Endo: Hyperprolactinaemia: Free MSRA Podcast

🎧 Hyperprolactinaemia – Overview, Diagnosis, and ManagementFeeling unusually tired? Periods all over the place? Low libido? 🤯 These could all be clues pointing toward hyperprolactinaemia – a surprisingly common endocrine condition that often flies under the radar.In this Deep Dive, we’ll walk you through everything you need to know about elevated prolactin levels, especially for your MSRA revision or clinical understanding 👩‍⚕️📚.🧠 What we’ll cover:• 📖 Definition – What hyperprolactinaemia is and how it works• 🧬 Causes – Prolactinomas, medications 💊, hypothyroidism 🦋, and more• ♀️♂️ Symptoms – From galactorrhoea and amenorrhoea in women to erectile dysfunction and low testosterone in men• 👁️‍🗨️ Mass effect – How macroadenomas cause visual symptoms & headaches• 🧪 Diagnosis – Blood tests, MRI, and how to avoid pitfalls like the high-dose hook effect• 🧠 Differentials – Hypothyroidism, PCOS, macroprolactin, and drug-induced causes• 💊 Management – Dopamine agonists (cabergoline/bromocriptine), surgery, pregnancy risks, and stopping causative meds• 📈 Prognosis – Treatment success rates, recurrence, and long-term follow-up💡 Top memory aids & revision tips:• 🧵 Prolactin suppresses GnRH → ↓ FSH/LH → ↓ oestrogen/testosterone• 👁️ Pituitary MRI is essential if prolactin > 5000 mIU/L• 🧪 Always rule out pregnancy, hypothyroidism, and macroprolactin before assuming pathology• ⚠️ Think "high-dose hook effect" if imaging shows a large adenoma but prolactin is only mildly elevated📊 Key MSRA-ready facts:• 🧠 Most common pituitary tumour = prolactinoma• ♀️ 3.5x more common in women, especially age 25–44• 💉 Prolactin > 5000 mIU/L → think tumour• 💊 First-line treatment = cabergoline• 🧑‍⚕️ Refer to endocrinology and monitor with regular MRI + bloods🔗 Useful Resources (Full URLs):• 📝 Revision Notes: https://www.passthemsra.com/topic/hyperprolactinaemia-revision-notes/• 🃏 Flashcards: https://www.passthemsra.com/topic/hyperprolactinaemia-flashcards/• 📂 Accordion Q&A Notes: https://www.passthemsra.com/topic/hyperprolactinaemia-accordion-qa-notes/• 🧠 Rapid Quiz: https://www.passthemsra.com/topic/hyperprolactinaemia-rapid-quiz/• 🎯 Free Practice Quiz: https://www.passthemsra.com/quizzes/hyperprolactinaemia/• 🌐 More resources: https://www.passthemsra.com• 💡 Free tools: https://www.freemsra.com💬 Whether you’re reviewing endocrinology for the MSRA or just brushing up on pituitary conditions, this episode gives you the high-yield essentials with a clinical twist.#MSRA #MSRARevision #Hyperprolactinaemia #Endocrinology #PituitaryTumours #Prolactinoma #MSRAFlashcards #MSRAQuiz #PassTheMSRA #FreeMSRA