A 44year old previously healthy man presented with gradual onset of discharge of whitish liquid from the nipples and a dull headache for last three years. The patient reported progressive erectile dysfunction, decreased libido, and weight gain over the last five years. On physical examination the patient had a regular heart rate of 84/min and a blood pressure of 120/88. Thyroid examination was unremarkable. Breast examination revealed bilateral lipomastia and galactorrhea. Neurological exam and confrontational perimetry were unremarkable.