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Hi, I have done a blood test and the prolactin is showing high 363. Testosterone is showing normal 12.8 and estradiol 22.7. Please advise.
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Hello. There are many causes of increased prolactin level but it is mandatory to get contrast mri of pituitary gland done once prolactin is more than 100 to rule out pituitary microadenoma or pituitary macroadenoma. At the same time other causes of increased prolactin (medications, thyroid dysfunction, liver dysfunction) need to be ruled out. Treatment with cabergolin need to be started.
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