A 37-year-old married woman with 3-month history of galactorrhoea and irregular menstrual cycle

Ann Saudi Med 27(5) September-October 2007 www.saudiannals.net 381 A 37-year-old married woman presented to the gynecology outpatient department with 3 months history of galactorrhoea and irregular menstrual cycle. No history of visual problems could be elicited. After initial evaluation she was referred to the endocrinology department for further investigation of her hormonal status. The visual field examination revealed bitemporal hemianopsia on perimetry. Galactorrhoea was also observed. Her pertinent laboratory investigations included high serum calcium (14 mg/dL), high levels of serum prolactin (120 μg/L) and parathyroid hormone (110mEq/L).The thyroid stimulating hormone (TSH), cortisol, gonadotropins A 37-year-old married woman with 3-month history of galactorrhoea and irregular menstrual cycle