Hyperprolactinemia is the presence of elevated prolactin levels that occurs in about one-thirds of patients w/ chronic kidney disease & resolves after successful transplantation.
It may cause visual field defects or headache in both men and women.
In women, signs and symptoms include menstrual irregularity, galactorrhea, infertility, vaginal dryness, dyspareunia, loss of libido and reduction in vertebral bone density (in sustained, pronounced hyperprolactinemia).
While in men, signs and symptoms include diminished libido, hypogonadism, gonadotrophin suppression, osteopenia, decreased muscle mass, and decreased facial hair that may occur in prolonged hyperprolactinemia.
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  13. Melmed S, Casanueva FF, Hofmann AR, et al.. Diagnosis and treatment of hyperprolactinemia: an Endocrine Society clinical practice guideline.. J Clin Endocrinol Metab.. 2011 Feb;96(2):273-288. https://www.endocrine.org/~/media/endosociety/Files/Publications/Clinical%20Practice%20Guidelines/Diagnosis-Treatment-of-Hyperprolactinemia.pdf. doi: 10.1210/jc.2010-1692. Accessed 5 May 2014. PMID: 21296991
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