Patient: Azoospermia, hormone 6 test in February this year, with high hormone 183, low LH and FSH, testosterone 43, after taking Sniff Stop for one month, except testosterone rose to more than 120, the other has come to normal range. Now it has been 6 months since I took Sniffing Stop, and my testosterone has risen to 210, and the other items are within the normal range. I had an MRI and it said that the pituitary gland is full. How can I confirm whether it is a prolactinoma or other pituitary tumor?
Doctor: If the prolactin is very high and sensitive to bromocriptine, the possibility of pituitary prolactinoma is very high, and a dynamic enhancement MRI of the pituitary gland can be done to determine this.