Tumors and surgery can sometimes damage the posterior pituitary back part of the gland. Surgical treatment The use of surgery and radiotherapy for prolactinomas has declined in recent years, due to the remarkable effectiveness of tablet treatment. A scan is usually carried out to give detailed pictures of the pituitary gland. You may have reduced interest in sex low libido and experience vaginal dryness and discomfort during intercourse. What is the pituitary gland?
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Growth hormone replacement therapy may also be required. You then would need to attend a specialist endocrine clinic as an outpatient for further tests, including any scans see below. But medical information is always changing, and some information given here may be out of date. You may also develop excess breast milk production called galactorrhoea , which may leak spontaneously. Other health-related information is available from the AAFP online at http:
Please be assured that this is a benign tumour, and not a brain tumour or cancer. In other words, there is usually a hypothalamic "brake" set on the lactotroph, and prolactin is secreted only when the brake is released. Although it is tempting to look to see if it is still present, you should resist the temptation. Prolactinomas are rare in children; when they occur, they may cause headache and weight gain. Empty sella syndrome ESS may occur if you have an enlarged sella turcica.
A comfortable bra and nipple pads like those used by women while breastfeeding can be helpful in the meantime. Dostinex, Cabaser can also be used to lower prolactin levels. Stress also has been shown to cause nipple discharge. Surgery is the preferred treatment for most pituitary tumors. All types of breast carcinomas e. The larger and more invasive the tumor, the less likely the tumor can be cured by surgery.
2 years ago