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. 1971 Aug 21;3(5772):462–464. doi: 10.1136/bmj.3.5772.462

Amenorrhoea, Galactorrhoea, and Primary Hypothyroidism with High Circulating Levels of Prolactin

C R W Edwards, Isabel A Forsyth, G M Besser
PMCID: PMC1800382  PMID: 5105903

Abstract

A 22-year-old woman with primary hypothyroidism developed amenorrhoea and galactorrhoea during oral contraceptive therapy. Investigation showed high levels of circulating prolactin which rose in response to insulin-induced hypoglycaemia and were suppressed by an oral glucose load. After treatment with thyroxine normal periods returned, the galactorrhoea improved, and the prolactin levels fell to undetectable levels. The results of the prolactin and human growth hormone assays confirm that it is possible to distinguish between human growth hormone and human prolactin.

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Selected References

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  1. ARENAS ADARVE M., DURAN MARTINEZ I., CHARCO ENTRENA F., HIGUERA ROJAS J. [A case of galactorrhea and hypothyroidism]. Rev Clin Esp. 1962 Aug 15;86:229–231. [PubMed] [Google Scholar]
  2. Bayliss P. F., Hoff W vant Amenorrhoea and galactorrhoea associated with hypothyroidism. Lancet. 1969 Dec 27;2(7635):1399–1400. doi: 10.1016/s0140-6736(69)90938-6. [DOI] [PubMed] [Google Scholar]
  3. Bewley T. A., Li C. H. Primary structures of human pituitary growth hormone and sheep pituitary lactogenic hormone compared. Science. 1970 Jun 12;168(3937):1361–1362. doi: 10.1126/science.168.3937.1361. [DOI] [PubMed] [Google Scholar]
  4. Canfield C. J., Bates R. W. Nonpuerperal galactorrhea. N Engl J Med. 1965 Oct 21;273(17):897–902. doi: 10.1056/NEJM196510212731703. [DOI] [PubMed] [Google Scholar]
  5. DOWLING J. T., RICHARDS J. B., FREINKEL N., INGBAR S. H. Nonpuerperal galactorrhea. Eleven cases without enlargment of the sella turcica. Arch Intern Med. 1961 Jun;107:885–893. doi: 10.1001/archinte.1961.03620060085010. [DOI] [PubMed] [Google Scholar]
  6. Forsyth I. A., Besser G. M., Edwards C. R., Francis L., Myres R. P. Plasma prolactin activity in inappropriate lactation. Br Med J. 1971 Jul 24;3(5768):225–227. doi: 10.1136/bmj.3.5768.225. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Frantz A. G., Kleinberg D. L. Prolactin: evidence that it is separate from growth hormone in human blood. Science. 1970 Nov 13;170(3959):745–747. doi: 10.1126/science.170.3959.745. [DOI] [PubMed] [Google Scholar]
  8. Friesen H., Guyda H., Hardy J. The biosynthesis of human growth hormone and prolactin. J Clin Endocrinol Metab. 1970 Dec;31(6):611–624. doi: 10.1210/jcem-31-6-611. [DOI] [PubMed] [Google Scholar]
  9. Futterweit W., Goodsell C. H. Galactorrhea in primary hypothyroidism: report of two cases and review of the literature. Mt Sinai J Med. 1970 Sep-Oct;37(5):584–589. [PubMed] [Google Scholar]
  10. HENNES A., WAJCHENBERG B. L., ULHOA CINTRA A. B. [Syndrome characterized by hypothyroidism and galactorrhea]. Port Med. 1960 Dec;44:693–702. [PubMed] [Google Scholar]
  11. Havard C. W., Saldanha V. F., Bird R., Gardner R. Adrenal function in hypothyroidism. Br Med J. 1970 Feb 7;1(5692):337–339. doi: 10.1136/bmj.1.5692.337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Kinch R. A., Plunkett E. R., Devlin M. C. Postpartum amenorrhea-galactorrhea of hypothyroidism. Am J Obstet Gynecol. 1969 Nov 1;105(5):766–773. doi: 10.1016/0002-9378(69)90012-x. [DOI] [PubMed] [Google Scholar]
  13. Peake G. T., McKeel D. W., Jarett L., Daughaday W. H. Ultrastructural, histologic and hormonal characterization of a prolactin-rich human pituitary tumor. J Clin Endocrinol Metab. 1969 Nov;29(11):1383–1393. doi: 10.1210/jcem-29-11-1383. [DOI] [PubMed] [Google Scholar]
  14. Ross F., Nusynowitz M. L. A syndrome of primary hypothyroidism, amenorrhea and galactorrhea. J Clin Endocrinol Metab. 1968 May;28(5):591–595. doi: 10.1210/jcem-28-5-591. [DOI] [PubMed] [Google Scholar]
  15. Shearman R. P., Turtle J. R. Secondary amenorrhea with inappropriate lactation. Observations on etiology, estrogen-gonadotropin interrelationships, the behavior of human growth hormone, and the response to treatment. Am J Obstet Gynecol. 1970 Mar 15;106(6):818–827. [PubMed] [Google Scholar]

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