Patient's question:
More than a year after surgery, prolactin is still high and menstruation hasn't returned. What should I do?Doctor's answer:
For pituitary microadenomas, the general approach is first to use medication and radiotherapy (radiation therapy). If such treatments cannot control the lesion, surgical intervention may then be considered. If prolactin levels can be maintained within the normal range, then amenorrhea may be due to other causes, and further examination in the gynecology department is needed to clarify the specific principles. If amenorrhea is caused by elevated prolactin, then menstruation can resume once prolactin levels return to normal.