title: A ray of hope for a woman with Sheehan's syndrome.
abstract: A 25-year-old woman presented with a history of secondary amenorrhoea for the last 3 years, coinciding with her delivery. She delivered at home and had massive postpartum haemorrhage. She was brought in a state of circulatory collapse to the nearest teaching hospital, where she was resuscitated. She developed anaemia, septicaemia and extradural empyema. The complications were managed and the woman improved. Presently, she approached us for infertility. She was investigated and diagnosed with postpartum hypopituitarism, that is, Sheehan's syndrome. Her gonadotrophin levels, luteinising hormone/follicle-stimulating hormone, were normal, serum oestradiol was low and serum prolactin was also on the lower side. She had started with genital atrophy and was given three cycles of cyclic oestrogen +progesterone combination. Ovulation was induced. She conceived and her antenatal period was uneventful. She delivered a full-term baby vaginally. However, she had inadequate lactation after delivery and lost the baby at one-and-a-half months' age due to gastroenteritis.
authors: Department of Gynaecology, Chotu Ram Hospital, Rohtak, Haryana, India. deeptijain62@gmail.com
authors: Deepti
authors: D
authors: Jain
mesh_terms: D000328:Adult; D000568:Amenorrhea / Q000097:blood / Q000188:drug therapy / Q000209:etiology; D004967:Estrogens / Q000097:blood; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D006801:Humans; D007018:Hypopituitarism / Q000097:blood / Q000188:drug therapy / Q000209:etiology*; D007247:Infertility, Female / Q000097:blood / Q000188:drug therapy / Q000209:etiology; D007986:Luteinizing Hormone / Q000097:blood; D006473:Postpartum Hemorrhage; D011247:Pregnancy; D011388:Prolactin / Q000097:blood
chemical_list: D004967:Estrogens; D011388:Prolactin; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone
references: Indian J Endocrinol Metab. 2011 Sep;15 Suppl 3:S203-7
references: 22029025
references: Int J Clin Pract. 2002 Mar;56(2):149-51
references: 11926704
references: Int J Gynaecol Obstet. 2000 Dec;71(3):249-50
references: 11102615
references: Curr Opin Obstet Gynecol. 2009 Jun;21(3):279-84
references: 19262381
references: J Endocrinol. 2001 Jan;168(1):1-23
references: 11139766
references: J Clin Endocrinol Metab. 1998 May;83(5):1507-14
references: 9589647