Question

A 41-year-old woman presents with amenorrhoea, galactorrhoea and headaches. Prolactin is markedly elevated at 2500 mIU/L. MRI reveals a 9 mm pituitary lesion consistent with a microprolactinoma. According to endocrine guidelines, what is the first-line treatment?

Accepted Answer

Dopamine agonist such as cabergoline

Answer

Trans-sphenoidal pituitary surgery

Answer

External beam radiotherapy

Answer

Combined oral contraceptive pill alone

Answer

Observation only

Practice question

A 41-year-old woman presents with amenorrhoea, galactorrhoea and headaches. Prolactin is markedly elevated at 2500 mIU/L. MRI reveals a 9 mm pituitary lesion consistent with a microprolactinoma. According to endocrine guidelines, what is the first-line treatment?