Dear Madam, Hi & Welcome.
Based on the history and the lab tests done you seem to be suffering from
hyperprolactinemia (
increased prolactin level in the blood) due to small tumor (microadenoma) in the
anterior pituitary gland.
Hyperprolactinemia can cause infertility due to amenorrhea or irregular menses,
breast engorgement and galactorrhea (increased milk secretion).
You need to consult a gynecologist who is specialized in fertility treatment.
You may be given treatment in the form of dopamine agonists like
Bromocriptine or Cabergoline which are effective in decreasing the prolactin levels and they may also shrink the tumor.
Cabergoline is usually preferred over since it is more effective and causes fewer adverse effects than Bromocriptine.
The response to therapy should be monitored by checking fasting serum Prolactin levels and checking tumor size with MRI. Most women (approximately 90%) regain cyclic
menstruation and achieve resolution of galactorrhea.
Therapy should be continued for approximately 12-24 months (depending on the degree of symptoms or tumor size) and then withdrawn if prolactin levels have returned to the normal range & no adenoma (cyst) is seen on
magnetic resonance imaging (MRI).
If drug therapy for prolactinoma doesn't work or you can't tolerate the medication, surgery to remove the tumor may be an option.
Hope the advice given above would be useful.
Best wishes.