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Hyperprolactinaemia — PARA MCQ

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HardO&G - Endocrine gynaecologyHyperprolactinaemiaPARA

A 26-year-old woman has secondary amenorrhoea, galactorrhoea and headaches. Pregnancy test is negative and prolactin is markedly raised. What is the most appropriate investigation?

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Correct answer: B — Pituitary MRI after excluding common reversible causes

Marked hyperprolactinaemia with headaches suggests a pituitary lesion. Medication, pregnancy and thyroid causes should be considered, then pituitary MRI arranged.

Reference: NICE CKS: Hyperprolactinaemia; Society for Endocrinology guidance