A young female, Rama with amenorrhea, infertility, and galactorrhoea were treated with a drug that successfully restored ovulation and menstruation. Before being given the drug, the woman was carefully questioned about previous mental health problems, which she did not have. She was advised to take the drug orally. The drug used to treat this patient was probably:
Symptoms of the patient (amenorrhea, galactorrhea and infertility) point towards the diagnosis of hyperprolactinemia.
Bromocriptine is a D2 receptor agonist that can be used in the treatment of hyperprolactinemia (dopamine acts as protecting release inhibiting hormone in the hypothalamus).
Psychosis occurs due to excessive stimulation of D2 receptors (D2 blockers are used as typical antipsychotic drugs) and bromocriptine can precipitate the symptoms in predisposed patients.
Bromocriptine
Desmopressin
Human gonadotropin hormone
Leuprolide