Prolactin (prolactinomas can be treated medically)
LH, FSH, oestradiol (women), testosterone (men)
9am cortisol, 9am glc
TSH, FT3, FT4
IGF-1, if symptoms suggestive of acromegaly
If vision affected, likely to return to normal with treatment, even if affected for some time
Management Category
Semi-urgent referral with visual fields to ophthalmology
Possible management by Ophthalmologist
Endocrine profile
Check for hormone over production
Check for hypopituitarism
Neuroimaging
Referral to endocrinology for macroprolactinomas
Referral to neurosurgery and endocrinology for all other causes
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