Hyperprolactinaemia and testosterone production: observations in 2 men on long-term dialysis

2 men had received maintenance dialysis for more than 5 years because of uraemia. Gradual impairment of libido had led to total impotence of more than 6 months duration. Concurrently hyperprolactinaemia occurred. Bromocriptine was given for 2 and 4 months, respectively. Potency was not restored, but in 1 patient the blood transfusion requirements were halved and general well-being and strength increased. In both men, the serum prolactin levels normalized. Inversely, the low plasma testosterone levels increased during the treatment period.