Hyperprolactinemia Questions & Answers

Updated: Mar 16, 2018
  • Author: Donald Shenenberger, MD, FAAD, FAAFP; Chief Editor: George T Griffing, MD  more...
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Questions & Answers

Overview

What is hyperprolactinemia?

What are the treatment options for hyperprolactinemia?

What are the indications for surgery in the treatment of hyperprolactinemia?

What is the pathophysiology of hyperprolactinemia?

What is the role of dopamine in the pathophysiology of hyperprolactinemia?

What is the prevalence of hyperprolactinemia?

What is the mortality rate of hyperprolactinemia?

What is the morbidity associated with hyperprolactinemia?

How does the etiology of hyperprolactinemia affect morbidity and mortality?

What is the clinical presentation of hyperprolactinemia in women?

What is the clinical presentation of hyperprolactinemia in men?

Presentation

What are the signs and symptoms of hyperprolactinemia in women?

What are the signs and symptoms of hyperprolactinemia in men?

What are the signs and symptoms of a pituitary tumor in hyperprolactinemia?

Which physical findings are characteristic of hyperprolactinemia?

When should a diagnosis of hyperprolactinemia be considered?

Which condition should be excluded first in the evaluation of hyperprolactinemia in women?

Which common conditions may cause hyperprolactinemia?

Which drugs cause hyperprolactinemia?

What should be done if no obvious cause for hyperprolactinemia is identified?

How is the etiology of hyperprolactinemia determined?

How are adenomas causing hyperprolactinemia classified?

When is a radiographic study indicated in the evaluation of hyperprolactinemia?

When is idiopathic hyperprolactinemia diagnosed?

What is macroprolactinemia?

DDX

What are the differential diagnoses for Hyperprolactinemia?

Workup

When is hyperprolactinemia usually identified?

What is the role of lab studies in the evaluation of hyperprolactinemia?

What is the role of imaging studies in the diagnosis of hyperprolactinemia?

When is visual field testing indicated in the evaluation of hyperprolactinemia?

Treatment

What is the focus of treatment for hyperprolactinemia?

What is the treatment of choice if symptoms of hyperprolactinemia are present?

What is the role of dopamine agonists in the treatment of hyperprolactinemia?

What is the role of bromocriptine in the treatment of hyperprolactinemia?

How is pharmacologic-induced hyperprolactinemia managed?

What is the role of estrogen replacement in the treatment of hyperprolactinemia?

What is the role of radiation in the treatment of hyperprolactinemia?

What is the role of surgery in the treatment of hyperprolactinemia?

When is transsphenoidal surgery indicated for the treatment of hyperprolactinemia?

What is the prevalence of impaired bone density in patients with hyperprolactinemia?

Which specialist consultations are needed in the diagnosis and treatment of hyperprolactinemia?

Medications

Which medications are used in the treatment of hyperprolactinemia?

How is response to therapy monitored in patients with hyperprolactinemia?

What is the recurrence rate of hyperprolactinemia?

Which factors increase the risk of recurrence of hyperprolactinemia?

What is the role of bromocriptine and cabergoline in the treatment of hyperprolactinemia?

What is the rate of hyperprolactinemia recurrence following withdrawal of medications?

Which medications in the drug class Dopamine agonists are used in the treatment of Hyperprolactinemia?

Follow-up

What is included in long-term monitoring of hyperprolactinemia?

What are potential complications of hyperprolactinemia?

What is the prognosis of hyperprolactinemia?

What included in patient education about hyperprolactinemia?