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From the Endocrine Clinic and Endocrine Laboratory, Instituto Português de Oncologia, Lisboa, Portugal
Abstract
It was reported that most females with prolactinoma, idiopathic hyperprolactinemia, or euprolactinemic galactorrhea were reared either without their father or with an alcoholic, violent father. To gain further insight into this association, a group of sisters of patients with prolactinoma (generally exposed to the same environment as the patients') and a control group were studied. Women with paternal deprivation during childhood differed from the women who had normal childhoods in that they had: 1) higher mean serum prolactin concentration (14.7 versus 9.4 ng/mL; P<.001); 2) higher incidence of hyperprolactinemia (12 of 50 versus three of 59; P<.005); and 3) higher incidence of galactorrhea (14 of 50 versus seven of 59: P<.03). These observations support the contention that paternal deprivation during childhood is associated, in a minority of women, with a predisposition to develop hyperprolactinemia and presumably, prolactinoma later in life. A hypothesis on the possible mechanisms of a causal relationship is presented.
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