A 45 years old man presents with loss of libido and some erectile dysfunction. He is otherwise healthy. On physical examination he has mild bilateral gynecomastia and normal testes. Laboratory work-up reveals a highly elevated prolactin level and low testosterone and gonadotropin (LH, FSH) levels. Visual field assessment reveals bitemporal hemianopia. 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