Although the commonest presentation is secondary amenorrhoea, some women may present with galactorrhoea.
Symptoms of hyperprolactinaemia include amenorrhoea, galactorrhoea, infertility, loss of libido and erectile dysfunction.
Thyroid stimulating hormone, testosterone, and prolactin concentrations need be checked only if cycles are irregular or absent, suggesting anovulation, galactorrhoea, or symptoms of thyroid disorder.
Three months later the galactorrhoea had subsided, and regular menstrual cycles commenced.
Although galactorrhoea may occur with normal prolactin levels, it is usually associated with hyperprolactinaemia: prolactin, if appropriate.