Hyperprolactinaemia

 

Hyperprolactinaemia

The most common pituitary disorder resulting from a pituitary adenoma.

Causes

Pregnancy

Breastfeeding

Stress

Hypothyroidism

Drugs—phenothiazines, metoclopramide, domperidone, SSRIs, methyldopa, oestrogens, Antipsychotic such as risperidone

Chronic renal failure

Sarcoidosis

Symptoms are due to pressure effects or increased prolactin production.

Symptoms

Loss of libido

Weight gain

apathy

Vaginal dryness

Menstrual disturbance

Infertility, galactorrhoea

Impotence

Investigation

Serum Prolactin levels

MRI brain

Management

Treat the cause

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