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Idiopathic hyperprolactinemia - a challenge for primary care

Hyperprolactinemia is a condition of elevated serum prolactin, which usually occurs in women as compared to men. Most patients present to primary care clinics with a history of galactorrhoea, oligomenorrhea, amenorrhoea or infertility. Literature search reveals that there were few idiopathic ca...

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Main Authors: Shalihin, Mohd Shaiful Ehsan, Mohamed Juhan, Nik Ahmad Khairul Fahmi
Format: Article
Language:English
English
Published: Malaysian Medical Association 2021
Subjects:
R Medicine (General)
RA Public aspects of medicine
RC Internal medicine
Online Access:http://irep.iium.edu.my/94123/1/94123_Idiopathic%20hyperprolactinemia.pdf
http://irep.iium.edu.my/94123/7/94123_Idiopathic%20hyperprolactinemia%20-%20a%20challenge%20for%20primary%20care_Scopus.pdf
http://irep.iium.edu.my/94123/
https://www.e-mjm.org/2021/v76n6/idiopathic-hyperprolactinemia.pdf
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spelling my.iium.irep.941232021-12-30T06:34:06Z http://irep.iium.edu.my/94123/ Idiopathic hyperprolactinemia - a challenge for primary care Shalihin, Mohd Shaiful Ehsan Mohamed Juhan, Nik Ahmad Khairul Fahmi R Medicine (General) RA Public aspects of medicine RC Internal medicine Hyperprolactinemia is a condition of elevated serum prolactin, which usually occurs in women as compared to men. Most patients present to primary care clinics with a history of galactorrhoea, oligomenorrhea, amenorrhoea or infertility. Literature search reveals that there were few idiopathic causes of hyperprolactinemia, which resolved by itself without specific pharmacological or surgical treatment. This case is of a 39-year-old woman presented with amenorrhea for four months after Implanon removal and concomitantly noted to have galactorrhoea for four years without any medical attention. The condition persisted after cessation of breastfeeding. After undergoing several investigations including imaging studies, the underlying cause of hyperprolactinemia was noted to be idiopathic. Due to the unclear cause of its aetiology, this case caused various challenges to the primary care. Exhaustive physiological and pathological causes of hyperprolactinemia have been ruled out. Nevertheless, with adequate treatment, she gained her normal menstrual and resolved galactorrhoea symptoms. Malaysian Medical Association 2021-11-25 Article PeerReviewed application/pdf en http://irep.iium.edu.my/94123/1/94123_Idiopathic%20hyperprolactinemia.pdf application/pdf en http://irep.iium.edu.my/94123/7/94123_Idiopathic%20hyperprolactinemia%20-%20a%20challenge%20for%20primary%20care_Scopus.pdf Shalihin, Mohd Shaiful Ehsan and Mohamed Juhan, Nik Ahmad Khairul Fahmi (2021) Idiopathic hyperprolactinemia - a challenge for primary care. Medical Journal of Malaysia, 76 (6). pp. 941-945. ISSN 0300-5283 https://www.e-mjm.org/2021/v76n6/idiopathic-hyperprolactinemia.pdf
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic R Medicine (General)
RA Public aspects of medicine
RC Internal medicine
spellingShingle R Medicine (General)
RA Public aspects of medicine
RC Internal medicine
Shalihin, Mohd Shaiful Ehsan
Mohamed Juhan, Nik Ahmad Khairul Fahmi
Idiopathic hyperprolactinemia - a challenge for primary care
description Hyperprolactinemia is a condition of elevated serum prolactin, which usually occurs in women as compared to men. Most patients present to primary care clinics with a history of galactorrhoea, oligomenorrhea, amenorrhoea or infertility. Literature search reveals that there were few idiopathic causes of hyperprolactinemia, which resolved by itself without specific pharmacological or surgical treatment. This case is of a 39-year-old woman presented with amenorrhea for four months after Implanon removal and concomitantly noted to have galactorrhoea for four years without any medical attention. The condition persisted after cessation of breastfeeding. After undergoing several investigations including imaging studies, the underlying cause of hyperprolactinemia was noted to be idiopathic. Due to the unclear cause of its aetiology, this case caused various challenges to the primary care. Exhaustive physiological and pathological causes of hyperprolactinemia have been ruled out. Nevertheless, with adequate treatment, she gained her normal menstrual and resolved galactorrhoea symptoms.
format Article
author Shalihin, Mohd Shaiful Ehsan
Mohamed Juhan, Nik Ahmad Khairul Fahmi
author_facet Shalihin, Mohd Shaiful Ehsan
Mohamed Juhan, Nik Ahmad Khairul Fahmi
author_sort Shalihin, Mohd Shaiful Ehsan
title Idiopathic hyperprolactinemia - a challenge for primary care
title_short Idiopathic hyperprolactinemia - a challenge for primary care
title_full Idiopathic hyperprolactinemia - a challenge for primary care
title_fullStr Idiopathic hyperprolactinemia - a challenge for primary care
title_full_unstemmed Idiopathic hyperprolactinemia - a challenge for primary care
title_sort idiopathic hyperprolactinemia - a challenge for primary care
publisher Malaysian Medical Association
publishDate 2021
url http://irep.iium.edu.my/94123/1/94123_Idiopathic%20hyperprolactinemia.pdf
http://irep.iium.edu.my/94123/7/94123_Idiopathic%20hyperprolactinemia%20-%20a%20challenge%20for%20primary%20care_Scopus.pdf
http://irep.iium.edu.my/94123/
https://www.e-mjm.org/2021/v76n6/idiopathic-hyperprolactinemia.pdf
_version_ 1720979909755535360
score 13.211869

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