Condition Info - BotMed Application

ConditionName

Hyperprolactinemia

ConditionDescription

Symptoms

Long or irregular cycles;
Amenorrhea;
Oligomenorrhea;
Infertility;
Production and discharge of breast milk;
Sexual side effects;
Hirsutism;

Pre-meno: hypogonadism -> infertility, oligo/amenorrhea
Post-meno: non;
Both: rare galactorrhea;
Bi-temporal hemianopia;

Male: low libido, low testosterone, rare galactorrhea, gynecomastia

PhysicalFindings

ClinicalTests

Prolactin;
Thyroxine (T4);
Thyroid-stimulating hormone (TSH);
CT or MRI;

RiskFactors

Pregnancy;
Drug which block dopamine (Risperidone, Haloperidol);
Stress, stimulation;

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Functional adenomas;
Hypothyroidism;
"Laboratory indications include whole-blood histamine above 70 mg/ml and folate overload, creating a low methyl to folate ratio. This can result in lower levels of dopamine, norepinephrine, and serotonin"

TreatmentOptions

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/endocrine-and-metabolic-disorders/pituitary-disorders/galactorrhea