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Hyperprolactinaemia and sexual function in the male.

P M Bouloux, A Grossman

    British Journal of Hospital Medicine
    |June 1, 1987
    PubMed
    Summary

    Hyperprolactinemia, elevated prolactin levels, is an uncommon cause of male sexual dysfunction, including loss of libido and impotence. Prompt investigation for causes like pituitary adenomas is crucial, as sexual issues may appear years before other tumor complications.

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    Area of Science:

    • Endocrinology
    • Urology
    • Reproductive Medicine

    Background:

    • Hyperprolactinemia is an endocrine disorder characterized by elevated serum prolactin levels.
    • It is an uncommon but significant cause of sexual dysfunction in men.
    • Sexual dysfunction associated with hyperprolactinemia often manifests as decreased libido and erectile dysfunction.

    Purpose of the Study:

    • To highlight the association between hyperprolactinemia and male sexual dysfunction.
    • To emphasize the importance of investigating the underlying causes of hyperprolactinemia.
    • To underscore the potential for sexual dysfunction to be an early indicator of pituitary adenomas.

    Main Methods:

    • Review of clinical literature on hyperprolactinemia and male sexual dysfunction.
    • Analysis of case studies linking hyperprolactinemia to pituitary adenomas.
    • Correlation of symptom presentation with diagnostic findings.

    Main Results:

    • Hyperprolactinemia is consistently linked to diminished libido and impotence in men.
    • Pituitary adenomas, particularly prolactin-secreting types, are a primary cause to investigate.
    • Sexual dysfunction can precede other symptoms of pituitary tumors by several years.

    Conclusions:

    • Hyperprolactinemia necessitates a thorough etiological workup, especially for pituitary adenomas.
    • Early identification of hyperprolactinemia can lead to timely diagnosis and management of pituitary tumors.
    • Addressing hyperprolactinemia is essential for resolving associated male sexual dysfunction.

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