Snapshot A 36-year-old woman presents to the physician with complaint of nipple discharge. She states that she has observed a milky discharge coming from both of her nipples for the past 3 weeks. She notes that other abnormal symptoms she has experienced include intermittent headaches and decreased libido. Physical examination reveals a severe visual field defect, depicted in the image. Introduction Overview login to view 2 more bullets Epidemiology login to view 8 more bullets Pathophysiology login to view 4 more bullets Presentation Imaging MRI or CT scan of the pituitary hypothalamic area login to view 2 more bullets Studies Serum prolactin levels login to view 1 more bullet Serum pregnancy test login to view 1 more bullet Serum TSH login to view 1 more bullet Serum testosterone levels login to view 1 more bullet Treatment Medical login to view 4 more bullets Surgical login to view 4 more bullets Complications Cranial nerve palsies due to mass effect Infertility