Overview
Your healthcare provider will ask about your symptoms and medical history and do a physical exam. If you have milky nipple discharge, they may do a breast exam. They’ll likely recommend one or more of the following tests to diagnose prolactinoma:
- Prolactin blood test: If your blood test result reveals that you have higher-than-normal prolactin levels, your provider will likely recommend image testing to confirm or rule out a prolactinoma diagnosis.
- MRI scan or CT scan: These imaging tests can help your provider locate the tumor and determine its size. Providers prefer using MRI scans to diagnose prolactinomas, but a CT scan is the next option if an MRI scan isn’t safe for you.
- Testosterone level blood test: If you’re a person AMAB, your provider will likely want to test your testosterone levels.
If you receive a prolactinoma diagnosis, your provider may recommend additional blood tests to check the levels of other pituitary hormones. If you have a large prolactinoma, your provider may recommend an eye exam to see if it’s affecting your vision.
Symptoms
When to see a doctor
Complications
- High blood pressure.
- Diabetes.
- Heart failure.
- Some types of heart valve disease.
Prevention
- Control high blood pressure, high cholesterol and diabetes.
- Don't smoke or use tobacco.
- Eat a diet that's low in salt and saturated fat.
- Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
- Get good sleep. Adults should aim for 7 to 9 hours daily.
- Maintain a healthy weight.
- Reduce and manage stress.
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