pituitary gland growth issues. Please help.
Query: Hello doctor, I am suffering from abnormal growth of pituitary gland. The doctors were saying that my prolactin and growth hormone level is quite high. They suggested me for surgery. I was afraid for surgery. Then they said to take medicine Cabergolin 0.5 mg two tablets twice a week for three months... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your detailed query and gone through your reports (attachment removed to protect patient identity) and from what you have mentioned, it appears that you have hyperprolactinemia and raised IGF -1 which are being treated with Cabergoline. I would advise you to c... Read Full »
I have a long period span. Should I take Hcg injections?
Query: Hi doctor, In the last two months my period span was 34 days. As I am trying to get conceive I went to gynecologist to know is there any wrong. She asked me to get CBC (complete blood count), hormone test and urine test. My blood sugar and all other are normal. My LH 6.31, FSH 7.91 and prolactin 53.... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your problem and seen the pictures (attachment removed to protect patient's identity). Period span of up to 35 days is normal. Your prolactin 53.92 is high and you need medicine for it. A follicle size of 1.8 cm or more is mature and if it doe... Read Full »
I have high thyroid and prolactin levels. Can I conceive?
Query: Hi doctor, I have been trying to conceive for last one year. Examination showed high thyroid and prolactin levels. My doctor put me on Thyronorm 25 and Cabergoline 0.5. My thyroid levels became normal but my prolactin levels came down to 35.06 from 55 after three months. Recent blood test showed 37.... Read Full »
Answer: Hi, Welcome to icliniq.com. High prolactin level may be due to stress or usage of multiple drugs. Are you under any other medication? As your prolactin level is responding to Cabergoline, you may need to increase the dose to get your prolactin under control. Revert back with the answer for the above... Read Full »
I have not had periods despite taking medications. Why?
Query: Hi doctor, I have been having PCOD since last 14 years. I started treatment before four years with Bigomet SR 1000. After continuing it for eight months, I had periods with more gap compared to earlier. Then, I had periods only with the help of medicine and so, I left the treatment. I started my tre... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity) and in your case, PCOD (polycystic ovarian disease) is not a problem for delayed menses, but high prolactin levels due to hyperprolactinemia. PCOD can be controlled with diet, exercise a... Read Full »
Does Cabergoline increase prolactin secretion?
Query: Hello doctor, I am a 26 year old female. My periods were slightly irregular, so I checked in with a gynecologist who prescribed blood tests. My TSH, FSH and LH were at normal levels, but my prolactin was high at 72 ng/mL. I have been taking Domperidone prior to the test for 15 days. My doctor sugges... Read Full »
Answer: Hi, Welcome to icliniq.com. Domperidone is known to increase prolactin secretion which is the cause of your delayed periods. Cabergoline does not increase prolactin secretions; rather it is prescribed to reduce hyperprolactinemia (increased prolactin levels). Your prolactin levels are moderately hig... Read Full »
My wife had an ovarian torsion after egg retrieval for in vitro fertilization. Why did this happen?
Query: Hi doctor, My wife and I are struggling with fertility and have been through IVF four times. During the last cycle, she had an ovarian torsion. We started the IVF process when my wife was 24 years, not overweight, and had no prior health issues. We have had one viable embryo from our first cycle of ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Just having or not having a medication cannot trigger torsion. Cabergoline is used to suppress the VEGF (vascular endothelial growth factor), thereby preventing any risk of OHSS (ovarian hyperstimulation syndrome). I feel the real reason is t... Read Full »
I have high prolactin.Will this affect my fertility?
Query: Hi, My doctor said that I have high prolactin, almost 200, but I have regular periods. My periods are regular and usually have an interval of 30-33 days. I do not have any othe menstrual symptoms, other than milky nipple discharge. I take ovulation tests every month and comes back positive on my fer... Read Full »
Answer: Hello, Welcome to icliniq.com. High prolactin levels with galactorrhea (milky nipple discharge other than normal breast feeding) can often cause delayed ovulation and irregular menses. The ovulation kits detect the LH surge and do not exactly tell us if there has been ovulation at all. Ther... Read Full »
Is it possible for an otherwise healthy person to have gynecomastia?
Query: Hello doctor, I had prolactinoma diagnosed with secondary hypogonadism. I was treated with cabergoline and hydrocortisone for a few years and then taken off hydrocortisone when the adrenals began to function properly. My most recent blood tests came back normal, and I was tested for loads of other... Read Full »
Answer: Hello, Welcome to icliniq.com. Gynecomastia could be due to a testosterone deficiency, thyroid disorder or adrenal insufficiency in your case. Since your prolactin levels are normal and there is no further growth, it is no longer due to the prolactinoma. I would suggest you have yo... Read Full »
Kindly suggest a treatment for sleep problems.
Query: Hi doctor,I am a female of weight 60 kg and height 176 cm. I have been having extreme trouble with sleeping for about 18 months now. I struggle to get to bed, and when I finally do, I wake up once in one and a half hours or so and feel like the sleep is not a deep one. I feel like I have a restless ... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. From your limited history, two plausible causes of your insomnia can be made out. Cabergoline is a dopamine agonist, which has stimulating properties. However, you cannot quit taking it because it is needed in your case. Hypothalamus is connected to the pituitary bot... Read Full »
Will a prolactinoma shrink for a patient in his 70s after increasing the dose of Cabergoline?
Query: Hello doctor, I would appreciate your opinion about a case in which pituitary surgery has been indicated. A patient in his early 70s was diagnosed with a prolactinoma ten years ago. He was prescribed a tablet of Dostinex 0.5 mg per week, which was then reduced to 0.5 mg per two weeks. The prolactin ... Read Full »
Answer: Hello, Welcome to icliniq.com Pituitary surgery is rarely required in prolactinomas and is generally reserved for patients intolerant or resistant to Dopamine agonist therapy, Cabergoline. Surgery is indicated only if visual field defects, headaches, and hypopituitarism are present. In addition, the... Read Full »