Prolactinoma - Sanjay Manohar's Medical Browser
Effects
Parents
Treatments
Description
- "PRESENTATION
In women
�Irregular periods.
�Reduced fertility.
�galactorrhoea
�Increased growth of hair on the face
In men:
�Reduced fertility.
�Erectile dysfunction
�Loss of libido.
�gynaecomastia
In both:
-Visual disturbances
-Headache
DIAGNOSIS:
Normal prolactin = 400 mU/L.
>5000 mU/L=prolactinoma
Lesser levels caused by:
-metoclopramide
-domperidone.
-SSRI Antidepressants
TREATMENT:
1) Dopamine agonists
- bromocriptine
- cabergoline
2) Transphenoidal ablation
PROGNOSIS: Good
"