Hyperprolactinaemia
- The most common pituitary disorder
- Causes: prolactinoma, pregnancy, breastfeeding, stress, sleep, hypothyroidism, SSRIs, oestrogen, CKD, sarcoidosis
- Female symptoms: loss of libido, weight gain, apathy, vaginal dryness, menstrual disturbances, infertility, galactorrhoea
- Male symptoms: impotence, decreased facial hair
- Investigation: basal plasma prolactin
- Management: exclude other causes, refer if no obvious cause