Pituitary Adenoma : Non Surgical treatment (Cure without Operation). Prolactinoma. By Dr Skanda(NSx)

[@lawalomotolani6610]

God bless you for this labour of love of giving attention to addressing people's individual problems.

[@edithmupenda9990]

Had macro pituitary adenoma and had very successful excision of the tumor. Everything is back to normal, my sight and hormones are normal.

[@TheBrainDoc_talks]

Good to know that 👍

[@shamiriyas6747]

Is it ur vision loss before surgery?

[@gurumurali9199]

@Edith mupend cost of surgery

[@lisad82]

where was the surgery if I may ask?

[@user-ie6le5qd2p]

How did you find out you had this? I'm currently having all kinds of symptoms years now that are pointing to this. What do I get tested for to find out? I'm seeing an endocrinologist at the Cleveland clinic to find out the cause but no luck finding what yet. I suspect a pituitary turnor

[@Sushant-org]

➤ Superior margin of the pituitary gland is convex / elevated (2mm) with well defined rounded enhancing lesion (~9x7mm) in the central aspect of pituitary gland and the lesion is extending into the suprasellar region, not abutting the optic chiasm. The infundibulum is centrally located. Findings are suggestive of - Pituitary macroadenoma....sir av surgery ki jarurat hai kya...hormone profile normal hai

[@michaelbernstein4650]

Hello- my father (80) has had recurring headache/vertigo (he had ear issues) and became worse last couple of months which promoted MRI scan- report just details enlarged pituitary is 14x14mm w few necrotic foci but no supersellar extension. , no invasion etc. He had recent blood tests- normal, he has had no vision problems either. Will be taking him to specialist soon but curious about your take.

[@shivrajgohil6988]

Hello sir I have pituitary macro adenoma size 19mm but don’t have any visual problems and my prolactin level is 4236 it’s too high what to do for that Please reply

[@ComedyBadshah237]

Hello dear same problem my self ......u r from kindly share your contact number please

[@meenusingh3998]

A focal area of abnormal signal with low enhancement in early dynamic post contrast scan in right side of pitutiary gland measure 7×4mm which appers mild hypointense on T2 sequence and isiontense on T1W sequence ... Sir mera prolectin 138 aaya hai aur mri mei yh aaya hai oper mention hai period mei problem hai sir btaye yh kitna hai??? Sir uterus lining bhi thin hai 3mm aur pcod bhi hai toh sir kya iska effect uterus lining par bhi pdta hai???

[@aschuck2728]

super helpful. I recently got bloodwork done and my prolactin is above 4700 ng/ml. I also have headaches and pain behind my eye that hurts when i put pressure on my eye. I suspect I have prolactinoma and am getting an MRI in the next few weeks

[@TheBrainDoc_talks]

Yes please get a MRI , get vision field checked n consult a Neurosurgeon

[@valli4369]

Have you done with Ur MRI?

[@valli4369]

What was the report?

[@aschuck2728]

@@valli4369 it’s scheduled for July 9

[@bindoolimbu2208]

@@aschuck2728 pls update. also I do have left side eye pain

[@misbahkureshi03]

Sir i have detected with 7×7×7 mm microadenoma and my prolactin level is 79 and i have severe headache? Camborgoline medicine are started but the headache is severe and i have headache at the time of observing something sir pls plz tell me what to do???

[@sizzlybarkitchen4646]

Hallo Dr. thank you so much for the informations. I have just a question about a case. A female patient 17 years old complaining of amenohrria since 3-4 years as well as polyuria and polydepsia and sometimes headaches. Her prolactin hormones are slightly elevated 1130 mIU/L, FSH and LH are zeros. A brain MRI shows Pituitary stalk thickness of 6,3mm and increased to 6,7 mm within 6 months. We did all possible blood tests and they were all normal. Please tell me what is your opinion and what should we do? Thank you so much in advance

[@TheBrainDoc_talks]

It's better to start with cabergolin / bromocriptine and see the response after few wks

[@sizzlybarkitchen4646]

@@TheBrainDoc_talks we did gave her, the prolactin level is down to normal but the thickness of the stalk increased

[@TheBrainDoc_talks]

If all her symptoms also resolved along with normalisation of prolactin, then u can for now ignore about the stalk thickness and do a repeat MRI after 6 months

[@afnanabir5042]

Sir, I took MRI three days ago. I have a micro adenoma size (0.32*0.64 cm) almost 2 mm . My prolactin was 36 two weeks ago. Doctor referred me Cabolin 0.5 to take once in a week for 1 year Sir please share your opinion in my case. I’m in mental trauma with my illness. Can’t even concentrate on my regular studies

[@TheBrainDoc_talks]

It's a small tumor (microadenoma) and if your hormones are normal there is nothing to be worried about. You may just need regular follow up MRI to look for any significant increase in the size of tumor and vision charting

[@erinjoan2070]

Thank you for sharing this, I’ve had a Microadenoma result on an MRI and prolactin above 2000, just waiting on Neurosurgical appointment, would you know of any Alternatives to the medications, such as Natural?

[@TheBrainDoc_talks]

Prolactin level of 2000 is highly suggestive of prolactinoma. It should come down with cabergolin therapy don't worry

[@angelaruark8655]

Hello Dr Moorthy I was diagnosed with a 2 mm pituitary microadenoma on 1/29/23 MRI . My prolactin levels were 27. 8 in 12/2022 then 23.1 on 1/04/23 and back to 16.9 on 1/10/23. I originally asked my doctor to check my hormones as I noticed lack of sex drive and for a few weeks I was sleeping 14-16 hrs . My sleep regulated it self in late December and the low libido I think it's from anxiety over previous gynecological procedures in 2022 My question is , what is your opinion on treating this with medicine vs surgery vs monitoring it ? My doctor is referring me to Endocrinologist to discuss but my doctor said they could start me on Cabergoline .05 half tablet twice a week . Do you know if medicine is usually recommended as an attempt to shrink / stop tumor growth regardless of normal range levels of prolactin/ other hormones ? Thank you for reading - Angela

[@TheBrainDoc_talks]

Very small tumor with normal prolactin levels ..only observation...no treatment recommended at this stage . Repeat mri after 6 months to look for any growth

[@angelaruark8655]

Oh ok, that makes sense. Thank you so much for responding . I appreciate it. I see Endocrinologist in a couple weeks to further discuss . Have a good rest of the day - Angela

[@prabirroy9311]

Do not fear. You will see the same size after six months.

[@saifulshaikh7424]

I am a pituitary macroadenoma patient. I have no headache, no eyesight problems, no nausea but have enlargements of finger, toes, feet, limbs and facial parts, face has started darking. Halting speeches, snorting, salvia secretion in sleep. And also bleeding from teeth. Can not pass urine clearly, have sexual problem. And also pain in hand. Size of Macroadenoma is A 1.5*1.4*1.3 cm on 16.09.2023. HGH-63.6 ng/mL, IGF-1(Somatomedin)-497 ng/mL(19.10.2023) . Please Please sir suggest me.

[@saifulshaikh7424]

All other reports are normal.

[@heinrich_1681]

Sir please make a full video on rethake's cleft cyst

[@heinrich_1681]

Hello sir is there any chance to get normal vision in patients after tsh(transsphenoidal surgery) RCc excision

[@catherineharazi5849]

How can i shrink a pituary tumor naturally with out using medication which im supposed to take. Plus my adrenal gald is non existing and there is no cortol present either the endocrinologist has said.

[@mahomedshabeerismail8384]

I am on Dostinex Do I Still need Surgery To remove any Masses around.

[@babupulincholi8110]

Sir I got surgery macro pituitary gland 1 year back what should I do next

[@oyandakona5994]

My mom is 73 dr recommended the removal of it thru surgery im worried about sides effect But i want her to have a better vision

[@kherunnisha4844]

Sir ,can cabgoline depression cause krti hai? Week m 2 dose diye hain.

[@sachinpatel7889]

I am 35 years old man. My prolactin levels stays above 50 and go upto 100 also. My testosterone level stay below limit always even though i do regular exercise. In initial 02 MRI reports, my pituitary was normal only. In recent MRI, they are saying likely to have microadenema but not sure. Carbelin 0.25 mg bring my prolactin level down but not the testosterone level up. Once i stop medicine both goes in abnormal conditions. Since last 14 years i am looking for solution but i am not. Sir can you please suggest anything

[@richguev]

Did you find the issue?

[@sachinpatel7889]

What do you mean, I am not getting it

[@rashadhamad7780]

Hello Dr. 7years my mri result was prolactinoma 4.6mm with prolatin secreting 1500 in the blood after taking dostinex and after cabergoline for many years my prolactin level remain high mostly the same and the tumor grow to 6.4mm.now 5 months ago i tried bromocriptine (parlodel) changes starts but not much so i double the pills to 2 pills a day last week my prolactin level decreased to 359 should i stopp taking the medecine .knowing that still feeling headache and tired most of the time

[@DamarisYbarra-j2x]

Hello I just found this video… I was diagnosed with a macroadenoma but we are not sure if it’s a prolactinoma or not because the size of the tumor is 11mm and prolactin levels 100. I’m not sure if surgery it’s better or medication… Please help me figure this out. Thank you!

[@TheBrainDoc_talks]

Prolactin level of 100 is not a prolactinoma. No medical option for this. Surgery is better

[@babyjanemorillo7662]

@Health and Wellness,I've been diagnosed microadenoma(prolactinoma) last month,and the size is 0.5centimeter,and the doctor gave me a cabergoline good for 1 month,1 pill weekly,I want to know it is possible for shrinking the tumor?

[@TheBrainDoc_talks]

May I know your prolactin levels ? If its a prolactinoma it shrinks with cabergolin however if the raise in prolactin is because of the stalk effect as explained in the video then it may not shrink

[@anushkatiwari4480]

@@TheBrainDoc_talks how stalk effect is treated?

[@siratgill4992]

Am also diagnosed with pituitary tumer last month my dr gave me same Medicn cabergoline 0.5 mg .from Amritsar

[@rocky3105]

Sir growth plate fused hone ki badh. pituitary gland active ho jaye ya pher pituitary gland mein tumour ho jaye tabh kiya height increase ho sakta hai. Aur hogi to kitna ho sakta hai..... Ummit karti hu sawal ka jabab denge

[@TheBrainDoc_talks]

Growth plate fuse hone ke baad height increase nhi hoga...isliye there are two types...growth hormone excess before plate fusion causes gigantism and after plate fusion causes acromegaly. ..height increase nahi hoga but other typical features honge. Aap just google me Acromegaly type karo sare characteristic features ke detail and photos miljayenge

[@godgrace2976]

Very nice sir, God bless you

[@kapilarora4568]

I have 3 mm tiny cyst in pituitary gland and doctar said for no treatment but i m worried about to remove this , now please advice me to stay calm with this

[@munazamubeen6915]

What you do because same with me

[@majedaarr]

Thank u for sharing, I have micro adenoma and period issue for many years , however no treatment is done .is it dangerous and do I need treatment to conceive

[@TheBrainDoc_talks]

Pls check your complete hormone profile including prolactin

[@09ShyGurl]

Sir, I took an MRI 6 months ago and found a microadenoma 3mm my prolactin was high & my vitamin D was at 10. My endrocrinologist did lots of blood work to see if tumor was affecting other hormones besides my prolactin, and it wasn’t. I recently started to have irregular period cycles. Last week MRI results the tumor doubles in size it is now 6mm. Endrocrinologist is doing more tests to see if hormone levels are being affected. She recommends starting the Bromokriptin medication. What are your thoughts on that medication?

[@TheBrainDoc_talks]

May I know the exact value of prolactin? If it's high definitely it's better to start with bromocriptine and see the response

[@09ShyGurl]

@@TheBrainDoc_talks yes it is 68

[@09ShyGurl]

Sorry I mean 88

[@TheBrainDoc_talks]

It's high but not in the range of prolactinoma. But it's possible because of stalk effect which I discussed in the video. Since you are having irregular menses, it is better to take bromocriptine regularly

[@dr.harishdentalcare6842]

Sir I have prolactinoma,mri pituitary macroadenoma 11.8 mm,I should stop exercise?prolactin level 460,no compression on optic,vision field normal

[@TheBrainDoc_talks]

There is absolutely no indication to stop doing exercise. Pls continue your exercises

[@owusuharriet7245]

Prolactin is 200ng/ml no menses for 5 years and my doc prescribed me bromocriptine. I’m I going to be heal

[@jonathaninoy6153]

I was operated last may 2019, but my first dated march 2012

[@jonathaninoy6153]

Thats my second operation of the same case sir. Pituatary adenoma. I wannt to happen again for the 3rd time. Please sir advised what the best medecine for me for i dont want to have another surgery for this case.thank you nd more power

[@TheBrainDoc_talks]

Is the tumor completely removed this time or is there residual tumor ? In case if there is residual tumor better get gamma knife therapy done at your place. If the tumor is completely removed then follow up with regular MRI and so that if there is any sign of tumor regrowth it can immediately be subjected to gamma knife therapy

[@k-no058]

Hello Dr. Moorthy, i have a 4mm pituitary tumor. My only symptom Is low testosterone (ED) the reason i went to the doctors...All my blood work came back normal except the testosterone one. Do you think i should get the surgery? Is there any medication i should be taking to shrink the tumor? 24hr urine Cortisol normal

[@D.Nice..]

Hello, I had the same size tumor with low testosterone as well. Did you start any meds? did it help?

[@advocateomorfarukanik4251]

Hlw sir hope you are doing well . My cousin age would be around 21 recently diagnosed with enlarged pituitary gland with suggestive of focal haemorrhage ( actual stage ) within . His prolactin found 8.74 ng/ml and testosterone 9.27 nmol/L . I would be grateful if you please suggest me the necessary steps .

[@TheBrainDoc_talks]

Prolactin is normal so it's not a prolactinoma. Would like to know the exact size of the tumor and also the status of all other hormones and vision

[@swatisrivastava7363]

Sir my husband have pituitary macroadenoma 2.8x2.5x1.6 cm, so please advice is it possible it can be cure by medicine or if i go for surgery so which hospital is better in delhi for surgery

[@subashgovindaraj4559]

My prolactin level is 41.61 ng/ml other hormone levels are very low kindly provide how to recover from this Sir?

[@TheBrainDoc_talks]

Pls get MRI brain done

[@shaguftasarfraz9681]

Sir ye tumor remve karwany k bad kya phr regrow hojata h plz reply

[@restlesssoul1]

Hi sir. Thank you for the video. I have drug resistant microadenoma. 4.0 x 3.5mm tumor detected in April 2021 MRI - ~8 x 3.5mm tumor detected in Dec 2021 MRI Do you think surgery can be prevented? If not how effective is the surgery? Can I conceive after the surgery?

[@TheBrainDoc_talks]

U said drug resistant. It's resistant to which drug ? And what are your hormone levels ?

[@restlesssoul1]

@@TheBrainDoc_talks both cabgolin and bromocriptin 150 PRL

[@hamedramezani3601]

Hi. Do your adenom efect sex drive?

[@TheBrainDoc_talks]

Value of 150 is not really indicative of Prolactinoma. It could just be because of stalk effect as explained in the video

[@rgk7]

For my relative... pituitary macroadenoma surgery is compulsory.? Its not a prolactinoma.. Any alternative tablet medicine available.

[@TheBrainDoc_talks]

Difficult to comment without seeing the patient . Consult a Neurosurgeon at your place

[@rgk7]

Doctor is telling that surgery is the only way.. Is that true

[@kabhibhikuchhbhi2035]

Sir can cabargolin tablet pituitary adanoma ko puri tarah thik kar deti hai?

[@K1ke8ie1r]

Aapka theek hua cabergolin tablet se?

[@Khan_Posting]

Hello sir I have recently diagnosed with pituitary tumor of 2cm Prolactin levels is 1900 Testosterone level is 84 What should I do

[@mauricio5552]

Like the doctor said Cabergoline 0.5 should resolve the level after 6 to 7 months, from my own experience and the right dosage for me was 2 times a week Monday and Friday before bedtime. My level went from 174 to 5.7 and a regular mri checkup every 9 o 12 months for any increase or decrease in size before doc recommends me to be off cabergoline. Hope this help and I’m hoping to stay away from surgery.

[@himalayantrekkers1899]

​@@mauricio5552.sir mera pituitary tumor Is 1.5 mm prolactin is 190 what can treatment do

[@nowmeline1]

Hello doc MRI Brain pituitary Impression:(summarized) Lesion measures approximately 3×3.6×5.8cm(AP × TR × CC) A large lobulated abnormal signal intensity , heterogneously enhancing sellar mass lesion showing suprasellar extension appears compressing optic chiasma bilaterally.lesion also appears causing bulging the sellar floor . differential macro adenoma. mild sinusitis. Prolactin level - 20.9 Thyroid test normal Only vision of left eye is effected almost 50% *Is there any way to operate it without surgery?????

[@dagre1839]

Hi my friend Your macrodema sound exactly like mine. 2. 3 2. 5 2. 8 cm Lobulated left eye effected How did you get on? I am just looking for surgery now.

[@AyeshaKhan-xb5hk]

Is gamma knife treatment can be taken after radiation?

[@TheBrainDoc_talks]

Yes

[@gisselacastaneda3635]

Good morning Dr. Skanda My husband was diagnosed last year with a benign pituitary adenoma his only symptom is vision loss. He has partial vision on both eyes. His initial scan measured 3.4 centimeters. He has had two surgeries both of them you mentioned in the video. The surgeons have not been able to remove the whole tumor since they said it was hard like rubber and they are waiting to see if the tumor can fall on its own because removing it can be dangerous. Would the medications you mentioned work on my husband's tumor? Also, we have bee. Trying to convince for about 8 months now but no luck. Could the tumor be affecting his reproductive hormones? Thank you in advance..

[@TheBrainDoc_talks]

Hi...medication would work if it's a prolactin secreting pituitary adenoma (prolactinoma) ... according to what you have mentioned I guess it's not a prolactinoma because in that case your doctors would have already prescribed to him

[@gisselacastaneda3635]

@@TheBrainDoc_talks thank you for your response. Follow up question. Does the tumor affect his reproductive system? We haven't been able to convince for about 8 months now.

[@TheBrainDoc_talks]

Yes it can because of the hormonal imbalance it causes ...pls get his complete hormone profile including FSH,LH, testosterone, and prolactin

[@hamedramezani3601]

Hi your husband testesteron is increas or low?

[@sharmajisabjantehain1365]

डॉक्टर साहब इस रिपोर्ट में क्या बताया गया है इसका इसका इलाज दवा द्वारा होगा या ऑपरेशन द्वारा होगा CECT SCAN OF FACE Maxilla and mandible are normal. Bilateral temporo-mandibular joints are normal. Bilateral condylar heads of mandible are congruent with the condylar fossa of temporal bone. No sclerosis of articular surfaces or joint space narrowing seen at bilateral TM joints. Bilateral middle ear cavity and mastoid antrum are aerated. Bilateral mastoid air cells are well pneumatized. Bilateral parotid glands are normal. No mass or nodule seen. No mass seen in the floor of mouth. No mass seen in the buccal cavity. No para pharyngeal mass or collection seen. Cervical spinal column is normal. No retro pharyngeal collection noted. Few subcentimeter sized bilateral level Ib and II lymph nodes are seen, s/o reactive etiology. Bilateral orbits are normal. Paranasal sinuses are clear. Nasal septum is in the midline. Note made mildly enlarged homogeneously enhancing pituitary gland measuring -8 x 9 mm. IMPRESSION: Note made mildly enlarged homogeneously enhancing pituitary gland measuring -8 x 9 mm. Advice Serum prolactin correlation to rule out possibility of pituitary microadenoma.

[@TheBrainDoc_talks]

Consult a Neurosurgeon

[@susanayasmin6359]

my father is having macroprolactinoma , with prolactin level 55000, will it be able to get treated by medicines?

[@TheBrainDoc_talks]

So high prolactin is definitely indicative of prolactinoma...first line of management will definitely be starting with medication (cabergolin) however management will also depend on multiple other factors important one being MRI brain finding

[@ushaa6135]

For microadnoma.. Prolactinoma the value not decrease below 75 for using the above-mentioned tablet.Is possibility for pregnency

[@TheBrainDoc_talks]

Prolactin levels are higher in pregnancy .

[@oyandakona5994]

it measures 25*17*21

[@mikhailgorbachev4262]

Search dr Ankit shrivastav on KZbin and contact him tell him you have pituitary macroadenoma . He will give you homeopathy medicine . Pituitary macroadenoma 100% shrinks .

[@prathamesh803]

My mother is diagnosed with macro adenoma .... Wanted to go for non surgical treatment... please suggest endocrinologist in Mumbai

[@TheBrainDoc_talks]

Will have to get her basic hormonal and vision evaluation. Consult a Neurosurgeon first if required he/she will refer to an endocrinologist

[@pubgplayer976]

Plz make video on vestibular shwanoma

[@TheBrainDoc_talks]

Hi I have already made. Here is the link kzbin.info/www/bejne/apSwfmeaftt2sJI

[@stickercode]

Everyman should keep prolactin below 7 and never let it exceed 10! For woman, upmost limit is 15-20, any value above that is harming the body. Many out there tell below 30 is in no problem zone, which is a false opinion

[@keyanandi3858]

Sir I have pituitary adenoma for last 1 year. Recently the MRI has done and the report has shown(20.07.2022) 8.5×7.6×7mm. And the MRI report of 6months before has shown the size 8×6.3×8.5 and then no disbalance of hormone is seen . But nowadays disbalance of hormone is seen (CORTISOL-5.3mcg/dl,TSH-4.3u IU/mm, PROLACTIN -96.8) My neuro sergery doctor asked to meet an endocrinologist but in the present moment endocrinology doctor is not available my town. So please tell to do.

[@TheBrainDoc_talks]

Get a baseline vision test including visual field charting. Prolactin is slightly elevated due to stalk effect. If you develop symptoms , you may need cabergolin

[@keyanandi3858]

@@TheBrainDoc_talks sir, before 6 days I have go through the test Automated perimetry and doctor said that everything is normal. Neuro sergery doctor asked me to consult with an endocrinologist but endocrinologist is not available in our city , that's why I have consulted with neuro medicine doctor,he started the medicine bromocriptine 2.5mg (1 tablet/day)for 90 days. Pls confirm me if I can continue this medicine or not? But recently I face one more problem of constipation.medicine doctor asked for taking the duphalic syrup(15ml/day),but after taking that the problem is still remain the same as previous. Pls sir reply how I can contact with you by the online mode?

[@SumanMondal-lj1xe]

@@TheBrainDoc_talks pls sir reply

[@TheBrainDoc_talks]

yes bromocriptine and cabergolin work in a similar way

[@kajalchandel5412]

Hello sir My mother had a pituitary macroadenoma. It was treated 4 years ago but again regrown and doctors are suggesting to do surgery again. It is okay to go for surgery again or there is any other method to treat it?

[@vhgvhhjjhbjhbhj]

Can you please suggest what step you have taken?one of close relative facing same issue

[@othellewis8931]

I had pituitary surg for a non functioning tumor in 2020 it is growing again monitoring for now. What did your mother do. I hope she is doing good.

[@EEBShahnawazShahid]

Hello doctor My father have pitutary adenoma after showing to doctor they advised mri and CT scan and seeing these reports say that it not requir surgery but it must be followed up and my father have no symptoms of headaches or eye sight But he always feel dull and sleepy so I want to ask that these are also the symptoms of pitutary adenoma???

[@TheBrainDoc_talks]

What's the size of the adenoma and what are his hormone values ?

[@valli4369]

My prolactin levels are normal but I have microadenoma.....last year i had been on a contrasptive pill for irregualar periods and suddenly my prolactin levels increased and was diagnosed with microadenoma. But my prolactin levels are normal as soon as I stopped the conrasaptive pills. Will the adenoma shrink on its own sir? Because I don't take any tablet for prolactin as they are normal in range. But I have headache

[@TheBrainDoc_talks]

Replied in detail in your other message. But for me this looks like an incidentaloma ...just follow up with regular MRI brain

[@muhsinamuchi2183]

Does menstrual irregularities is the symptoms of pituitary tumor?

[@TheBrainDoc_talks]

Yes it can be one of the symptoms because of resultant hormonal imbalance

[@rafiqislam5062]

I just saw through a youtube video how it is possible to remove a non-surgical pituitary tumor near you then how is it done and if my wife has been suffering from this problem for six to seven months then can we get this treatment and how can we go if we get it I am from Bangladesh

[@TheBrainDoc_talks]

You can consult a Neurosurgeon at your place. They will guide you accordingly. If its a prolactinoma it can be managed without surgery

[@rafiqislam5062]

That my country doctor said that pitutory tumor is only way to surgery it is difficult for surgery in Bangladesh I want to know how to communicate in Indian neurosurgeon in the best pituitary gland

[@MrYadav92]

Sir,,kya aap se kuch jankari mil skhti h pituitary tumor ke baate me

[@ayeshashaikh8844]

Recently I'm diagnosed with microadenoma , wherein I'm facing lot of health issues like hormonal imbalance as well as amenorrhea but my prolactin level is normal 25 , wanna ask , is consulting to a endocrinologist is gud idea?

[@TheBrainDoc_talks]

Yes definitely...also need to get complete hormone analysis including FSH,LH

[@hummykhan3667]

Sir, my mother had pituitary macroadenoma of approx size 5cm detected in MRI of June 2021... We had surgery in July through nose... It was affecting her eyesight... Now the tumor came back and eyesight is slowly going... The side of the tumor now is approx 2cm... What should we do now sir ? We are having homeopathic treatment for this... And else what should we do next ? Please please please guide ❤️ Thank you

[@hummykhan3667]

10 mm = 1 cm So the size is 2.4 × 2.7 × 2.34 cm

[@neerajkayasth3916]

Abhi aapki mummy theek hai?

[@silpamandal200]

Sir my prolactin level 170 After MRI findings is microedenoma. After that doctor told me to take cabergolin 0.25 Is it possible to dissolve in the brain? Any surgery is required or not? What are the side effects long term use of this drug?

[@MEENUMEENU-fp1ed]

Are you fine now???

[@dineshghai7515]

Sir my father 80 his CT scan report shows " Homogenously enhancing hyperdense lesion with no calcification of size 35 by 30mm with no perifical edema in Sella region ,MRI with MRS suggested." Dr advised operation but age is against us, humbly requested to suggest & guide , what we should do now ? Can this be cured with medicine , how can we contact you. Thanks if you cooperate, we will pay your consultation fee as reqd.

[@TheBrainDoc_talks]

Yes get MRI brain with contrast and also complete hormone evaluation. Does he have any symptoms or was it incidentally detected ?

[@dineshghai7515]

Dr sahib first of all thanks for your reply. Pt has no symptoms, it was incidentally detected, MRI & other harmones relating tests performed, MRI shows it as macroadenoma size 3cm,generalized cerebral atrophy, Na 131, K 4.2, chloride serum 94,Fsh 14.76,Tsh 3.11, ACTH 17.30 & Prolactin 27.66, will be highly obliged if you guide & suggest, Thanks.

[@momotajbegum3659]

My husband had pituitary tumor. He took caperguline 2 years. Then tumor symptoms didn't exist. One day he had a heavy headache for mental stress. It occurred for 0nly one day. Never headache occur. But vision problem exists. He has no others problem only vision problem. Pls Dr suggests me

[@TheBrainDoc_talks]

What's the tumor size and hormone values including prolactin value ?

[@momotajbegum3659]

Now his tumor size 3cm, prolactin 241,testosterone 3.4 Dr suggests him bromocriptine 2.5 mg daily. But 4 years ago he took caperguline.

[@mickysingh5904]

Hi sir persistently low testosterone with inappropriately normal fsh and lh 6mm left pituitary adenoma abutting the carotid on MRI low cortisol but normal synacthen test ..... Can this treated with medicine

[@TheBrainDoc_talks]

Hormone replacement will have to be provided, however treatment of pituitary adenoma perse will also depend on the size and extent of the tumor and also other symptoms like vision problems

[@amritpalsingh5603]

Sir cabergolin lene se csf rehnohreha ho gaya ji kya kare diamox bhi leli hai sir please help me

[@TheBrainDoc_talks]

Haa yes ye ho sakta h kabhi kabhi. Tumor shrink hoke ya sellar floor erode hone se...pls get repeat MRI. agar Diamox se control nahi ho rha h tho operation ki zarurat pad sakti h

[@rashadhamad7780]

Hello dr i have been taken dostinex and after cabergoline for 7 years with no decrease in my prolactin 1500 now it has been 5 months i am taking bromocriptin (parlodel) started with one pill each day and my prolactin remain the same but after increasing the dose to 2 pills a day my prolactin level start decreasing till now 359 .should i keep taking bromorcriptin or is it ok to stop .i still have pain in my head and most of the time stress and sometime Loss of consciousnes.any advice

[@hamedramezani3601]

If prolactin is normal but testosterone 5 is free, is low testosterone due to a microadenoma and should surgery be performed?

[@TheBrainDoc_talks]

Low testosterone can be because of many things, pituitary adenoma will have to be confirmed on MRI brain .

[@mukeshroy289]

Hello sir, my mother is diagnosed with craniopharyngioma tumor which size is 16x12 mm. Can this tumor is diagnosed with medicine???

[@TheBrainDoc_talks]

You mean treated with medicines ?? There is no medicine to make it shrink in size. However it is a small tumor going by the size you mentioned

[@RahulPawar-ym2kn]

My wife is 4 Month pregnant (Twins) and a week back she started to have a burry vision, so we did a MRI post consulting with eye specialist as he said the vision is ok it maybe related to brain. Now today in MRI report it said to have pituitary macroadenoma. is there any possibility to cure this with medicine or surgery is required? also we had an IVF done for the pregnancy as her prolactin levels were high

[@TheBrainDoc_talks]

Pls Get a complete hormone profile ...if it's a prolactinoma it can be managed with medications only...but in your case it's a borderline case as she is pregnant too and already has blurring of vision ...operation though comes with more than usual risk, can be considered in second trimester pregnancy

[@HealthBeautys]

Sir my prolactin level is7797 and microadenoma is 7mm please guide me

[@hemamalini9356]

9.5×10×8.7 mm in left hemi pituitary gland micro adenoma pituitary age 53 my mother pls tell me sir

[@johnygomez5738]

Doc. I have pituitary cyst and it is 2mm im also having bluredness in my vision and it also affect my hormones in my reproductive and i have also hypothyrodism ,I dont have medication and i'm afraid to take surgery what should i do first ? Is it imposible to be cured without surgery? Can you help me?

[@TheBrainDoc_talks]

Surgery would not be recommended for 2 mm cyst anyway. It's very unlikely that such a small cyst causes any vision problems . Pls get it evaluated it maybe because of some other problem in the eye. Hormonal replacement can be done for hormones which are less in quantity

[@silpamandal200]

Sir my prolactin level 193 then doctor give me cabgolin 0.5mg.After consuming this medicine 3 months doctor provide cabgolin 0.25mg.But problem is that when I eat cabgolin 0.5 my headache and eye irritation symptom is completely absent this symptom present before eating 0.5.Now when I eat 0.25 my headache and eye irritation came back. My brain MRI is normal,TSH also normal.what I do?

[@shefalisabrina7679]

Hi.. Normally in Brain MRI, the prolactinoma does not get detected. If possible, please get a Dynamic MRI of Pituitary done. It will give you a clear picture.

[@silpamandal200]

@@shefalisabrina7679 ok sir

[@silpamandal200]

Sir my pituitary contrast MRI is done but there no abnormality found still my headache and eye irritation continue .what I do?My doctor is not able to tell what disease is occure in body.I visit 5 doctors but they not able to found this disease.please tell me what I should do?

[@shefalisabrina7679]

@@silpamandal200 I was advised to visit an endocrinologist as well as a Neurosurgeon, for my high prolactin. I suggest you see a Neurosurgeon as well... Maybe you need to wear glasses as well for eyes.

[@silpamandal200]

Ok sir

[@amanshukla1126]

we are trying to conceive a baby,can we control prolactin levels through cabergoline and conceive.

[@TheBrainDoc_talks]

Yes it's one of the treatments given (if prolactin is high) but obviously it (infertility) will require detailed evaluation and other modes of treatment as well depending on the problem

[@krisha5660]

Can this work on craniopharyngioma?

[@TheBrainDoc_talks]

No it won't

[@krisha5660]

@@TheBrainDoc_talks are there any non surgical treatments for craniopharyngioma? :)

[@anushkatiwari4480]

How stalk effect is treated?

[@TheBrainDoc_talks]

If the patient has symptoms because of elevated prolactin, then cabergolin is given to bring it back to normal

[@anushkatiwari4480]

As my prolactin level has reduced to 77 but macroadenoma is there with some bleeding so doctor has suggested for surgery and to stop cabergoline as it would solidify the lesion. So is there anyway to avoid surgery or that's the only treatment?

[@TheBrainDoc_talks]

If it's a macroadenoma and has bleeding inside (called as pituitary apoplexy) then it's an absolute indication for surgery. Better to go ahead with the surgery as rightly advised by your doctor

[@noorabosaad3558]

I've been taking cabergoline for a year and there's still no shrinkage in the size of the ademona and my prolactin levels are still high

[@TheBrainDoc_talks]

It could be because of multiple reasons, like either inadequate dosage , cystic changes in the tumor or sometimes it might just be that it's not responding to cabergolin.

[@noorabosaad3558]

@@TheBrainDoc_talks what to do then in this case? dosage wise I started taking the minimum then elevated gradually to the maximum dosage, and now fixated on 1 mg per week of cabergoline. The MRI doesn't show any cystic change. in case i am not responding to dopamine, is there any alternative?

[@TheBrainDoc_talks]

It would not be right on my part to comment much without examining you or seeing the MRI. But if your prolactinoma is not responding to medications, and if the size is quite big it would be better to operate and remove it. However I would still advice you to follow your treating doctors advice.

[@TheBrainDoc_talks]

2 mm sized microadenoma is very unlikely to cause blurring of vision. Pls get your exact Visual acuity and Visual field tested. N as rightly advised take the tablet regularly for a prolactin level of 760

[@glaizamaemitra7138]

I dont have period ever since I'm 20 yrs old now , my prolactin level is 10000

[@TheKnowingEnt]

I have a pituitary tumor and surgery was done twice and now its back. Can it be removed without surgery

[@TheBrainDoc_talks]

The very fact that you were operated twice means it was not a prolactinoma. However treatment now will depend on multiple factors like its size , hormonal levels, your vision etc. If the tumor is not large and depending on its relation to the optic nerves gamma knife therapy can be one option to decrease it's chances of further growth

[@shamiriyas6747]

Sir I was also suffering from pituitary macroadenoma. Surgry done 2 week back. Before surgery my right eye is complete vision loss temporal to nasal & have exodeviation since 1 mnth. Left eye is hemianopic. After surgery in right eye no have deviation & I can feel the small change in vision. Will get my complete vision? How much time to take normal?? Pls reply

[@TheBrainDoc_talks]

You mentioned you can feel a small change in vision. By change, do you mean improvement? If so it's a good sign. If you are having some improvement then with time you may have more. It's generally not possible to predict the exact time but roughly in about 3 months we will get a good picture of the improvement

[@mohammedquadeer2025]

Where u can done the surgery?

[@babupulincholi8110]

Kerala

[@K1ke8ie1r]

Recently done mri it's showing 2×1.3 mm sized microadenoma in midline anterior pituitary. No supra or paraseller lesion is seen. Pituitary gland size is 7mm. My prolactin level is 51.5 ng/ml. Also I have PCOD from many years. I'm 23 years old female. Will it be cured? Will the tumor go away with medication?

[@MEENUMEENU-fp1ed]

Are you fine now???

[@KirtiSharma-nh9xg]

Sir at 23 September my prolactin level is 62.5 and also I have a 3.8*2.5mm microadenoma Thn I took cabergoline for 3 mnths And today when I tested my prolactin level shows 1.20 Which is too low How is it possible? I am suffering from severe headache problem

[@TheBrainDoc_talks]

Did you have any symptoms at a prolactin level of 62.5 ? It's not really too high anyway. You need to undergo follow up MRI after an year to look for any increase in the size of the adenoma . Headache may or may not be related to this

[@KirtiSharma-nh9xg]

@@TheBrainDoc_talks yes when my prolactin level is 62.5 my periods are irregular and they came in 10 or 15 days also I had spotting problem but when I took cabergoline my menstrual cycle becomes 24 to 26 days nd no spotting And I have hardness and pain in my breast But now only pain in breasts and headache

[@TheBrainDoc_talks]

Ok so that means ur symptoms have significantly resolved with cabergolin...headache is not necessarily because of this

[@insharahman1918]

Hello Doctor! yesterday I have been diagnosed with microadenoma 5mm size nodule..my 3 hormones fsh lh and estrogen are low and rest hormones are normal..how can I get treated ? I have no symptoms ..can this be cured by medicine 💊?

[@TheBrainDoc_talks]

Rest of the hormones are normal? If so then this is a non hormone secreting pituitary microadenoma. If you are absolutely asymptomatic then there is no need to undergo surgical excision for a microadenoma. But you need to be under regular follow up and may require surgical excision of there is significant increase in its size in the future

[@insharahman1918]

@@TheBrainDoc_talks I have ammenhorea from 1 yr or more .using pills I get periods not naturally as my 3 sex hormones are low but I have no headache

[@TheBrainDoc_talks]

Yes u ll require replacement for that ...but ur adenoma I wouldn't advice to get operated but still my suggestion is still to follow ur treating doctor s advice as he / she knows the complete picture

[@Vintage_Tales_Studio]

Basically, they like to make money off of "watching" it. I stopped getting MRI's of it 8 years ago. I get regular field vision test, my adrenals are awful, my testosterone is too high, I have pseudo cushings and they refuse to do anything about it. I am getting my first MRI in 8 years. They do not care. They can not even tell us where it comes from. If you are wealthy, they will remove it, or if they catch it secreting something, otherwise be prepared to spend a bunch of money on labs and test, with your hormones getting worse and worse.

[@vivethavignesh3806]

Hello doctor. After my first delivery i have irregular periods for past 4yrs,my prolactin level is 59, estrogen level is too low so doctor advised to take MRI brain scan and the result is empty sella syndrome..so doctor gave me femoston tablet upto 45age ,now I am 30 age..This tablet is safe to use for lifelong ? Another one doctor advised to stop this tablet bcz it may cause blood clot in brain..Or any other solution for this ES syndrome...pls advise

[@TheBrainDoc_talks]

Empty sella can happen because of multiple reasons . And about estrogen replacement it can have complications ..may or may not too...hence you should follow your regular doctor's advice

[@mamtajoshi837]

Sir meri mother ko bhi pitutry gland adenoma ki problem thi kya poori trh thik hobe k baad bhi kbhi kbhi sar mai dard hota hai but unka medicine se thik ho gaya may mai last mri krwaya tha woh report ekdum clear thi

[@TheBrainDoc_talks]

Ok .good . Headache tho koi bhi karan se ho sakta h

[@nazeeramd4523]

Hi sir my Hindi my bathkarsakthi Hoo, my prolactin leave is 190 ,I'm recently mri scan karayehi,report my microadenoma 7*4 size hi, Kya Mujy surgery jarurii hi. Please rpy sir.

[@TheBrainDoc_talks]

Complete hormone profile karana hoga...usme aur bhi bht sare hormones ha ...wo dekh ke phir decide karna hoga

[@nazeeramd4523]

@@TheBrainDoc_talks recent l month back sab hormone tests karvye sab normal hi sir

[@TheBrainDoc_talks]

Agar baki sare hormones normal ha tho filhal surgery ki zarurat nhi ha....age agar size increase hojaye tho zarurat pad sakti h

[@nazeeramd4523]

@@TheBrainDoc_talks tablets use Karytho tumor ka size kam ni hota sir, avur Muje kyoi headache, eye pain, milk nikalana, eise kyi problem Muje Nyi, irregular periods problem hi, tablets lenyky badh Muje Pregenency athi kya sir, plz rpy

[@TheBrainDoc_talks]

Haa tablets regularly lelo ..prolactin level normal hojaye tho pregnancy ke chances badh jayenge

[@kuhutanbiswas3187]

Sir mera pituitary tumo hay. may kaya karu

[@TheBrainDoc_talks]

Consult a neurosurgeon

[@blingthelyf]

Hello dr. My sister have pituitary macroadenoma 1.47cm in size she don't want any surgery so how we will cure her with drugs.

[@blingthelyf]

(~1.0×1.7×1.47cm APXTRXCC) yeh size aya h MRI me we can't afford surgery cost so please help me how will be cure her pituitary macroadenoma without surgery please reply 🙏

[@TheBrainDoc_talks]

Get her hormone profile done...it can be managed without surgery if prolactin is very high ( prolactinoma)

[@blingthelyf]

@@TheBrainDoc_talks sir reply please it's urgent to know what are the priscription we will take.

[@TheBrainDoc_talks]

Sorry since it's not a prolactinoma, this can not be cured with medications

[@Queenmili333]

Meri prolactin level 88 h Mri ki h Microadenoma hai.. Cabergolin dr ne di h 1year k liye

[@TheBrainDoc_talks]

Prolactinoma me levels usse bht zyada honge . Anyway cabergoline is to bring down the prolactin levels to normal

[@Queenmili333]

@@TheBrainDoc_talks Microadenoma hai.. Head bahut ghumta hai Blur dekhti hu

[@OjhaKiTaiyari1998]

❤ thank you

[@ankushluthra17]

Hi sir my wife's prolectin level is 92 doctor advised for MRI I am really scared kindly suggest is it possible to cure with medicine thanks

[@TheBrainDoc_talks]

Get MRI brain done

[@ankushluthra17]

@@TheBrainDoc_talks sir MRI done no evidence seen all ok kindly suggest for next step

[@TheBrainDoc_talks]

What symptom does she have ? Is her prolactin level of 92 really troubling her ?

[@ankushluthra17]

@@TheBrainDoc_talks doctor have seen the MRI reports and prescribed cabgoline for two months menstrual periods delayed only

[@ritankacademy1648]

Sir!recently my mother has been diandnosed with pituitary macroadema (acromegaly) Functional tumour size 43Mm×26×23mm...pressing on the optic nerve...doctor is advising for surgery..is it safe to get surgery of this size

[@TheBrainDoc_talks]

Needs operation. No doubt

[@tigeryadav6173]

Pls treatment pituitary tomar

[@neelimakathika7372]

Sir what about prolactin levels at 360

[@TheBrainDoc_talks]

It's kinda borderline...MRI brain done ?

[@neelimakathika7372]

@@TheBrainDoc_talks yes sir. 8(RL)×10(AP)×9(CC)mm size tumer. Cabergoline tablets 0.5mg using thrice per 1week since 1month.Is it cure with medicines? Or surgery neccessary

[@TheBrainDoc_talks]

This may or may not be a prolactinoma , it maybe a stock effect which I explained in the video ..just continue for one more month and you can repeat your prolactin values

[@urvakhan3193]

Which level of prolactin need mri

[@samudralavijayachandrika5698]

Can the same treatment work on spindle cell oncocytoma,even after two surgeries the doctors were unable to remove atleast a 50% of tumor beacuse of excess bleeding, they said so, we are unable to decide our further steps, if anyone of u can help us we will be grateful 🙏

[@TheBrainDoc_talks]

No that's different. Cabergolin won't work

[@samudralavijayachandrika5698]

@@TheBrainDoc_talks Thank you sir, can you please suggest any other treatment

[@HealthBeautys]

Sir my prolactin level is 7997 and microadenoma is 7mm plz guide me

[@HealthBeautys]

I use tablet dostinex but i don't feel better

[@TheBrainDoc_talks]

What dose and since how long ? It should be repeated after about 4 wks of starting medications

[@HealthBeautys]

@@TheBrainDoc_talks one year.i use this half tablet after 3 days.

[@HealthBeautys]

But my left eyes and headech very budden

[@HealthBeautys]

But I feel don't better and this tablet used take off.

[@sakithyac9944]

Hello Doctor, My mother had benign pituitary macroadenoma which is 2 cm in size. Our doctor undergone a surgery through nasal passage and removed the tumor. Post-operation after 2 days they have undergone a CT scan, report follows: 1. A Poorly defined soft tissue dense foci with minimal enhancement is noted in right para cavernous region. The same measures 15*11 mm. Consider possible residual foci . Needs follow up 2. Both cavernous ICA flow otherwise appears normal Sir, here my actual doubt is does it regrow again after several years? If so, what is the treatment for that

[@TheBrainDoc_talks]

Yes it does regrow...the rate of regrowth is variable. The residual tumor can be subjected to Gamma knife therapy which will decrease the chances of regrowth. However in case of significant regrowth a repeat surgery maybe required

[@lisad82]

how is your mom after the surgery. how is her nose and eyesight? does she feel better or worse?

[@studyislove4122]

sir where are you from

[@TheBrainDoc_talks]

Mangalore, Karnataka

[@glaizamaemitra7138]

Hi i have prolactinoma i was diagnosed since 2018 now my right eye is blind , is it going back ro normal if i done surgery , how to cure non surgical?

[@TheBrainDoc_talks]

Were you started on cabergolin /bromocriptine? Was there any reduction in the tumor size ? And what exactly is the vision in right eye isn't there even perception of light ? Difficult to comment without knowing all these things

[@gurushakthi9488]

Hlo sir one question

[@TheBrainDoc_talks]

?

[@dhanyasri460]

Doctor, Is this problem called brain tumour!???

[@TheBrainDoc_talks]

There are more than 100 brain tumors pituitary adenoma (prolactinoma) is one of them

[@alhijamacups9453]

Plz is vadeo ko urdu ya hindi m bnaty tu ziada acha hota

[@TheBrainDoc_talks]

Ok soon!

[@TheBrainDoc_talks]

Hanji ab bana diya Hindi me bhi pls check kzbin.info/www/bejne/m2XKda2Mr9-Mj9k

[@akshaysingal23]

Sir my fiance has prolactin level 368ng/ml she is been on antacid tablets everyday since past 3 months we visited a doctor he said it can be by this medication ,so he stopped those medications and said we will check prolactin level after 2 months,she missed her periods in sept ,before that she was always regular , my question is , is prolactinoma is 100 percent in this type of high level of prolactine or it can be medicine induced

[@TheBrainDoc_talks]

High prolactin levels can be because of other reasons too...but since she has high prolactin level it's better to do MRI brain to check for pituitary adenoma

[@TheBrainDoc_talks]

High prolactin levels can be because of other reasons too...but since she has high prolactin level it's better to do MRI brain to check for pituitary adenoma

[@akshaysingal23]

@@TheBrainDoc_talks sir yes that is what i m asking as our doctor said that it may be due to medication so we should wait fr 2 months or should we go fr mri right away as these levels means certainly adenoma

[@TheBrainDoc_talks]

You can wait , provided she does not have any visual symptoms

[@akshaysingal23]

@@TheBrainDoc_talks no she doesn’t..actually apart from missing her periods in sept she doesn’t have any symptoms,she was diagnosed with high bp in july ,before that she was just ok,it all started when she started taking medications of high bp and gas and acidity since july