Thinking About the Pituitary With Amenorrhea, Osteopenia, and Impotence: Prolactinomas

摘要

Amenorrhea, infertility, osteopenia, decreased libido, and impotence are common primary care complaints. Typical evaluations effectively address potential problems-estrogen excess or depression as examples-leading to these abnormalities. One organ that may be overlooked in the work-up is the pituitary gland. Forty percent of pituitary tumors produce prolactin. This hormone may be the culprit for all the symptoms and signs mentioned in the opening sentence. A 'Top Paper" provides a comprehensive, but clear review of this important pathology.