37 yo female 5'9" 160lbs
Hx Graves Disease 2000 - 2006 treated w/ PTU & synthroid
2002 - 2 miscarriages
2003 - Prolactin 47 - MRI 3mm x 4mm diffuse area of decreased enhancement on left posterior in the anterior aspect of pituitary = microadenoma. Dostinex 2 months - pregnant.
2005 - TSH low (PTU/synthroid); Prolactin normal; GH slightly increased 6.3; IGF-1 normal; MRI - no evidence microadenoma
2008 normal TSH; Prolactin 4
2009 - 20lbs weight gain from 2006 post baby to present
Aug '09 Increased TSH start 25mcg Synthroid
Ear fluid/2 double ear infections/ear pain - internal and cartilage Sept '09 to present
Sept '09 wedding rings too tight to wear w/o fear of having cut off
December '09 start Chlorthalidone 12.5mg/day for hypertension
January '10 increase Chlorthalidone to 25mg/day for hypertension
January '10 MRI - question of 6mm x 3mm diffuse area of decreased enhancement on left posterior pituitary - not visible on coronal images - certainly not definitive diagnosis
January '10 - Prolactin 22 (normal)
Long story short - I'm wondering what to do with the recent MRI that says question of microadenoma and not a definitive diagnosis. My NP who ordered the test wasn't concerned and indicated that if it's there its so small and not growing much - perhaps we could repeat MRI in a year. I'd rather not have to wait a year for an answer if there's a chance the microadenoma could cause my recent problems with hypertension; weight gain; rings not fitting; ear pain, etc?
How do I go about getting a more definitive diagnosis? If microadenoma is there and hormone levels are normal do we need to continue to monitor? Do I need a specialist?
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
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. MedHelp 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.