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Answer :
Final answer:
The woman's symptoms suggest a prolactinoma. The best treatment in this case is bromocriptine, which reduces prolactin release.
Explanation:
The patient's symptoms suggest a condition called prolactinoma, a benign tumor of the pituitary gland that produces elevated levels of prolactin leading to amenorrhoea and milky nipple discharge. The most appropriate pharmacotherapy for this condition is bromocriptine (choice a), a dopamine agonist. Bromocriptine reduces prolactin release thereby normalizing menstrual periods and increasing the possibility of pregnancy.
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