Case discussion-Galactorrhea amenorrhoea скачать в хорошем качестве

Case discussion-Galactorrhea amenorrhoea

Galactorrhea, or inappropriate lactation, is a relatively common problem that occurs in approximately 20 to 25 percent of women. Lactation requires estrogen, progesterone and, most importantly, prolactin. Stress, suckling, sleep, sexual intercourse and medications may increase prolactin levels, whereas dopamine inhibits its release. The differential diagnosis of galactorrhea includes pituitary adenomas, neurologic disorders, hypothyroidism, numerous medications, breast stimulation, chest wall irritation and physiologic causes. Antipsychotics which act by blocking D2 receptor should be kept in mind while evaluating cases.