Hyperprolactinemia

Clinical Features: 

General S/S:

• Infertility.
• Loss of interest in sex.
• Low bone mass.
• Milky discharge from your nipples when not pregnant or chestfeeding (galactorrhea).

Female -S/S:

• Changes in menstruation not related to menopause, such as irregular periods (menstruation) or no periods (amenorrhea).
• Pain or discomfort during penetrative sex due to vaginal dryness.

Male -S/S

• Erectile dysfunction (ED).
• Low levels of testosterone.
• Enlarged breast tissue (gynecomastia).

Investigation: 

• Serum Prolactin level 
• Prolactin stimulation test 
• Serum TSH & FT4
• Pregnancy Test 
• MRI Of Brain

Rx:

• Pituitery adenoma
• hypothyroidism