Auxiliary examination of hyperprolactinemia

The clinical manifestations of hyperprolactinemia mainly include menstrual disorders, galactorrhea, infertility, headache, decreased vision and visual field defects. The diagnosis is also very complicated, and it is necessary to make a comprehensive conclusion based on the patient's medical history, symptoms, signs and related auxiliary examinations. So, what are the auxiliary examinations for hyperprolactinemia? The following editor will introduce them to you in detail.

Auxiliary examinations for hyperprolactinemia:

(I) Sella section: In normal women, the anterior-posterior diameter of the sella turcica is <17mm, the depth is <13mm, the area is <130mm2, and the volume is <1100mm3. CT should be performed if the following phenomena occur: ① ballooning; ② double sella floors or double edges; ③ high/low density areas or inhomogeneity in the sella; ④ saucer-like pattern; ⑤ suprasellar calcification (hyperostosis); ⑥ osteoporosis of the anterior and posterior clinoid processes or cavitation in the sella; ⑦ bone destruction (erosion).

(ii) Computed tomography (CT) and magnetic resonance imaging (MRI): precise localization and radiometric measurement of intracranial lesions.

(III) Angiographic examination: including intercavernous sinusography, pneumoencephalography and vasoencephalography.

(iv) Ophthalmological examination: including visual acuity, visual field, intraocular pressure, and fundus examination to determine whether there are any signs of compression from intracranial tumors.

Through the above introduction, I believe everyone knows the examination items that need to be done for hyperprolactinemia. If you find that your menstrual flow has decreased or amenorrhea occurs, you should go to a professional hospital as soon as possible for careful examination and treatment to prevent it from affecting your life and work. Of course, the above examination items do not necessarily have to be done in full, and the examination should be done according to the doctor's arrangement.