Diagnosis and management of hyperprolactinemia.
نویسندگان
چکیده
Prolactin is a pituitary hormone that plays a pivotal role in a variety of reproductive functions. Hyperprolactinemia is a common condition that can result from a number of causes, including medication use and hypothyroidism as well as pituitary disorders. Depending on the cause and consequences of the hyperprolactinemia, selected patients require treatment. The underlying cause, sex, age and reproductive status must be considered. We describe the diagnostic approach and management of hyperprolactinemia in various clinical settings, with emphasis on newer diagnostic strategies and the role of various therapeutic options, including treatment with selective dopamine agonists.
منابع مشابه
[Clinical guidelines for diagnosis and treatment of prolactinoma and hyperprolactinemia].
OBJECTIVE To provide practical and up to date recommendations for evaluation, differential diagnosis, and treatment of prolactinoma and hyperprolactinemia in various clinical settings. PARTICIPANTS Members of the Neuroendocrinology Working Group of the Spanish Society of Endocrinology. METHODS Recommendations were formulated according to the Grading of Recommendations, Assessment, Developme...
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INTRODUCTION Several drugs may cause hyperprolactinemia, especially antipsychotic drugs and prokynetic drugs. Serum prolactin concentrations increase within hours after acute administration of these drugs and return to normal within two to four days after cessation of chronic therapy. So far, sibutramine, a sympathomimetic drug used in the management of obesity, was not described to be associat...
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Chamomile is a fascinating plant quoted in several traditional medicine texts, which hasbroad-spectrum pharmacological activity and medicinal uses. The aim of this study was toassess the efficacy of chamomile syrup in reducing serum prolactin in women with idiopathichyperprolactinemia. The study was a randomized, controlled clinical trial that was cond...
متن کاملHyperprolactinemia: an unusual manifestation of suprasellar cystic lesions.
Two patients with suprasellar cysts and hyperprolactinemia are described. These lesions were diagnosed by CT metrizamide cisternography. Suprasellar cysts are a rare cause of pathologic hyperprolactinemia, which most commonly results from pituitary adenomas. Tissue diagnosis revealed suprasellar arachnoid cysts in the first patient and Rathke's cleft cyst in the second. The differential diagnos...
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عنوان ژورنال:
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
دوره 169 6 شماره
صفحات -
تاریخ انتشار 2003