is one of those conditions, which cause lactation.A
might be a sign of prolactinoma, hypothyroidism, drug use and pregnancy should be kept in mind in adolescents as well.
Commonest clinical symptom was headache reported in 58 (59.7%) patients, visual impairment in 30 (30.9%), infertility in 21 (21.6%) patients, whereas, primary infertility in 10 patients and secondary infertility is 21 patients were observed, galactorrhea
in 12 (12.3%), increased acral growth in 11 (11.3%), decreased libido in 10 (10.3%) and anosmia in 6 (6.1%) patients.
Signs and symptoms related to increased PRL such as oligomenorrhea, amenorrhea, and galactorrhea
are more common in women in the adolescent period (4).
The clinical symptoms of secreting pituitary adenoma are dysfunction of the endocrine system, such as decreased libido, infertility, galactorrhea
, and neurologic compression (like headaches and visual changes) (4).
She had normal secondary sexual characteristics, no signs of androgenism and no galactorrhea
. She had very severe hot flushing and sweating at night, was unable to sleep and found extreme difficulty in concentrating.
Hyperprolactinemia in short term causes galactorrhea
, amenorrhea in women while raised prolactin levels for prolonged period of time predisposes to osteoporosis and cardiovascular disease.
However, this treatment approach may worsen galactorrhea
(6) Additional clinical symptoms include diplopia (typically related to traction on cranial nerve VI (3-6) more than effects on cranial nerves III or IV), cochlear vestibular symptoms of tinnitus, sensorineural hearing loss and dizziness, nausea, gait disturbance, movement disorder, galactorrhea
, and memory deficits.
The tyrosine releasing hormone can enhance release of prolactin which can contribute to galactorrhea
, the milky discharge from the nipple (17, 18).
 In subjects with primary hypothyroidism, increased levels of TRH can cause a rise in prolactin levels and these subjects may have got a condition known as galactorrhea
.  Different increased level of serum prolactin has been reported in 30% of patients with primary hypothyroidism.
It has new topics, such as galactorrhea
, management following pituitary surgery, growth hormone in adults, polycystic ovary syndrome, hypercalcemic crisis, parathyroid hormone-related protein, congenital hyperinsulinism, and hypokalemic periodic and non-periodic paralysis; new and expanded coverage of diabetes mellitus; and the latest guidelines and consensus agreements for prevention and management of endocrine disorders.