I was producing elevated prolactin for over 20 years. I found the drugs to counteract that - too hard to take. So I chose surgery. Yes - they go through your nose to remove the tumour. Check out the infor. on the surgery on the Mayo website - and also check out the Pitiuatory Network Association website for additional infor. on pit. disease. Work with your endo. I suspect the first choice of action would be trying drugs to reduce your prolactin and possibly shrink the tumour. The second option is surgery. Your endo will be able to help you with your disease. Good luck.