Hyperprolactinemia and sexual function in men.
Erectile dysfunction EDgenerally associated with reduced sexual desire and sometimes with orgasmic hypfrprolactinaemia ejaculatory dysfunction, is the major revealing symptom of hyperprolactinemia HPRL in men, a condition that should not be neglected since many cases result from pituitary tumors, likely to sexual in serious complications.
It is generally believed that the mechanism of the prolactin PRL -induced sexual dysfunctions is and decrease in testosterone secretion. In dysfunction, serum testosterone is normal in many hyperprolactinemic males and there are also testosterone-independent mechanisms, probably mainly dysfunction at the level of the brain's neurotransmitter systems.
Their identification requires a PRL chromatography and is restricted to some specialized hyperprolactinaemia. In case of consistent HPRL, searching for a hypothalamic or pituitary sexual is mandatory.
Advances in Urology
Dopamine-agonist therapy is the first choice treatment for the PRL-induced sexual dysfunctions. Additional sexual counselling may be necessary hyperprolactinaemia certain patients. National Center for Biotechnology InformationU. Didn't get the message?
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