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hsuduebc2today at 4:20 AM1 replyview on HN

If I understand it correctly, a prolactinoma can make it harder to have children mainly because high prolactin can disrupt ovulation, but it does not automatically mean having a child is impossible. In many cases, treatment brings prolactin back to normal and fertility can return. And if carrying a pregnancy is not possible for medical reasons, there can still be options like IVF, and having someone else carry the pregnancy where it is legal and appropriate. So it may be more complicated and it can be very hard in some cases, but it is not an absolute dead end. A hopeless tone is not very useful here because it can discourage people from exploring realistic options and evidence based treatment paths.


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ElProlactintoday at 7:02 AM

You're right, but per the post, this man's girlfriend was still struggling with elevated prolactin and it seems there is no clear "cure" for her at this point. She's been through multiple rounds of treatment and faces the prospect of more.

I didn't mean to sound hopeless but when you're in the midst of suffering from a medical condition and the future is uncertain, having your closest person focusing on something that isn't the immediate priority and that you may never be able to do can make you feel really horrible/inadequate.

Imagine you're the man's girlfriend. How would it make you feel if your SO was still talking to you about children at this stage?