Andalas obstetrics and gynecology journal
Vol. 8 No. 1 (2024)

MANAGEMENT OF HYPERPROLACTINEMIA CAUSED PITUITARY MICROADENOMA

Ibnu Muttaqin (Department of Obstetry and Gynecology, Faculty of Medicine, Andalas University/Dr. M. Djamil, Padang)
Haviz Yuad (Subdivision of Fertility and Endocrynology, Department of Obstetry and Gynecology, Faculty of Medicine, Andalas University/Dr. M. Djamil, Padang)



Article Info

Publish Date
30 Jan 2024

Abstract

Hyperprolactinemia is an increase in fasting levels of the hormone prolactin above 20 ng/ml in menand above 25 ng/ml in women. Hyperprolactinemia occurs more often in women of reproductive age,with a percentage of 9 – 17%. The etiology of hyperprolactinemia can occur due to abnormal pituitarysecretions, systemic disease, use of drugs, damage to the hypothalamus-pituitary axis. A 33-year oldfemale patient came to the FER Polyclinic at M. Djamil Hospital with complaints of not menstruatingfor the past 2 months. Irregular menstruation since 15 years ago, menstruation 2-3 times in 6 months,irregular cycle for 7-8 days. The patient also complained of a fluid like breast milk coming out of thebreast for 5 years, initially the fluid came out in a trickle and then gradually reduced and now the fluidcomes out occasionally if the breast is squeezed. From the supporting examinations carried out, it wasfound that the prolactin hormone level in this patient was 134.53, and the results of the MRIexamination showed a mass measuring 1.05x1.12x0.5 mm, which was diagnosed as secondaryamenorrhea, hyperprolactinemia, and suspected pituitary microadenoma. The patient will bemonitored for general condition and vital signs, as well as consultations with colleagues involved, suchas consultations to the Internal Medicine section, Endocrinology, Metabolic and Diabetes Subdivision.

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Journal Info

Abbrev

JOE

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Immunology & microbiology Nursing Public Health

Description

Andalas Obstetrics And Gynecology Journal (AOJ) (e-ISSN: 2579-8324) is a peer-reviewed, open-access national journal published by Universitas Andalas and is dedicated to publish and disseminate research articles, literature reviews, and case reports, in the field of obstetrics, gynecology, and other ...