Prolactinomas are the most common type of pituitary tumor. Symptoms of prolactinoma in women include infertility and atypical menstruation. Which is the best explanation for this observation?
a) Prolactinomas cause hormonal imbalances that lead to infertility and menstrual irregularities.
b) Prolactinomas directly affect the reproductive system, causing infertility and menstruation issues.
c) Prolactinomas result in decreased estrogen levels, leading to fertility issues and irregular periods.
d) Prolactinomas disrupt the hypothalamic-pituitary-gonadal axis, impacting fertility and menstruation.