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