Posts tagged ‘galactorrhoea’

Prolactin levels

Thanks to Alecia‘s inspiring graphs, this is the evolution of my PRL.

The worrying story began with the galactorrhea: one day I found out my breasts were producing a milky substance, even though I wasn’t pregnant. Not much, just a few drops and only when pressing around the nipple. That’s why the endo that prescribed me the pill (because of the increased hair on my arms) sent me to the gynaecologist, who asked inmediately for an MRI and there it was! the chickpea. But, apparently, an innocent one.

I was taking the pill, and I was told that the pill sometimes rises the PRL levels. My endo prescribed cabergoline (Dostinex), the usual drug to make prolactin levels return to normal, but as those weren’t worrying enough (neither for her nor for the subsequent endos that I had) I was told to stop.

Then, a few years later, I stopped taking the pill (on purpose) and having the period (not on purpose) and a PRL check showed an alarming increase: 62.79 ng/ml. It was summer of 2007, I was already in Munich, my new gyn told me to take cabergoline (Dostinex) again. PRL dropped, but my period didn’t show up. So she sent me to another endo, who did a thorough hormone analysis in december, found out that the chickpea wasn’t innocent at all and I was sent eventually to the neurosurgeon two months later.

Right after the surgery (and by “right after” I mean “the following day”), the PRL levels dropped to nearly non-existent. Galactorrhea stopped and I got my period back, on a 29-day regular basis.

prl1

(Not all PRL values that I have are shown, but just the most significant ones)

Apparently, my PRL levels were too low to suggest a PRL-producing adenoma, but it was. It produced both PRL and GH.

November 6, 2008 at 1:06 pm 5 comments

Deal

When I was released:
– I could breathe normally,
– I felt ok, just a little bit weak (besides, I had lost 4 kg in 15 days).
– I had stitches in my nose (two) that would eventually be reabsorbed.
– My upper palate was still asleep.
– Sense of smell and taste were 90% back.

I had this report explaining in full detail everything that happened during my hospital stay. I went home very happy, I spent another week on sick leave and then went back to work.

I hadn’t told any of my workmates about my surgery. Actually they all thought I was back in Spain on holidays. You should have seen their faces when I explained the whole story. Well, not the whole story, I am embarrased to say I’ve been diagnosed with Acromegaly because it’s very uncommon and people usually associate it with dumb, dull giants. My acromegaly case is very rare because I had a GH and PRL producing macroadenoma and I don’t have any sympthoms easy to see (nobody but is looking in my knickers when I go to the toilet and see that my period is missing… again and breast-milk production -galactorrhoea- is not something people usually see), so I don’t need to explain.

The first month I still had headaches at least twice a week but then they disappeared. Gone. Nothing.

One month and a half after surgery:
Good: Sense of smell and taste back at 100%, stitches reabsorbed, galactorrhoea gone, period back (and -I am a vain magpie- those 4 kg aren’t back).
Bad: Upper palate still sleeping, small wound in my right nostril that doesn’t want to heal.

It looks like I made a good deal, doesn’t it?

June 25, 2008 at 1:20 pm 2 comments


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