Bromocriptine and Endocrine Disorders

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To the editor: Drs. Spark and Dickstein have presented an excellent overview of the role of bromocriptine in the treatment of endocrine disorders (1). We wish, however, to comment on several points.

The authors correctly emphasize that in hyperprolactinemic men the clinical presentation is usually that of symptoms secondary to tumor expansion, such as visual-field defects, whereas in women, menstrual disorders or galactorrhea, or both, are the predominant presenting features. However, they also emphasize that these men are infertile due to oligospermia or impotence. Although we agree that impotence and low serum testosterone levels prevail in these men, in our

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