This is Dr. David
do you have the levels of your prolactin and testosterone levels?
that is good you are not overweight.
there is a chance your pituitary gland could be producing too much prolactin in your body. in some women, this can even lead to lactation even when they are not pregnant.
high testosterone or androgen levels in women can be due to polycystic ovarian syndrome where your ovaries are producing too much testosterone in your system.
your pituitary gland would not produce testosterone, but it could produce too much leutinizing hormone which could cause your ovaries to produce too much estrogen and testosterone.
you need to see an endocrinologist specialist and get more blood work to check your LH, FSH, and other pituitary hormone levels like ACTH, TSH, growth hormone, prolactin levels, and also ovarian hormones like testosterone and estridiol.
if your pituitary hormone levels are high, you will need an MRI scan of your brain to check on your pituitary gland as well to see if it is swollen in size.
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thanks for your blood test report.
your testosterone is only slightly high at 3.02 with the normal range of 0.3 to 1.9
it doesn't sound like you have symptoms of polycystic ovarian syndrome and your LH levels are normal.
your main issue is the high prolactin level
your pituitary gland could be just making too much prolactin. this can be called a prolactinoma.
doctors use drugs known as dopamine agonists to treat prolactinoma
these drugs mimic the effects of dopamine, the brain chemical that normally controls prolactin production, but are much more potent and long lasting
commonly prescribed medications include bromocriptine (Cycloset, Parlodel) and cabergoline
these drugs decrease prolactin production and may shrink the prolactinoma in most people
no, this is a benign adenoma in the pituitary gland which makes too much prolactin.
it is not a cancer which can spread and kill you.
it is just an abnormal collection of cells in the pituitary gland which is making too much prolactin.
the blood tests showing high levels of prolactin is what is needed for diagnosis.
the MRI scan of the brain to look at the pituitary gland is to only see if the gland itself is swollen or not. most likely it is not swollen or only minimally swollen in size.