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Not giving anyone specific medical advice on SDN, but in general terms, elevated prolactin as above has a bit of a differential - but a prolactin above 200 is basically only a prolactinoma or mismeasurement. Fractionating the prolactin or checking a "macroprolactin" level would rule out mismeasurement - and then the next step would be an MRI to find a prolactinoma. With mild elevations, sometimes it is difficult to find the tumor, but that level is already getting to the macroadenoma (>1cm) consideration so it would almost certainly show up on MRI.I appreciate your response. Deep breaths have been had...and a whole lot of endocrinology reading.
My PRL level was ~275. No meds or history that would otherwise explain the level. I haven’t had any vision changes or headaches. My main symptom has been the hypogonadism.
I messaged my primary doc about the MRI and am anxiously awaiting it to be scheduled. I’m concerned how this might affect my career, but I guess without imaging there’s not a lot to go off of
What a nightmare. It gives me a lot of pause to be on the other side of medical care.
I’m a surgery resident in the USA, a few months in to my dedicated research period. Long story short, after finding out by chance that my testosterone level was low, I’ve just learned that my prolactin is significantly elevated. From what I’ve read this is almost assuredly a prolactinoma. I’m still waiting on an MRI and won’t see an Endo for another month.
I go back to work next July. Any one have experience with this and know how much is this going to mess up my life? Advice would be much appreciated.