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[Pregnancy and hyperprolactinemia].

G Hoffmann, R H Ackermann, J Happ

    Experimental and Clinical Endocrinology
    |May 1, 1983
    PubMed
    Summary
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    Bromocriptine therapy enabled 13 hyperprolactinemia patients to conceive. Pregnancies were generally uncomplicated, with no fetal malformations observed, indicating successful management of prolactin-secreting adenomas.

    Area of Science:

    • Endocrinology
    • Reproductive Medicine
    • Neurosurgery

    Background:

    • Hyperprolactinemia is a common endocrine disorder often associated with pituitary adenomas.
    • Elevated prolactin levels can impair fertility and necessitate treatment for conception.

    Purpose of the Study:

    • To evaluate the safety and efficacy of bromocriptine therapy in achieving pregnancy in patients with hyperprolactinemia.
    • To assess pregnancy outcomes and potential complications in patients with prolactin-secreting adenomas managed with bromocriptine.

    Main Methods:

    • Endocrinological and radiological assessments were performed on 13 patients with hyperprolactinemia.
    • Bromocriptine therapy was administered to facilitate pregnancy.
    • Surgical intervention (selective adenomectomy) was performed in two patients.

    Related Experiment Videos

  • Serial monitoring of serum prolactin (PRL) levels, radiological imaging, and visual field assessments were conducted.
  • Main Results:

    • Thirteen patients successfully conceived under bromocriptine therapy.
    • Twelve pregnancies were uncomplicated, with serum PRL levels mostly within the normal range.
    • No tumor recurrence was observed in patients monitored for rapid PRL level increases.
    • One patient with a microadenoma experienced a sudden chiasma syndrome due to hemorrhage into the adenoma, which resolved post-operatively.
    • No fetal malformations were noted, and postpartum sella X-rays showed no significant changes.

    Conclusions:

    • Bromocriptine therapy is an effective treatment for inducing pregnancy in women with hyperprolactinemia.
    • Pregnancies in this cohort were generally safe, with a low incidence of complications.
    • Careful monitoring is essential, as pituitary adenomas can present with acute complications like hemorrhage during gestation.