High Cortisol & High Prolactin

Seeking any and all help you amazing people can provide.
Late Friday evening my blood test results ordered by a gynecologist I've just been referred to showed a prolactin level of 54 ng/L.

I've previously had 2 high-ish AM Cortisol levels.

I'm concerned this high prolactin level is indicative of a pituitary tumor, especially combined with high cortisol levels.

I've struggled with chronic nausea and vomiting since childhood and this is still undiagnosed.

I was referred to the gyno after over the past two months my normally heavy periods have become horrendous with lemon/lime sized clots. A pelvic ultrasound showed a slightly enlarged uterus that is heterogeneous in echotexture.

The gyno requested I do further blood tests before confirming my referral, but now the results of said blood tests have me more worried than ever. Any insights would be greatly appreciated! TIA

All done within 3 hours of waking

https://preview.redd.it/rjp7hhzdsmmd1.png?width=975&format=png&auto=webp&s=c85eb1208c69154a6115ec52ab6e2ea76a8acdfe