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17th September 2024
A 35-year-old female presents with a two month history of irregular periods
A 35-year-old female presents with a two month history of irregular periods and on two occasions discharge coming from her nipples. She also explains that she has put on 3kg in the last month without any change in diet or exercise. For the last six years, she has regularly been taking dihydrocodeine for lower back pain. On examination, her visual fields were normal.
| TSH | 12.3 mU/l (0.38 -5.33) |
| Free T4 | 4.1 pmol/l (7.9-14.4) |
| Cortisol 9am | 292 nmol/l (171-536) |
| Prolactin | 1428 mIU /l (<700) |
| IGF-1 | 87 nmol/l (16-118) |
| LH (follicular and luteal phase) | 5.3 IU/l (0.5-14) |
| FSH (follicular and luteal phase) | 10.2 IU/l (1.0-11) |
Which of the following is the most likely diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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