WOMENS-HEALTH Messages for April, 1997: Re: Bleeding & Bromocriptin

Re: Bleeding & Bromocriptin

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 17 Apr 1997 21:56:12 -0500 (CDT)

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Reply: Linda: "yet more.. Bleeding & Bromocriptin"

Linda, I'm rollin' up my sleeves for this one! I'm going to reprint your initial post and answer your questions with your reply.

For about 5 weeks now I have been on 1.25 mg of Bromocriptin a day. My prolactin has dropped from mid 200's to about 87. I think I still have a teeny bit of milk still, but it looks less. I am on day 22 of the first full cycle taking the drug and so far I think I see improvment. lLast few months I would start bleeding/staining around day 19. Until today I was OK and now I have some slight staining. My questions are: Should I consider this an improvement and just be patient over the course of a few months? , Would the Bromocriptin take time to 100% cure my bleeding if the Prolactin was the initial cause?

At Thu, 17 Apr 1997, Linda wrote: >
>Thank you Dr. Marchbein!
>Another question related to something you wrote...
>You said that the medication might correct the bleeding but not cure the
>problem. Does this mean I will have to remain on the bromocriptin for a
>long time?

I'd like to know if you had an MRI to look for a microadenoma of the pituitary. With a level of >100, there is an 85% chance of this. At 200, it's obviously greater. With a microadenoma of the pituitary ( a benign but still potentially dangerous enlargement of the pituitary gland), treatment with Parlodel is a long time thing, possibly forever.

>Or is there potentially still another underlying problem I
>should be looking into.?

Answered above re:MRI

>Additionally, I would like to try to get
>pregnant again in a few months. (I had a miscarriage a few months ago)
>Is it safe for me to stay on this drug while I am pregnant, or would I
>stop after a set interim?

First, it is important to get the prolactin in the normal or near normal range. Pregnancy will make the pituitary enlarge and elevate the prolactin, so be prepared for this. Many patients are on Parlodel (bromocriptine) until the diagnosis of pregnancy is made and then they're taken off. First things first. Get the MRI of the pituitary.

Oh, your welcome :-)

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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