What tests are needed for hyperprolactinemia?

Hyperprolactinemia is the most common pituitary disease, which is characterized by galactorrhea and hypogonadism. Female patients may experience decreased libido and loss of sexual desire, which will be relieved after treatment as PRL levels decrease. So, what tests should be done for hyperprolactinemia?

Regarding what tests should be done for hyperprolactinemia, we will give a detailed explanation below, hoping to help female friends.

First, sella turcica section: the anterior-posterior diameter of the sella turcica in normal women is <17mm, the depth is <13mm, the area is <130mm2, and the volume is <1100mm3. CT scan 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).

Secondly, the examinations of hyperprolactinemia include computed tomography (CT) and magnetic resonance imaging (MRI): precise positioning and radiometric measurement of intracranial lesions.

Then, angiographic examinations are performed: including sponge sinus angiography, pneumoencephalography and cerebral angiography.

Finally, the examination of hyperprolactinemia also includes an ophthalmological examination: the ophthalmological examination includes visual acuity, visual field, intraocular pressure, and fundus examination to determine whether there are signs of intracranial tumor compression.

Warm Tips: Through the above examinations, you can check whether you have hyperprolactinemia. This will provide a good foundation for treatment and prevention. Therefore, female friends should go to the hospital for diagnosis and treatment in time after discovering the symptoms. Blind delay or incorrect treatment will aggravate the condition and lead to the development of other gynecological diseases.