Galactorrhoea - Other Metabolic and Endocrine Disorders

Question 1

Management of Galactorrhoea?

Answer 1

Rule out serious pathology- Breast Cancer

Treat underlying cause

Question 2

Investigation of Galactorrhoea?

Answer 2

Prolactin, TFTs, U&Es, LFTs, hCG, MRI/CT and visual fields.

Question 3

Presenting Signs and Symptoms of Galactorrhoea?

Answer 3

Non- Obstetric Lactation

Question 4

Cause of Galactorrhoea?

Answer 4

Prolactinoma

Hypothyroidism

Cushing’s

Acromegaly

Medication that INCREASES PROLACTIN. SSRI-Fluoxetine

SSRI medications are well-recognised to interfere with neurotransmitters and can cause a rise in prolactin levels

Question 5

Key tips in remembering Galactorrhoea—– what to you associate this with? (Mummy’s Milk)

Answer 5

Breast & Prolactin

Question 6

A 45-year-old male presents to his GP complaining of a milky discharge from his nipples. He was recently discharged following a long inpatient stay.

Which drug is he most likely to have been started on?

Answer 6

Risperidone