Thanks very much @botefarm the difference between hyperprolactinemia in male and female includes the following:
In male genders when there is a prolactinoma it presents very late until it becomes a macroprolactinoma.
In female genders there is early presentation because of a high symptom burden.
There is decreased sexual urge as well in the male and infertility.
Hyperprolactinemia in males inhibits the secretion of a hormone known as a gonadotrophin releasing hormone, causes hypogonadism and infertility.
The medical treatment still involves Bromocriptine and Cabergoline which restores gonadal function, reduces the size of prolactinomas, reverses infertility.
Thanks @botefarm🌸🌸