This case highlights a prolactinoma in a young male, and its impact on bone 
health. Osteoporosis has been noted to be an issue in postmenopausal women with 
prolactinomas. This case shows a similar impact on bone health in a young male 
resulting in low bone mineral density for age based on Z-score. This case report 
highlights the possible mechanisms for the bone loss in the setting of 
prolactinoma and the need for assessing bone health in such patients. 
Furthermore it highlights the need for a thorough evaluation in such patients.