Medication is preferred for prolactin pituitary tumors, and surgery is usually not performed, but patients are advised to undergo surgery when the size of the tumor is >1cm, or when there are obvious occupying symptoms.
Prolactin pituitary tumor if the tumor size <1cm, and there is no pressure. Firstly, it is recommended to take medication, such as commonly used drugs such as bromocriptine, carbamazole, pergolide, etc., which can reduce the secretion of prolactin and relieve the symptoms, and then consider surgical treatment if the condition worsens.
If the size of the tumor is >1cm, it is called pituitary macroadenoma and is accompanied by obvious pressure on the surrounding tissues. Surgery is recommended and combined with medication, but medication should be analyzed according to the patient’s personal situation, whether she is a woman of childbearing age and the fertility requirements of the female patient.
It is recommended to check the level of prolactin in the blood on a regular basis and to pay attention to the side effects caused by taking the medication, such as nausea, headache, postural hypotension and other adverse reactions, as well as an increased likelihood of heart valve disease.