Question

A 33-year-old woman presents with secondary amenorrhoea for 8 months, galactorrhoea and headaches. Serum prolactin is markedly elevated, and MRI shows a 9 mm pituitary lesion. What is the first-line treatment?

Accepted Answer

Dopamine agonist therapy (e.g., Cabergoline)

Answer

Transsphenoidal surgical resection

Answer

External beam radiotherapy

Answer

Observation only

Answer

High-dose combined oral contraceptives

Practice question

A 33-year-old woman presents with secondary amenorrhoea for 8 months, galactorrhoea and headaches. Serum prolactin is markedly elevated, and MRI shows a 9 mm pituitary lesion. What is the first-line treatment?