Patient's question:
Can laparoscopic surgery be performed if there is both a microadenoma and fallopian tube blockage? Prolactin dropped from 88.31 ng/mL to 1.34, then the dosage was reduced. By July, a follow-up test showed prolactin had returned to 4.41. After some time, the focus was on reducing the dosage to one-quarter of a tablet per day, taken orally for a month until October, when prolactin dropped to 15.66. During this period, no contraception was used because of a strong desire to conceive. In early December, a fallopian tube was done, which revealed tubal adhesions. The doctor recommended laparoscopic surgery to clear them, but said it should only be done after the microadenoma grows larger. However, the previous neurosurgeon said that medication can only control the tumor and not completely eliminate it. Surgery to remove the tumor is not possible, but it may affect future fertility. What should be done?Doctor's answer:
Hello: Hyperprolactinemia can continuously suppress Follicle-Stimulating Hormone (FSH), leading to low estrogen levels, which affects the menopausal function of the ovaries and results in infertility. In your case, it is recommended to have your prolactin levels checked at a hospital. Due to the limited information available, it is advisable to follow medical advice. Wishing you good health.M tubal blockage is a common gynecological condition. During medication, women should pay attention to their self-care, especially in terms of hygiene. It is recommended that patients maintain clean external genitalia and change their underwear frequently. Finally, we wish female patients a speedy recovery.