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. But I continued this medicine till now (eight months). I want to take a doctor's advice. I tested prolactin and IGF-1 recently.Prolactin 725 ng/ml (ref. for Female 1.9 to 25.0) and IGF-1 was 702 ng/ml (ref. range 87 to 238), HGH was 5.90 ng/ml (ref. range up to 5.0). Again, I checked recently prolactin 6.01 ng/ml, IGF-1 was 343 ng/ml, and HGH 1.44 ng/ml (ref. range 0 to 18.0). I have attached the medical reports. Please suggest me. Should I continue the same medicine? If yes, then please specify dose and time limit. If you have other suggestions, then please recommend me. Thanks for giving your valuable time.
Hello. 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 continue your Cabergoline treatment till your IGF-1 levels also normalize. Pituitary macroadenoma can be treated with either Cabergoline or surgery. Repeat your tests again every four weeks only Prolactin and IGF-1. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online -->