I am having an MRI with contrast due to recently finding high plrolactin levels. This has been ongoing for a few years after lactating for several years.
I found an article writin by a fertility dr. in my area... here is an excerpt from it.... my question is at the end of my post.
Towards that end, I think it is very important to discuss serum prolactin levels in various diseases. While any process causing hyperprolactinemia may present with a variety of elevations, I think it is worthy to note that most prolactin secreting tumors will present with a relatively highly elevated prolactin levels, frequently greater than 100 ng/ml. Traditional medical teaching for many years dictated that patients with serum prolactin levels less that 100 ng/ml do not need evaluation of the central nervous system. However a review of the literature will demonstrate that the vast majority of infiltrating hypothalamic diseases, as well as life threatening brain tumors resulting in hyperprolactinemia, fall into the mildly elevated prolactin range with levels frequently between 40 and 100 ng/ml of serum prolactin. For this reason, if I had to limit the number of scans I was doing, I would preferentially image those patients with mild prolactin elevations. I believe that all patients with hyperprolactinemia deserve a imaging study of the central nervous system. However, patients with significantly elevated prolactin levels almost always have a prolactin screening tumor which should respond to medical therapy. It is the patients with modest elevations and other life threatening conditions whom we do not want to miss during the clinical evaluation of the process. http://www.cincinnatifertility.com/Doctors_Section/Hyperprolactinemia.htm
In the mildly elvated range he talks about... what type of other hypothalamic diseases and brain tumors is he referring to that could also elevate prolactin?
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.