skip to main content

Prolactinoma in pregnancy — SCE Endocrinology MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePituitaryProlactinoma in pregnancySCE Endocrinology

A 30-year-old woman with macroprolactinoma has been taking cabergoline. She becomes pregnant and has no visual symptoms. MRI before pregnancy showed tumour shrinkage away from the chiasm. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Stop cabergoline and monitor clinically during pregnancy

Dopamine agonists are usually stopped once pregnancy is confirmed unless there is high risk of symptomatic expansion. Clinical monitoring for headache and visual symptoms is key. Gadolinium MRI and surgery are reserved for specific concerns.

Reference: Endocrine Society Hyperprolactinaemia Guideline; BNF