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Diagnosis of hyperprolactinemia in women: A Position Statement from the Brazilian Federation of Gynecology and Obstetrics Associations (Febrasgo) and the Brazilian Society of Endocrinology and Metabolism (SBEM). | LitMetric

AI Article Synopsis

  • Hyperprolactinemia can lead to issues like menstrual irregularities, infertility, and other health problems, caused by various factors categorized as physiological, pharmacological, and pathological.
  • It’s crucial to differentiate prolactinomas (tumors producing prolactin) from other conditions that could cause elevated prolactin levels, especially due to pituitary stalk disconnection.
  • The Brazilian Federation of Gynecology and Obstetrics Associations and the Brazilian Society of Endocrinology and Metabolism have outlined guidelines for measuring serum prolactin and investigating hyperprolactinemia, whether it presents symptoms or arises from medications.

Article Abstract

Hyperprolactinemia is a frequent cause of menstrual irregularity, galactorrhea, hypogonadism, and infertility. The most common etiologies of hyperprolactinemia can be classified as physiological, pharmacological, and pathological. Among pathological conditions, it is essential to distinguish prolactinomas from other tumors and pituitary lesions presenting with hyperprolactinemia due to pituitary stalk disconnection. Proper investigation considering clinical data, laboratory tests, and, if necessary, imaging evaluation, is important to identify the correctcause of hyperprolactinemia and manage the patient properly. This position statement by the Brazilian Federation of Gynecology and Obstetrics Associations (Febrasgo) and Brazilian Societyof Endocrinology and Metabolism (SBEM) addresses the recommendations for measurement of serum prolactin levels and the investigations of symptomatic and asymptomatic hyperprolactinemia and medication-induced hyperprolactinemia in women.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11081055PMC
http://dx.doi.org/10.20945/2359-4292-2023-0502DOI Listing

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