Pregnancy in a patient with hypopituitarism following surgery and radiation for a pituitary adenoma.
This is a case of partial hypopituitarism resulting from surgery and radiation for a non- functioning pituitary macroadenoma. The patient had amenorrhea which was secondary to hypogonadotrophic hypogonadism and had been on L-thyroxine for central hypothyroidism. For pregnancy, ovulation was induced by gonadotrophins and this was followed by an intrauterine insemination. The antenatal period was uneventful and a Caesarean section was done at 33 weeks when the patient presented with preterm labour. Both infant and mother are well, eight months after delivery.
Thomas
V P
VP
Department of Endocrinology, Christian Medical College, Vellore-632004, India.
Sathya
B
B
George
S
S
Thomas
N
N
D000236:Adenoma / Q000532:radiotherapy / Q000601:surgery; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000209:etiology / Q000628:therapy*; D050498:Live Birth; D010062:Ovulation Induction; D010911:Pituitary Neoplasms / Q000532:radiotherapy / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000628:therapy*