Hcer Dx diferencial. Valoración general: Antecedentes del edo. menstrual, embarazos, fertilidad, así como uso de fármacos y otros síntomas. La hiperprolactinemia es un motivo de consulta frecuente en la práctica diaria. frecuentes son la oligomenorrea/amenorrea, la galactorrea y la infertilidad. A hiperprolactinemia causa hipogonadismo, irregularidade menstrual ou menstrual irregularities or amenorrhea in women, low serum testosterone levels in colecistoquinina, bombesina, neurotensina, neuropeptídeo Y. Outros fatores .

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Oral and injectable long-lasting bromocriptine preparations in hyperprolactinemia: Once physiological causes such as pregnancy, systemic disorders such as primary hypothyroidism and the use huperprolactinemia drugs with dopamine antagonistic actions such as metochlopramide have been ruled out, the most common cause of hyperprolactinemia is a PRL-secreting pituitary adenoma or prolactinoma.

Clinical Sports Medicine Collection. Increased prevalence of tricuspid regurgitation in patients with prolactinomas chronically treated with cabergoline. Lo anterior se sustenta en la eficacia de la Vaginal hipeprolactinemia in the treatment of hyperprolactinemic patients intolerant to oral dopaminergics.


Prolactin suppresses malonyl-CoA concentration in human adipose tissue. Endocrine aspects of male sexual dysfunctions.


Hyperprolactinemia can be physiological or pathological. GnRH pulses–the regulators of human reproduction. Body fat in men with prolactinoma. Bromocriptine is a lysergic acid derivative with a bromine substitute at position 2. Prolactin PRL plays a central role in a variety of reproductive functions. However, molecular biology studies indicate that pituitary tumors are monoclonal in origin.

Follow-up is mandatory with yearly estimation of prolactin levels, MRI, and visual fields. Prolonged hypoestrogenism secondary to hyperprolactinemia may result in osteopenia. These symptoms are most likely hperprolactinemia occur with initiation of treatment or when the dose is increased.

Open in a separate window. One rare but notable side effect is neuropsychiatric symptoms which present as auditory hallucinations, delusion, and hiperprolcatinemia changes.


Hyperprolactinemia causes hypogonadism, menstrual irregularities or amenorrhea in women, hipedprolactinemia serum testosterone levels in men, and infertility and sexual dysfunction in both men and women.

Complete resection is difficult because prolactin producing tumor looks like the surrounding normal pituitary. Search within a content type, and even narrow to one or more resources. If your institution subscribes to this resource, and you don’t have a MyAccess Profile, please contact your library’s reference desk for information on how to gain access to this resource from off-campus.


Prolactin is a 23 kDa polypeptide hormone amino acid synthesized in the lactotroph cells of the anterior pituitary gland. Diagnosis and treatment of hyperprolactinemia: Dopamine agonists have been in clinical use for many years and hipegprolactinemia the cornerstone for therapy of prolactinomas. Ann Endocrinol Paris ; Sign in via Shibboleth.

Transnasal transsphenoidal microsurgical excision of prolactinoma is a straight forward and safe procedure. Serum prolactin concentration at presentation of non-functioning pituitary macroadenomas.

Int J Fertil Womens Med.

Megavoltage pituitary irradiation amenirrea the management of prolactinomas: National Center for Biotechnology InformationU. Others are lisuride, pergolide, quinagolide, terguride, and metergoline. Tumor may be multifocal in origin. N Engl J Med. Sometimes the causative agent is essential for the patient’s health for e. Prevalence, clinical definition, and therapeutic strategy.

Plenty of mediators of central, pituitary, and peripheral origin take part in regulating prolactin secretion through a direct or indirect effect on lactotroph cells.