A 27 years old woman presents with amenorrhea. She had been taking the combined oral contraceptive pill for the last 9 years, stopping this 11 months ago. She is otherwise healthy, but on physical exam she has bilateral galactorrhea. Laboratory work-up reveals an elevated prolactin level and low-normal gonadotropin (LH, FSH) levels. What are the most important differential diagnoses?

Of the relevant differential diagnoses, it is important to consider hypothyroidism, pituitary adenomas and polycystic ovarian disease.

Categorised in:

This post was written by Omar Rifai