This woman needs help soon.  Please send responses directly to her and
CC the list.  Thanks!

> I might be faced with a very difficult decision.  I have a pituitary
> prolactinoma that was diagnosed in 1992.  I have been on bromocriptine
> several times (not while I was nursing) to shrink it's growth.  I am
> currently 35.5 weeks pregnant with my third child.  Yesterday, I saw my
> neuro-opthamologist and due to the test results, he is certain my pituitary
> tumor is expanding and has compressed my optic nerves.  I have a definite
> deficit in my visual field in the same place in both eyes that was not
> present when I saw him around the middle of July.  I will see him 1-2 weeks
> after this baby is born for repeat tests and most likely will have another
> MRI to check it's growth.  I might be faced with the decision of taking
> Bromocriptine and would therefore not be able to nurse this baby (which I
> don't even want to consider) or allowing the prolactinoma to expand and
> risking permanent damage to my optic nerves.  There is a chance that it will
> regress on it's own after delivery which is why I will see him 1-2 weeks
> after my baby arrives.  I have thought about not having any treatment and
> allowing nature to take it's course, but of course my family is not
> supportive of that decision because that could mean putting myself at great
> risk.  I was not prepared for this news yesterday as I figured he would tell
> me everything was fine like it had been two months ago.  I do not notice any
> of the deficits in my eyes at this point.
>
> I read in Hale's book that Bromocriptine is contraindicated by the AAP in
> breastfeeding moms.  The possible alternative to this med would be
> Cabergoline, but it says that it "completely and irreversibly suppress
> lactation and should not be used in mothers who are breastfeeding".
>
> Does anyone have any experience with these meds or this condition?  I am not
> sure which route I will take regarding this prolactinoma.  It could be a
> very difficult decision.
>
> Thanks in advance,  Tracey, Mom to Mariah, McKenna and little one (due
> 10/31)
> [log in to unmask]
--
Monique
Noah Schaefers 6/97
[log in to unmask]

It will be gone before you know it.  The fingerprints on the wall appear
higher and higher. Then suddenly they disappear.
Dorothy Evslin

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