A 28-year-old woman has amenorrhoea, galactorrhoea, headaches, and bitemporal visual field loss. Prolactin is 4,800 micrograms/L, TSH is normal,

Question

A 28-year-old woman has amenorrhoea, galactorrhoea, headaches, and bitemporal visual field loss. Prolactin is 4,800 micrograms/L, TSH is normal, pregnancy test is negative, and she takes no dopamine antagonist. What is the most appropriate investigation?

Accepted Answer

MRI pituitary with visual field assessment

Answer

Pelvic ultrasound for ovarian cysts

Answer

Adrenal CT with contrast

Answer

Repeat prolactin after exercise challenge

Answer

Lumbar puncture for opening pressure

Macroprolactinoma — RCPSC IM MCQ

A 28-year-old woman has amenorrhoea, galactorrhoea, headaches, and bitemporal visual field loss. Prolactin is 4,800 micrograms/L, TSH is normal, pregnancy test is negative, and she takes no dopamine antagonist. What is the most appropriate investigation?