<prompt> A 30 year ols woman presented with secondary amenorrhoea for 3 years along with galactorrhea. The most likely cause of her symptoms would be -CraniopharyngiomaProlactinomaMeningiomaSub-arachnoid haemorrhage  <response>: prolactinoma stimulate pituitary causing excessive milk secretion and it also inhibit GnRH causing decreased FSH LH level causing secondary amenorrhea Harrison 17 pg 2206 