Prolactinoma

Question 1

what is a prolactinoma

Answer 1

pituitary tumour that releases to much prolactin

Question 2

in women, how will a prolactinoma present

Answer 2

oligomenorrhoea, amenorrhoea, galactorrhoea, infertility and vaginal dryness

Question 3

in men, how will a prolactinoma present

Answer 3

erectile dysfunction, reduced libido, reduced facial hair

Question 4

as every other pituitary tumour, what other effects may a prolactinoma have on BOTH men and women

Answer 4

visual defects and headache

Question 5

investigations for prolactinoma

Answer 5

MRI (micro or macroadenoma; micro is less than 1cm, macro is more than 1cm)

serum prolactin

Question 6

management of prolactinoma

Answer 6

dopamine agonists- cabergoline

HRT- oestogen- if fertility and galactorrhoea isnt an issue

surgery- transsphenoidal resection

radiotherapy