In women, indications for treatment include Desire for pregnancy Amenorrhea or significant oligomenorrhea (because of the risk of osteoporosis) Hirsutism Low libido Troublesome galactorrhea In men, galactorrhea itself is rarely troublesome enough to require treatment; indications for treatment include Hypogonadism (because of the risk of osteoporosis) Erectile dysfunction Low libido Troublesome infertility The initial treatment for both sexes is usually a dopamine agonist such as bromocriptine 1.25 to 5 mg orally twice a day or the longer-acting cabergoline 0.25 to 1.0 mg orally once or twice a week, which lower prolactin levels.