This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Disorders in Menstruation, Subject name: Gynaecology & Obstetrics
[{'content': 'You treat a 27-year-old infertile patient with bromocriptine. What should be the diagnosis? \nSelect and explain. \nA. Hyperpituitarism, B. Hypopituitarism, C. Polycystic ovarian disease (PCOD), D. Hyperprolactinemia', 'role': 'user'}, {'content': 'Answer: D \nExplanation: ANS. DClinical manifestations of hyperprolactinemiaWomenMen* Galactorrhea 30-80%* Galactorrhea <30%* Menstrual irregularity* Impotence* Infertility Other manifestations* Visual field abnormalities* Headaches* Extraocular muscle weakness* Anterior pituitary malfunctionHypogonadism in both women and men by suppressing gonadotropin-releasing hormone (GnRh) secretion and pulsatility, resulting in low level of LH and FSH.Medical therapeutic options for the management of hyperprolactinemia* Dopamine agonists are currently the first therapeutic option* Dopamine agonists have proven efficacy in reducing prolactin levels, restoring ovulation in premenopausal women and restoring gonadal function in men* Bromocriptine has been used the longest* Cabergoline has greater affinity and selectivity for pituitary dopamine D2 receptor and longer duration of action.', 'role': 'assistant'}]