Man with visual field deficit, headaches etc (usually macroadenoma in males so there r pressure symptoms)
- Primary hypothyroidism
Dopamine inhibits prolactin secretion so its antagonists remove this inhibitory effect
First line for all patients: Bromocriptine
Men with prolactinomas(macroadenoma) : surgery or radio
Old women with microadenoma , not concerned about fertility, : no treatment reqrd.