Clinical Features of Hyperprolactinaemia The symptoms associated with hyperprolactinaemia (Fig. 4.3) may be due to: • The direct effects of excess prolactin, such as the induction of galactorrhoea or hypogonadism. • The effects of the structural lesion causing the disorder (i.e. the pituitary tumour in hypopituitarism) leading to, for example, headaches, visual field defects, or external ophthalmoplegia. • Associated dysfunction of secretion of other anterior pituitary hormones. See later: • Galactorrhoea in Hyperprolactinaemia