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Prolactinoma in pregnancy — SCE Endocrinology MCQ

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ModerateEndocrinology in pregnancyProlactinoma in pregnancySCE Endocrinology

A 33-year-old woman with a macroprolactinoma becomes pregnant after cabergoline treatment. The tumour had shrunk to 8 mm away from the optic chiasm before conception. She has no headache or visual symptoms. What is the most appropriate management?

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

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Correct answer: B — Stop cabergoline and monitor clinically

Dopamine agonists are commonly stopped once pregnancy is confirmed if tumour risk is low after shrinkage. Monitoring focuses on headache and visual symptoms, with visual fields or MRI if clinically indicated. Routine gadolinium MRI is avoided in pregnancy unless essential.

Reference: Endocrine Society Hyperprolactinaemia Guideline; BNF