Can You Stop Dostinex After Surgery? Prolactin Management

Can the use of prolactin-lowering medication be discontinued?

Dr.
Tsao, I underwent laparoscopic surgery to remove uterine fibroids at Hospital A on November 9, with four incisions made: one at the navel measuring 1 cm and the others measuring 0.5 cm each.
I am scheduled for a follow-up appointment in about three months, around the end of February, to check on my recovery.
However, during a blood test at Hospital B, I was found to have elevated prolactin levels due to high work stress.
The doctor prescribed Dostinex, instructing me to take half a tablet on Wednesdays and Saturdays, and advised to continue until pregnancy is achieved, as my embryos are frozen at Hospital B.
I am now waiting for my follow-up appointment at the end of February, and if everything is fine, I will proceed with the embryo transfer at Hospital B.
I currently have one month's supply of Dostinex left and am unsure if I need to return to Hospital B before February to get more medication.
Can I stop taking Dostinex? Will it affect the treatment outcome? Thank you!

Miss Hong, 30~39 year old female. Ask Date: 2015/11/30

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is generally not recommended to stop medication.
Wishing you good health.

Reply Date: 2015/11/30

More Info

Dostinex, known generically as cabergoline, is a medication primarily used to treat conditions associated with high levels of prolactin, such as prolactinomas or other causes of hyperprolactinemia. After undergoing surgery for uterine fibroids, it is understandable to have questions about the continuation or cessation of medications like Dostinex, especially in the context of managing prolactin levels and preparing for potential pregnancy.

In your case, since you have been prescribed Dostinex to manage elevated prolactin levels, it is crucial to consider the implications of stopping the medication. Prolactin is a hormone that plays a significant role in reproductive health, and elevated levels can interfere with ovulation and fertility. If your prolactin levels were elevated due to stress or other factors, it is essential to monitor these levels closely, especially as you prepare for pregnancy.

Regarding your specific question about whether you can stop taking Dostinex after your surgery, the answer is not straightforward. While it is possible to discontinue the medication, doing so should ideally be guided by your healthcare provider. Stopping Dostinex abruptly may lead to a resurgence of elevated prolactin levels, which could affect your fertility and overall hormonal balance. It is also important to note that the effects of Dostinex can vary from person to person, and some individuals may experience a return of symptoms if they stop the medication without proper medical advice.

Given that you have a follow-up appointment scheduled for the end of February, it would be prudent to discuss your concerns with your healthcare provider at that time. They can assess your current prolactin levels and determine whether it is safe for you to stop the medication or if you should continue taking it until you are ready for implantation. If your prolactin levels have normalized and you are feeling well, your doctor may recommend tapering off the medication or switching to a different management strategy.

In the meantime, it is essential to monitor your body for any changes or symptoms that may arise from stopping the medication. If you experience any unusual symptoms or have concerns about your hormonal health, do not hesitate to reach out to your healthcare provider sooner than your scheduled appointment.

In summary, while it may be possible to stop taking Dostinex, it is crucial to do so under the guidance of your healthcare provider to ensure that your prolactin levels remain stable and do not negatively impact your fertility plans. Communication with your doctor is key to managing your health effectively during this transitional period.

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