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Ichilov Medical Center
Endocrinology

Treatment of Prolactinoma in Israel

Prolactinoma is a benign adenoma that is the most common among pituitary tumors. It rarely transforms into a malignant form and is more frequently found in women.

Causes

Prolactinoma is not actually a tumor, but it is classified as such because it contributes to the enlargement of the pituitary gland. Patients with prolactinoma have some hereditary endocrine disorders. Researchers in Israel and around the world continue to study the genetic factors involved in the development of prolactinoma.

Symptoms of Prolactinoma

In women, prolactinoma is often small (microprolactinoma) and manifests as menstrual cycle disturbances, amenorrhea, and treatable infertility. Headaches and milk discharge from the mammary glands are observed. Hormonal imbalance in prolactinoma contributes to the development of mastopathy. In men, the tumor is larger (macroprolactinoma). The main signs include breast swelling, decreased testosterone production, and reduced libido, leading to infertility and complete impotence.

Diagnosis of Prolactinoma in Israel

The most comprehensive information about the condition of the pituitary gland among all methods used in Israel for diagnosing prolactinoma is provided by targeted magnetic resonance imaging of the brain with the use of contrast agents. Computed tomography is used for studying macroprolactinoma. A laboratory study of serum for prolactin levels is conducted. Tests that stimulate prolactin production are performed. An ophthalmologist consults the patient if there is a deterioration in vision.

Treatment of Prolactinoma in Israel

In Israel, a medical treatment method is successfully practiced to eliminate prolactinoma. A few weeks of treatment return prolactin production to normal. In women, menstruation normalizes, and the ability to conceive is restored. Men achieve normal testosterone levels in their bodies as a result of treatment, improving their sexual life. If medication does not affect the size of the tumor and does not resolve vision problems, surgery to remove the prolactinoma is performed using the transsphenoidal method. In some cases, specialists may prescribe a course of radiation therapy. Timely detection of symptoms and consultation with a specialist serve as prevention.

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