Hyperprolactinoma Flashcards
1
Q
Causes of Hyperprolactinoma? (6)
A
Pregnnacy Stress Dopamine Antagonists Hypothyroidism Prolactinoma Oestrogen
2
Q
What dopamine antagonists can cause Hyperprolactinomas? (2)
A
Neuroleptics eg Chlorapromozide or Antiemetics eg Metoclopromide
3
Q
How to treat hyperprolactinoma?
A
Dopamine Agonist eg Bromocriptine or Cabergoline
4
Q
Diagnosis of Hyperprolactinoma? (3)
A
Basal Plasma Prolactin >550
MRI
Prolactin Stimulation with Metoclopramide
5
Q
Risks of Hyperprolactinomas? (2)
A
In pregnancy they increase in size but must stop treatment
Increased risk of osteoporosis due to decreased oestrogen and testosterone
6
Q
Presentation of Hyperprolactinomas? (6)
A
Galactorrhoea Infertile Menstrual Irregularity Erectile Dysfunction Lactation Amenorrhoea
