Please ask the experts in this field to take a look and see if this is endocrine disorder

Patient's question:

I have three children and still get acne on my face. I only don't get acne when I'm pregnant or in winter. Others say my endocrine is. Yesterday, I went to the hospital for a check-up on the six sex hormones, and two of them were high. The third one, prolactin, was 676.17, with a reference range of 108.8-557.1. The sixth one, testosterone, was 8.69, with a reference range of 0.45-3.75.
History of treatment and effectiveness:
No treatment has been administered.
Desired help:
I want to know what this means and whether it's serious.

Doctor's answer:

If you are currently breastfeeding, high prolactin levels are normal. If you are not breastfeeding, high prolactin levels require further examination and treatment.
Medical advice: High prolactin levels may indicate a pituitary microadenoma, so we usually perform a CT scan to check for pituitary inflammation. Facial acne is related to high testosterone levels, so you can take birth control pills for a period of treatment. It is recommended to follow a light diet and avoid spicy and stimulating foods. It is best to complement this with traditional Chinese medicine regulation.
Doctor's inquiry: There are several treatment methods for gynecological conditions, but since the patient's condition varies, different diagnostic approaches are adopted. Therefore, it is necessary for the patient to be diagnosed as soon as possible to prescribe the correct treatment.

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