You'll likely start by seeing your family doctor or a general practitioner. You may then be referred to a doctor who specializes in disorders that affect your glands and hormones (endocrinologist).
Here's some information to help you get ready for your appointment.
What you can do
- Write down your symptoms, including any that may seem unrelated to the reason for which you scheduled the appointment.
- For women, write down your menstrual history, age at onset of periods, episodes of missed menstrual periods, approximate dates and type of contraceptives used.
- Write down key personal information, including major stresses or recent life changes.
- List all medications, vitamins and supplements you're taking.
- Write down questions for your doctor.
Preparing a list of questions can help you make the most of your time with your doctor. For prolactinoma, some basic questions to ask include:
- What's the most likely cause of my symptoms?
- What other possible causes are there?
- What tests do I need? Do they require special preparation?
- What treatments are available, and which do you recommend?
- What side effects can I expect from treatment?
- If I have surgery, will the prolactinoma come back?
- I have other health conditions. How can I best manage them together?
- Will I be able to have children?
- Is there a generic alternative to the medicine you're prescribing?
- Are there brochures or other printed material that I can take? What websites do you recommend?
Don't hesitate to ask any other questions.
What to expect from your doctor
Your doctor is likely to ask you questions, including:
March 28, 2015
- When did your symptoms begin?
- Have your symptoms been continuous or occasional?
- Does anything seem to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
- Have you or family members ever had high calcium levels, kidney stones or tumors in endocrine glands?
- Prolactinoma. National Institute of Diabetes and Digestive and Kidney Diseases. http://endocrine.niddk.nih.gov/pubs/prolact/prolact.htm. Accessed Feb. 10, 2015.
- Melmed S, et al. Diagnosis and treatment of hyperprolactinemia: An Endocrine Society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism. 2011;96:273.
- Kars M, et al. Update in prolactinomas. The Netherlands Journal of Medicine. 2010;68:104.
- Snyder PJ. Clinical manifestations and evaluation of hyperprolactinemia. http://www.uptodate.com/home. Accessed Feb. 10, 2015.
- Snyder PJ. Treatment of hyperprolactinemia due to lactotroph adenoma and other causes. http://www.uptodate.com/home. Accessed Feb. 10, 2015.
- Martinkova J, et al. Impulse control disorders associated with dopaminergic medication in patients with pituitary adenomas. Clinical Neuropharmacology. 2011;34:179.