[Effects of therapy and pregnancy on hyperprolactemia caused by a pituitary adenoma. A clinical case]

Minerva Ginecol. 1989 Mar;41(3):157-60.
[Article in Italian]

Abstract

A woman who presented with amenorrhea and galactorrhea with a large prolactinoma (8.5 mm) which regressed on bromocriptine therapy is described. When treatment with bromocriptine was instituted (10 mg/daily) mean serum prolactin concentration fell from 490 ng/ml to 108 ng/ml. Despite a progressive reduction in size up to disappearance of the adenoma after the first 5 years of therapy, prolactin levels remained high. Bromocriptine treatment was stopped after 6 years, when pregnancy was diagnosed. Pregnancy proceeded without complications and lactation was initiated and maintained. After 8 months of breast-feeding, menstrual function resumed spontaneously and bromocriptine therapy was no longer required. Bromocriptine can cause not only a decrease in serum prolactin levels but also a regression in the size of prolactinomas in hyperprolactinemic women. No problems associated with pregnancy and/or breast-feeding were noted in these patients.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Adult
  • Amenorrhea / etiology
  • Bromocriptine / blood
  • Bromocriptine / therapeutic use*
  • Female
  • Galactorrhea / etiology
  • Humans
  • Hyperprolactinemia / blood
  • Hyperprolactinemia / complications
  • Hyperprolactinemia / drug therapy*
  • Pituitary Neoplasms / complications
  • Pituitary Neoplasms / drug therapy*
  • Pregnancy
  • Pregnancy Complications / blood
  • Pregnancy Complications / drug therapy*
  • Prolactin / blood
  • Prolactinoma / blood
  • Prolactinoma / complications
  • Prolactinoma / drug therapy*

Substances

  • Bromocriptine
  • Prolactin