micro adenoma and depression

[Chinguyen1408]

Hi, I was diagnosed with pituitary micro adenoma last week (7mm), it was not shown on a CT scan, but they found it on MRI. My prolactin level was 33, and 40 for 2 time testing. I am planning to see an endocrinologist soon. I don't have severe headache or milk production or irregular menstrual cycle or vision problem,. However, my biggest issue is that I am also suffering from depression and anxiety disorder and the trigger of my anxiety episode is extreme health concern. I am taking celexa 10mg and atarax. My question is how serious is my pituitary issue. Is it treatable? and does pituitary disorder has anything to do with my mental health?
Thank you

[rumpled]

It can be controlled by meds... But I would question if I were you why they are not changing your existing meds to see if it is the cause and get on something that does not raise prolactin. After all, why take meds that cause a problem and cause the symptoms (potentially) and then more meds on top of it until you know the source...

After all, treating the source is standard...

Just a thought...

[Chinguyen1408]

thank you Rumpled. I went to 2 endocrinologist in Texas Medical Center. One from Houston Thyroid Center and One from Baylor College of Medicine. They ordered the complete hormone check up for me with fasting. (ACTH, TFH, SFH, IGF, Cortisol, Thyroxine, CBC and Comp. Metabolic Penal). All of  them came in normal range except for Prolactin and Macro Prolactin with slight elevation  40ng/mL. I am currently on anti-depressant (Celexa and Atarax) so my doctor said it might be the medication that elevate my prolactin. He told me to come back in 4 months to reassess and told me not to worry because Prolactin can be controlled by medication. Is there anything else that I miss? Please let me know. Thank you

[rumpled]

It is well known that pituitary issues cause depression and anxiety.

It is fixable and you have to determine what the type is to know the treatment. You really should consider a pituitary center so you get better testing (in theory) so get copies of everything and do research so you know if you have a good decent doc instead of one who just does prolactin and says all is well.

Pituitary can be complex but it is treatable.