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Idiopathic hyperprolactinemia - a challenge for primary care

Shalihin, Mohd Shaiful Ehsan and Mohamed Juhan, Nik Ahmad Khairul Fahmi (2021) Idiopathic hyperprolactinemia - a challenge for primary care. Medical Journal of Malaysia, 76 (6). pp. 941-945. ISSN 0300-5283

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Hyperprolactinemia is a condition of elevated serum prolactin, which usually occurs in women as compared to men. Most patients present to primary care clinics with a history of galactorrhoea, oligomenorrhea, amenorrhoea or infertility. Literature search reveals that there were few idiopathic causes of hyperprolactinemia, which resolved by itself without specific pharmacological or surgical treatment. This case is of a 39-year-old woman presented with amenorrhea for four months after Implanon removal and concomitantly noted to have galactorrhoea for four years without any medical attention. The condition persisted after cessation of breastfeeding. After undergoing several investigations including imaging studies, the underlying cause of hyperprolactinemia was noted to be idiopathic. Due to the unclear cause of its aetiology, this case caused various challenges to the primary care. Exhaustive physiological and pathological causes of hyperprolactinemia have been ruled out. Nevertheless, with adequate treatment, she gained her normal menstrual and resolved galactorrhoea symptoms.

Item Type: Article (Case Report)
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Kulliyyah of Medicine
Depositing User: Dr Mohd Shaiful Ehsan Shalihin
Date Deposited: 29 Nov 2021 10:52
Last Modified: 30 Dec 2021 14:34
URI: http://irep.iium.edu.my/id/eprint/94123

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