Arab Board OB/GYN Final Clinical & Oral

Practice session

A 27-year-old woman presents with secondary amenorrhea of 8 months' duration and bilateral galactorrhea. She has no headache or visual disturbances and is not taking any medications. Serum pregnancy test is negative. Serum prolactin is elevated at 145 ng/mL (normal <25 ng/mL). MRI of the sella turcica demonstrates a 7 mm well-circumscribed pituitary microprolactinoma. What is the first-line treatment of choice?

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