A patient who visited the clinic had specific concerns connected with their health state. The first patient’s concern was constant and growing headaches. Such a symptom can be a cause of tumor growth (Yatavelli & Bhusal, 2022). Another concern was blurred vision, probably caused by prolactinoma growth and its pressure on the optic nerve. The patient will need to go through MRI and get her endocrine system evaluation (Yatavelli & Bhusal, 2022). The woman also informed us about amenorrhea which may cause missed periods and ovulation failure. This concern is an urgent sign of Prolactinoma and must be treated with oral contraceptives (Yatavelli & Bhusal, 2022). Another concern stated by the patient is the loss of libido. It threatens infertility in the future due to the release of an impaired egg (Yatavelli & Bhusal, 2022). This symptom causes painful intercourse, which the woman notified.
A high level of prolactin is typical for Prolactinoma, so amenorrhea is not the only reason for dryness in the vagina. The patient is not pregnant currently but complains about active galactorrhea. Most probably, prolactin secrets and cause this symptom, stimulating milk production. The woman’s appearance shows that she also suffers from acne, which, as she stated, is untypically excessive. This concern must be caused by amenorrhea because the patient suffers acute symptoms connected with sex hormones. Eventually, osteoporosis is observed, as the woman notified us about a finger phalanx fracture from a minor injury. Bones density decreases as Prolactinoma progresses, and prolactin’s negative impact on bones rises (Yatavelli & Bhusal, 2022). The patient’s concerns were also connected with such symptoms as depression, fatigue, and anxiety. Prolactinoma co-secrets growth hormone, so this emotional state is common (Yatavelli & Bhusal, 2022). As a result, it is necessary to provide further physical examination and document progressing changes connected with the mentioned concerns and new ones.
References
Yatavelli, R.K.R. & Bhusal, K. (2022). Prolactinoma. National Library of Medicine. Web.