### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi,Last year i find out that I have a high prolactin level from my blood work which is 35. So I have MRI done and they find 2mm cyst on pituitary gland. they suggested i see neurology for follow up. The reason why im worry is because , my breast hurts so bad every month but my period have been very regular for the pass 8 months. So now should i worry about it and see neurology?will this cause infertility since we are just starting trying to conceive.

### output:

Dear Madam, Hi & Welcome. Based on the history and the lab tests done you seem to be suffering from hyperprolactinemia (increased prolactin level in the blood) due to small tumor (fibroadenoma) in the anterior pituitary gland. Hyperprolactinemia can cause infertility due to amenorrhea or irregular menses, breast engorgement and galactorrhea (increased milk secretion). You need to consult a gynecologist who is specialized in fertility treatment. You may be given treatment in the form of dopamine agonists like Bromocriptine or Caroline which are effective in decreasing the prolactin levels, and they may also shrink the tumor. Cabergoline is usually preferred over since it is more effective and causes fewer adverse effects than Bromocriptine. The response to therapy should be monitored by checking fasting serum Prolactin levels and checking tumor size with MRI. Most women (approximately 90%) regain cyclic menstruation and achieve resolution of galactorrhea. Therapy should be continued for approximately 12-24 months (depending on the degree of symptoms or tumor size) and then with Chat Doctor.  If 