Endocrine Abstracts

Introduction: Hyperprolactinemia may be physiological or caused by discontinuation of normal prolactin regulation because of certain drugs or by other diseases such as kidney, ovarian and thyroid diseases.

Materials and methods: This is a retrospective study of 30 patients presenting with hyperprolactinemia.

Results: The average age was 30 years old. 20 patients married, 10 no married (30%). The indication of the prolactin dosage was primary or secondary amenorrhea in 5 cases (16.5), isolated galactorrhoea in 8 cases (26%) or associated in 9 cases (30%), cycle disorders in 18 cases or primary or secondary sterility in 5 cases. The clinical examination was normal in 10 cases and abnormal in 16 CAS. The etiological investigation of hyperprolactinemia was based on MRI in 16 cases (53%), 11 of which were pathological, one in 10 cases (37%), 2 of which were pathological, one sella turcica in 4 cases (13%), 8%), mammary cytology in 2 cases and mammography in 8 cases. The driving was based on medical treatment, other treatment in 8 cases; discontinuation of drug intake in 3 patients; a patient was referred to neurosurgery.

Conclusion: Prolactinemia remains an essential biological examination for diagnostic orientation in certain pathologies. MRI is now the only way to confirm the diagnosis of pituitary adenomas.