#339 : Secondary Amenorrhea Due to Sheehan’s Syndrome: A Case Report
Background: It is said to be secondary amenorrhoea when a woman of reproductive age who has had menstruation, suddenly her menstruation stops for at least three months in a row. Sheehan’s syndrome, also called postpartum pituitary necrosis, refers to necrosis of cells of the anterior pituitary gland...
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| Format: | Article |
| Language: | English |
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World Scientific Publishing
2023-12-01
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| Series: | Fertility & Reproduction |
| Online Access: | https://www.worldscientific.com/doi/10.1142/S2661318223744259 |
| Summary: | Background: It is said to be secondary amenorrhoea when a woman of reproductive age who has had menstruation, suddenly her menstruation stops for at least three months in a row. Sheehan’s syndrome, also called postpartum pituitary necrosis, refers to necrosis of cells of the anterior pituitary gland after significant postpartum hemorrhage, hypovolemia, and shock. Advances in obstetric care in developed countries have reduced the incidence of this condition. Sheehan’s syndrome is the most common cause of amenorrhea due to pituitary disorders. Case presentation: A 26-years-old had complained of not having her period since 2018 (5 years) after the patient gave birth to her first child spontaneously vaginally at a midwife. At that time the patient experienced postpartum bleeding, since then the patient has no longer had menstruation. The patient had also complained of hot flushes, osteoporosis symptoms and vaginal dryness. Upon further evaluation, she was found to have decreased the pituitary hormonal profile (GH, FSH, LH, Prolactin); uterine and bilateral adnexa was hypoplasia from Ultrasonography, and the empty sella (sheehan syndrome?) from the Magnetic Resonance Examination of head. The basis of treatment for Sheehan’s syndrome is lifelong deficient hormone replacement; these patients require lifelong follow-up and close monitoring of their hormone levels. Conclusion: The medical signs and symptoms should be recognized as sheehan’s syndrome, especially for the patient with a massive postpartum hemorrhage in order to give better treatments and outcomes. |
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| ISSN: | 2661-3182 2661-3174 |