Keribug, Yes, the comparitive studies have shown better tumor reduction with Dostinex over bromocriptine -- assume this mirrors the increased effiectiveness at reducing PRL. It's clear, though, from this board, that individual experiences may vary more than the studies suggest. The answer in the end is "whatever works best for you." Personally, I don't know. I was started on bromo. therapy at diagnosis seven years ago, and did not have MRI until almost a year into therapy. MD rationale was that the treatment was the same whether or not I had a prolactinoma, so it was smarter to begin meds immediately and check later for the sake of curiosity. PRL at time of diagnosis was 89 or something, and when they told me it would be 100 or greater with prolactinoma, I didn't know better then! I had second MRI last week (six years after first one) after being off all meds for almost 2 months. PRL was 120, leading docs to now believe that it IS probably a prolactinoma. I have never had any head symptoms (headaches, visual field or cavernous sinous problems), so it remains a secondary factor unless I decide (am able to??) conceive at some point in future, which would mean 9 months off meds with potential tumor growth. I will re-post with MRI results when I have them. I realise it can be a microadenoma even if they see nothing. Because ofno symptoms thereof and only the PRL to treat, I am not really concerned about what they see. Unless it's somthing remarkable and unexpected (macro tumor), that result will not change my life and treatment plan at all. |
