Primary infertility Hyperprolactine

Female patient age 27 yr Usg HSG HSA all are normal Chief Complaints Not conceiving since 1 yr Menstrual history normal Investigations All investigations normal Prolactin on d2 is 45 Management What will be treatment for high prolactine level

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The most common treatment approach is with the dopamine receptor agonists, bromocriptine and cabergoline. Bromocriptine normalizes prolactin and decreases tumor size in 80%–90% of patients with microadenomas. Adverse effects include nausea, orthostatic hypotension, headache, and fatigue.

Tab.cabergoline 0.25mg bd for 3mnth then Tab.cabergoline 0.5mg weekly after 3mnths Consult Endocrinologist if available

Thank you doctor
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Treat with tab Cabergoline 0.5 mg daily for 3 months and then weekly if required

Thanks Dr. Pushker Bhomia, Dr.Dinesh Gupta
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Consult an Endocrinologist

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Follicular study induction hormonal assay

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Tab cabgolin. 5mg weekly x 8wk then repeat test

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Invgtns:- Ideally need to do POOL prolactin test to confirm actual levels . Medical mangmt:- cabgoline preferentially over bromocrpitone Consider neuroimaging if emerging prolactinoma

Mam, what is POOL ?can I know it ??
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Tb cabgolin with dose 0.5 mg twice weekly starting dose then evaluate every 2-3 months.

NICELY DISCUSSED. IN DETAILS THANKS. DR

Give Tab. Cabergoline 0.5 mg 1 time for 3 months

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