Evaluation and Management of Endocrine Disorders (Prolactin, Thyroid)

Gynaecology hospital in Hebbal, Bangalore

Endocrine disorder is a problem associated with endocrine glands. The endocrine disorder develops when any part of the endocrine system fails to function correctly. Endocrine disruption leads to the irregular release of the hormone, and the body cannot respond appropriately to some hormones. The leading cause of this disorder is the improper function of the pancreas, thyroid glands, pituitary glands and adrenal glands.

Some common endocrine disorders are prolactinoma, thyroid disorders, Menopause etc.


Prolactinoma is a tumour that occurs in the pituitary gland. Due to this tumour pituitary gland produces an excessive hormone called prolactin which reduces the release of some sex hormones known as estrogen and testosterone. Although prolactinoma does not pose a severe threat to life, it may lead to problems in vision, infertility and other issues. Visit Manipal Hospitals, the best gynaecology hospital in Hebbal, Bangalore for treatment.

Symptoms of Prolactinoma

Sometimes prolactinoma does not shows any symptoms. However, too much prolactin in females can cause the following symptoms.

  • Menstrual periods become irregular.

  • Milky discharge may release from the breasts even if you are not pregnant.

  • Vaginal dryness causes painful intercourse.

  • Hair growth on the face.

Both males and females may have the following problems, including

  • Infertility

  • Less interest in sexual activity

Diagnosis of Prolactinoma

If you have a prolactinoma, your doctor may recommend you. 

  • Blood test: A blood test helps to detect too much release of prolactin.

  • Vision Test: A vision test helps to determine if you have vision difficulty due to prolactinoma.

  • Taking Image of Brain: The doctor may learn about prolactinoma by taking an image of your brain.


The treatment of prolactinoma is possible with both medication and surgery. 

  • Medications

Treatment of prolactinoma through medication is continued by giving dopamine agonists. This drug works as dopamine, a brain chemical that determines the production of prolactin. By lowering prolactin synthesis, dopamine agonists reduce the tumour's size. Your doctor may compress the dosage of the medication if, after taking it for almost two years, the prolactin output is stabilised, and the tumour's growth has also slowed.

  • Surgery

There are two surgical methods to cure prolactinoma. One is nasal surgery, and another is transcranial surgery. Nasal surgery removes the tumour by inserting an instrument through the nose, and the complication is low in this surgical method. Transcranial surgery is done when the tumour size is large and cannot be removed through the nose. This method is also known as craniotomy. To know more consult with the experts by booking an appointment.

  • Radiation

If the medication or surgery are not left as options to cure prolactinoma, you may have to take radiation to kill the cells. The doctor recommends radiation therapy if the tumour cannot be removed by surgery.

Thyroid Problem

The endocrine gland also includes the thyroid gland located in the neck. The gland releases thyroid hormones that affect the metabolism of the body. Thyroid disorder may be due to hormonal imbalance or other reasons.

  • Hypothyroidism

Hypothyroidism prevents the thyroid gland from releasing sufficient thyroid hormone. Suppose you have a hypothyroid, with a minimal amount of thyroid hormone released in the body.

  • Hyperthyroidism

When you have excessive thyroid hormone in your body, you have hyperthyroidism. In this condition, the thyroid gland becomes too active, which leads to many problems, including anxiety, nervousness, excessive sweating and weight loss.