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Anejaculation as the presenting feature of pituitary microadenoma
1Fertility Associates, Ascot Hospital, Remuera, Auckland, New Zealand.
Objective:
To describe the resolution of anejaculation associated with PRL excess by dopamine agonist treatment.
Design:
Case report.
Setting:
Fertility clinic.
Patient(S):
Two men with anejaculation, in one case with associated infertility.
Intervention(S):
Dopamine agonist treatment.
Main Outcome Measure(S):
Resolution of anejaculation and infertility.
Result(S):
Endocrine investigations in both men revealed low serum T, elevated PRL, and a pituitary microadenoma. Treatment with a dopamine agonist normalized serum hormone profiles and restored sexual function, with subsequent involution of the adenoma.
Conclusion(S):
Prolactinoma manifesting as anejaculation is rare but responds readily to treatment with a dopamine agonist. Serum PRL should be measured in any man presenting with anejaculation.
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