Clinical and etiological profile of hyperprolactinemia--data from a tertiary care centre.
OBJECTIVE
To study the clinical presentation and etiology of hyperprolactinemia, a common disorder encountered in endocrine practice.


METHODS
We analyzed the clinical data, hormone profile and imaging reports of 187 females with documented hyperprolactinemia, over a period of 6 years (5 years retrospective analysis and one year prospective study).


RESULTS
Majority of the 187 subjects studied presented in 3rd or 4th decade. Galactorrhoea was the commonest presenting symptom occurring in 159 subjects (85%), followed by amenorrhea in 68.9%; both amenorrhea and galactorrhea were seen in 45.4%. A microprolactinoma was demonstrated in 67 patients (35.8%), a nonfunctioning pituitary macroadenoma with stalk hyperprolactinemia occurred in 30 patients (16%) and polycystic ovarian disease was documented in 24 (12.8%). In 52 patients (27.8%) no apparent cause could be ascertained.


CONCLUSIONS
Syndrome of amenorrhea and/or galactorrhea is the commonest presentation in hyperprolactinemia. Microprolactinoma was the most frequent identifiable etiology followed by idiopathic and stalk hyperprolactinemia in our series.
Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences Soura, Srinagar.
A H
AH
Zargar
B A
BA
Laway
S R
SR
Masoodi
M H
MH
Bhat
A I
AI
Wani
M I
MI
Bashir
M
M
Salahuddin
R
R
Rasool
D000046:Academic Medical Centers; D000328:Adult; D017668:Age of Onset; D005260:Female; D005687:Galactorrhea / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D006966:Hyperprolactinemia / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D007247:Infertility, Female; D011446:Prospective Studies; D012189:Retrospective Studies