Buying health services for local people

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Galactorrhoea – Information for GPs

Referral criteria /commissioning position

Refer if:

  • conventional primary care management has failed to resolve the issue

If prolactin level very raised in absence of pregnancy or breast-feeding refer to Endocrinologist not breast surgeon.

Investigations prior to referral

  • Serum prolactin and TFT
  • Renal and liver function tests
  • Pregnancy test (if appropriate)

Information to include in referral letter

  • Frequency and duration of symptoms
  • Recent pregnancy or breast feeding
  • Visual field assessment
  • Drug history (prescribed and non-prescribed)
  • Relevant past medical/surgical history
  • Current regular medication
  • BMI
  • Smoking status
  • Alcohol consumption
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