Hyperprolactinaemia in male infertility: Clinical case scenarios

Objective: To explore the evaluation, treatment and impact of hyperprolactinaemia on male infertility and testicular function, as hyperprolactinaemia is commonly detected during the evaluation of infertile men. Methods: A literature search was performed using MEDLINE/PubMed according to the Preferre...

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Autores principales: Zeinab Dabbous, Stephen L Atkin
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Lenguaje:EN
Publicado: Taylor & Francis Group 2018
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Acceso en línea:https://doaj.org/article/e22c9d3ff7594cc6a89ef007d3f9003d
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spelling oai:doaj.org-article:e22c9d3ff7594cc6a89ef007d3f9003d2021-12-02T12:02:04ZHyperprolactinaemia in male infertility: Clinical case scenarios2090-598X10.1016/j.aju.2017.10.002https://doaj.org/article/e22c9d3ff7594cc6a89ef007d3f9003d2018-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17301080https://doaj.org/toc/2090-598XObjective: To explore the evaluation, treatment and impact of hyperprolactinaemia on male infertility and testicular function, as hyperprolactinaemia is commonly detected during the evaluation of infertile men. Methods: A literature search was performed using MEDLINE/PubMed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify all studies exploring hyperprolactinaemia in male infertility. Results: Elevated levels of serum prolactin have a detrimental effect on male reproduction through inhibition of the pulsatile release of gonadotrophins from the anterior pituitary gland, and a direct effect on spermatogenesis. Treatment of confirmed hyperprolactinaemia with dopamine agonists leads to significant improvements in both semen parameters and hormone levels. Conclusion: Hyperprolactinaemia, both directly and indirectly, has a negative effect on sperm production, and its detection and management in men seeking fertility is mandatory. Keywords: Prolactin, Male infertility, Dopamine agonists, Testosterone, Pituitary adenomaZeinab DabbousStephen L AtkinTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 1, Pp 44-52 (2018)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Diseases of the genitourinary system. Urology
RC870-923
Zeinab Dabbous
Stephen L Atkin
Hyperprolactinaemia in male infertility: Clinical case scenarios
description Objective: To explore the evaluation, treatment and impact of hyperprolactinaemia on male infertility and testicular function, as hyperprolactinaemia is commonly detected during the evaluation of infertile men. Methods: A literature search was performed using MEDLINE/PubMed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify all studies exploring hyperprolactinaemia in male infertility. Results: Elevated levels of serum prolactin have a detrimental effect on male reproduction through inhibition of the pulsatile release of gonadotrophins from the anterior pituitary gland, and a direct effect on spermatogenesis. Treatment of confirmed hyperprolactinaemia with dopamine agonists leads to significant improvements in both semen parameters and hormone levels. Conclusion: Hyperprolactinaemia, both directly and indirectly, has a negative effect on sperm production, and its detection and management in men seeking fertility is mandatory. Keywords: Prolactin, Male infertility, Dopamine agonists, Testosterone, Pituitary adenoma
format article
author Zeinab Dabbous
Stephen L Atkin
author_facet Zeinab Dabbous
Stephen L Atkin
author_sort Zeinab Dabbous
title Hyperprolactinaemia in male infertility: Clinical case scenarios
title_short Hyperprolactinaemia in male infertility: Clinical case scenarios
title_full Hyperprolactinaemia in male infertility: Clinical case scenarios
title_fullStr Hyperprolactinaemia in male infertility: Clinical case scenarios
title_full_unstemmed Hyperprolactinaemia in male infertility: Clinical case scenarios
title_sort hyperprolactinaemia in male infertility: clinical case scenarios
publisher Taylor & Francis Group
publishDate 2018
url https://doaj.org/article/e22c9d3ff7594cc6a89ef007d3f9003d
work_keys_str_mv AT zeinabdabbous hyperprolactinaemiainmaleinfertilityclinicalcasescenarios
AT stephenlatkin hyperprolactinaemiainmaleinfertilityclinicalcasescenarios
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