High Prolactin level

[CJAMESON]

I have recently been diagnosed with PCOS along with hyperglonomia (elevated prolactin level) I have seen three doctors total and still confused on what to do? or how I can be treated? About two years ago I was taking bromocriptine, but the side effects were too great, so I was taken off, and was prescribed dostinex.  My husband and I are desire to have a baby, and with being diagnosed with PCOS and high prolactin level is there any hope?  Could metformin help with leveling my prolactin level?

[John Kim, M.D.]

No Metformin is not for high prolactin level but for impaird glucose tolerance or hyperinsulinemia.  You probably had your pituitary gland imaged with an MRI.
Dostinex would help your hyperprolactinemia but would not necesarrily help you ovulate. You may have to take ovulation induction drugs like Clomiphene or injectable FSH like Bravelle to make an egg to ovulate. I presume that you are seeing a specialist in fertility called a  Reproductive Endocrinology and Infertility specialist. If not, I suggest that you make an appointment.

[John Kim, M.D.]

FSH is purified or recombinant follicle stimulating hormone.  This is given to patient with PCOS to induce ovulation. It is given by injection. Brand names are Bravelle, Gonal F, Follistim.  Since you are on Dostinex, you do not need Bromocriptine.

[CJAMESON]

Thank you for responding!  Yes, My husband and I have seen a Infertility specialist, but he didn't give us much of an option.  The specialist gave us some information about possibly going thru IVF.  Surely, I thought to myself that there's got to be more option than going through IVF?  What is FSH?  I never heard of that?  My last question would be should I consider taking bromocriptine again?