Prolactinoma Support Group
A prolactinoma is a benign tumor of the pituitary gland that produces a hormone called prolactin. It is the most common type of pituitary tumor. Symptoms of prolactinoma are caused by too much prolactin in the blood or by pressure of the tumor on surrounding tissues. Prolactin stimulates the breast to produce milk during pregnancy. After delivery of the baby, a mother's...
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I told questioned my doctor about that because I have been diagnosed with Prolactinoma. I have always been very regular and started birth control just to reduce the cramps in 2007. Late 2008 i got off the pill and a few months after that my period became a bit irregular. Through out the year it became more and more irregular. Then finally in July of this year i completely stopped getting it. The doctor did the blood work and MRI and found high prolactin levels and the tumor by my pituitary gland. I thought it was due to the birth control but she had said that it was not because of that.
I was diagnosed with my prolactinoma at the age of 15 almost 16 years old after experiencing severe headaches and tiredness and breast discharge for which i visited the doctor for many times and was just told to take Nurofen and at one point was accused by the doctor of taking drugs and that that was why i was so tired etc which is just ludicrous! I visited several doctors for help because i wasn't able to go to school or function normally, all of them said it was nothing. It wasn't until my worried mother looked on the internet and researched all of my symptoms (tiredness, headaches, discharge etc) and discovered prolactinomas she immediately took me back to the doctor and demanded that they do a blood test (which none of the doctors had previously done) and a scan of the pituitary gland. My mother actually had to argue with the doctor in order to get these things done which in retrospect i think clearly should have just been done without question when an otherwise healthy 15 year old girl comes to you with severe headaches and breast discharge!!! But anyway the scan revealed a prolactinoma on my pituitary gland and i was then sent to an endocrinologist who gave me dostinex and i without any concerns or thought continued to take the pill. After about 3 months all of my symptoms had subsided and the endochrinologist suggested i go off the dostinex to see if my prolactinoma returned which it did in approx. two weeks. So back on the dostinex i went. I took the dostinex for about a year and got symptoms from it like tiredness, headaches, fainting spells, joint pain etc. So my endochrinologist put me on a different medication called norprolac which was new and much better with much fewer side effects. They made me have an ultrasound of my liver and gall bladder before starting the medication however. After 3 months i had a check up with my endo and i mentioned to her that i had none of the side effects i had with dostinex but that i was experiencing insomnia and decreased appetite (i lost 10kg while take norprolac) she didnt say anything about. After about 6months i started suffering from severe abdominal pain. After it occurred for the 3rd time i rushed to doctor and had another ultrasound on my liver etc and was told i had developed gallstones... even though 6 months prior there had been no trace of any gallstones in my first ultrasound. Despite all this my endo said that norprolac was safe and doesn't cause gallstones (despite there being a warning label on the norprolac box saying something about the liver). So i continued to take the norprolac for another 3mths when i returned for my 3mth check up and I told her about how tired i had been, about the fact that i was loosing alot of hair and also about tingling i would get in my arms and legs/feet she asked me to have a blood test to check my folate and b12 levels (which surprised me that she wasn't already checking these things whenever i got a blood test before my 3mthly check ups with her) and it turns out i was anaemic because having gall stones meant that i wouldn't eat certain foods many of which were dairy. My endo then told me to go to my GP to get B12 injections every 3-4 weeks. She also sent me to a surgeon to enquire about having my gall bladder removed after the consultation i was certain that at the age of 18 years that i wasn't just going to rush and get my gall bladder removed straight away especially if it could be managed through monitoring my diet. My endo told me that i was being irresponsible and risking my own life by not having it removed. I told her that i was not going to be taking norprolac any longer and wanted to go back to taking Dostinex but at the lowest dose possible, which i did. After I did this my gall bladder attacks went away, my B12 level went back to normal without injections and after awhile i began to wonder if the pill might be causing my prolactinoma to grow i asked my endo but she was certain that the pill doesn't cause it to grow. I kept wondering this and eventually came across WoosieChics message on this forum and decided that at my next endo visit i was going to run it by her my plan to go off the pill and then dostinex. She again said that it wasn't what was causing my prolactinoma but i still wanted to give it a try. I went off the pill almost immediately and then a month or two later stopped taking the dostinex. After about one week of being off the dostinex i felt amazing, i had so much more energy and was much less tired! At my next check up my prolactin levels were within normal range and its been the same ever since for over two years.
After going through all this I know that doctors can be wrong, they dont know everything. It's your body, you know it better than anyone else and if something doesn't feel right then youre the best judge of that. I'm actually quit angry and annoyed with my endo about all of this because I feel like every step of the way my family and I have had to persevere and have been the ones to in a sense do the doctors job. I'm definitely not an endochrinologist but I was the one to suggest going off the pill and then medication in order to see if my prolactinoma came back... not my endo.. shouldn't this be her job!? And now with everything that's happened i feel like i have to fight for an answer to the question of why birth control pills cause my prolactinoma to grow! She has made absolutely no attempt to figure this out she only tells me that i just have a unique reaction to the pill and I don't think this kind of explanation is good enough because I am still young and want to be responsible and would like to know my options for contraception, simple as that. Im also angry about the fact that most of this could have been avoiding had she suggested at the start to go off the pill. Having a prolactinoma has impacted my life a lot, It was prevented me from living my life like any another teenager/ young adult and this is what really annoys me! But I am happy that this was worked out sooner rather than later. Sorry about the length of this post. I hope this forum can help someone else in the same situation. :)
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Do not go off the meds! I did that because i was young and thought the doctors were lying. Birth control pills has nothing to do with prolactinoma. If your prolactin levels are high then your estrogen is low.. When estrogen is low you are at risk for Bone diseases later in life. I already have a low density level because I did not take birth control for seven years while I was trying to let the tumor lower itself.It did not work for me and now I am trying to normalize things so I can get pregnant. Please listen to your doctors about this!