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West Indian med. j ; 40(Suppl. 2): 112-3, July 1991.
Artigo em Inglês | MedCarib | ID: med-5193

RESUMO

A significant number of men evaluated because of sub-fertility or erectile dysfunction were found to have hyperprolcatinae. Why? A hormone profile is required in the work-up of all male patients presenting with sub-fertility or erectile dysfunction. Two laboratories were used. Every patient with hyperprolactinemia had a repeat test done along with: 1. Complete history and physical 2. Thyroid function studies, 3. CT scan of the head 4. Neurosurgical consultation. Forty-eight males were seen from August 1990 to February 1991 with either sub-fertility, erectile dysfunction or both. Thirteen patients (27 percent) were hyperprolactinemic, nine with sub-fertility, erectile dysfuntion or both. Thirteen patients (27 percent) were hyperprolactinemic, nine with sub-fertility, three with erectile dysfunction and one patient had both problems. Abnormal pathology was found in 4 (30.7 percent), primary tumours in 3 and one patient had Kleinfelter's Syndrome. The number of hyperprolactinemic men in this group is alarmingly high. Seventy per cent of the group had no demonstrable pituitary lesion on CT scan. These men will be reviewed at six-monthly intervals. This pattern of hyperprolactinemia seems to be higher than the world literature would suggest. Why?(AU)


Assuntos
Humanos , Masculino , Hiperprolactinemia/complicações , Disfunção Erétil/etiologia , Fertilidade , Barbados
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