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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can A Pituitary Tumor Be Treated?

Hello: I have been diagnosed with a pituitary tumer and have taken bromcriptine for the past 30 years. The past few years I have had E/D problems. I have tried a number of over the counter medications as well testosteren with no results!!! Is excess prolactin a factor !!!
Fri, 23 Feb 2018
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Internal Medicine Specialist 's  Response
Hello

Thank you for trusting HCM

Dear hyperprolactinemia induces hypogonadism by interfering with the secretion of gonadotropin-releasing hormone (GnRH) from the hypothalamus.


The resulting decrease in serum T is believed to be the cause of the erectile dysfunction, although there may be an end-organ effect of prolactin on the penis.

Surprisingly, not everyone with hyperprolactinemia has a low serum T level or complains of erectile dysfunction.However, when the serum prolactin is corrected in patients with an elevated prolactin level and a low serum T level, the serum T level usually returns to a normal value, and erectile function is usually restored (if erectile dysfunction was present).

Simply treating the patient with exogenous T does not usually correct the erectile dysfunction (unless the prolactin levels are returned to normal).


I think I answered to your question if you have more questions feel free to ask.


Take care
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How Can A Pituitary Tumor Be Treated?

Hello Thank you for trusting HCM Dear hyperprolactinemia induces hypogonadism by interfering with the secretion of gonadotropin-releasing hormone (GnRH) from the hypothalamus. The resulting decrease in serum T is believed to be the cause of the erectile dysfunction, although there may be an end-organ effect of prolactin on the penis. Surprisingly, not everyone with hyperprolactinemia has a low serum T level or complains of erectile dysfunction.However, when the serum prolactin is corrected in patients with an elevated prolactin level and a low serum T level, the serum T level usually returns to a normal value, and erectile function is usually restored (if erectile dysfunction was present). Simply treating the patient with exogenous T does not usually correct the erectile dysfunction (unless the prolactin levels are returned to normal). I think I answered to your question if you have more questions feel free to ask. Take care