How does prolactinoma affect pregnancy and oral contraceptives?

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How does prolactinoma affect pregnancy and oral contraceptives?

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If a woman has a small prolactinoma, there is no reason that she cannot conceive and have a normal pregnancy after successful medical therapy. The pituitary enlarges and prolactin production increases during normal pregnancy in women without pituitary disorders. Women with prolactin-secreting tumours may experience further pituitary enlargement and must be closely monitored during pregnancy. However, damage to the pituitary or eye nerves occurs in less than one percent of pregnant women with prolactinoma. In women with large tumours, the risk of damage to the pituitary or eye nerves is greater, and some doctors consider it as high as 25 percent. If a woman has completed a successful pregnancy, the chances of her completing further successful pregnancies is extremely high.

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