The guidelines for management of prolactinomas (PRLoma) during pregnancy are mostly based on retrospective evidence or expert opinion. We conducted a survey of four Canadian provinces (NS, NB, PEI and BC) to assess the current trends in management of PRLoma during pregnancy. A case-based electronic questionnaire was sent to all practicing endocrinologists, with 3 cases of varying severity ranging from a micro PRLoma to a large macroPRLoma compressing the optic chiasm. A total of 60 endocrinologists were identified; the response rate was 57%. Most responder (62%) were based at university hospitals of which 65% saw 15 cases on PRLoma each month. There was considerable diversity among specialist in regards to the management of PRLoma during pregnancy (see table-1). In Conclusion, among endocrinologists there is a considerable diversity in management of PRLoma during pregnancy indicating a need for better consensus and clearer guidelines.
Declaration of interest: There is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
Funding: No specific grant from any funding agency in the public, commercial or not-for-profit sector.
Table 1: Results are expressed as percentages of responders