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
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