A young women with secondary amenorrhea and galactorrhea. MRI shows a tumour of < lOmm diameter in the pituitary fossa. Treatment is:
Answer is D (Bromocriptine): Secondary Amenorrhea and galactorrhea in a young women with evidence of microadenoma (tumor I Omm) in the pituitary fossa suggest a diagnosis of prolactinoma. Oral dopamine agonists (Dopamine or Cabergoline) are the treatment of choice for patients with prolactinomas.
Hormonal therapy for withdrawal bleeding
Radiotherapy
Chemotherapy
Bromocriptine