This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Polycystic Ovarian Syndrome, Subject name: Gynaecology & Obstetrics
Following statement is true concerning Galactorrhea except:- 
Select and explain. 
A. Serum prolactin (PRL) is usually above 25-30 ng/ml, B. Prolactin is the most impoant hormone involved in pathophysiology of Amenorrhoea-Galactorrhea syndrome, C. Associated with menstrual disturbances & infeility, D. Amenorrhea with hyperprolactinemia always accompanies Galactorrhea
D: Amenorrhea with hyperprolactinemia always accompanies Galactorrhea
Answer: D: Amenorrhea with hyperprolactinemia always accompanies Galactorrhea 
Explanation: All the patients with Hyperprolactinemia do not present with Galactorrhoea Elevations in prolactin may cause Amenorrhea or Galactorrhea or both Normal Prolactin levels Males: 2-20 ng/mL Females (non-pregnant): 2-30 ng/mL Pregnant females: 10-200 ng/mL Galactorrhea , secondary to hyperprolactinemia, is associated with Amenorrhoea, Oligomenorrhoea and Infeility Drug of choice for Hyperprolactinemia is Cabergoline Drugs known to cause galactorrhea Methyldopa, reserpine amphetamine metoclopramide phenothiazines tricyclic antidepressants butyrophenones