treatment of microprolactinomas

Last reviewed 01/2018

  • treatment of choice is a dopamine agonist e.g. bromocriptine, cabergoline. Treatment generally needs to be continued until the menopause. However some patients appear to undergo remission after treatment for a number of years, especially after pregnancy. Endocrinological advice should be sought if a patient wishes to become pregnant whilst undertaking treatment with a dopamine agonist

  • if a patient is unable to tolerate dopamine agonist treatment then the patient should be considered for selective trans-spenoidal surgery