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31 Possible Causes for Androgens Decreased, Bitemporal Hemianopsia, Prolactin Increased

  • Prolactinoma

    Clinically, the patient was found to have hypogonadism and bitemporal hemianopsia.[ncbi.nlm.nih.gov] Men may also experience a diminished libido, impotence, and infertility from decreased androgen production.[ncbi.nlm.nih.gov] Causes of high prolactin levels in the blood: Primary Hypothyroidism : this is due to increased TRH levels which is known to stimulate prolactin levels Renal failure : prolactin[houstonendocrine.com]

  • Launois Syndrome

    Symptoms related to the compressive effects of the tumor include headaches, visual disturbances such as bitemporal hemianopsia, and signs of hypopituitarism.[symptoma.com]

  • Forbes-Albright Syndrome

    Humphrey visual field 24-2 showing a bitemporal hemianopsia. Figure 2.[eyewiki.aao.org] Androgens decrease plasma adiponectin, an insulin-sensitizing adipocyte-derived protein, Diabetes, 2002, vol. 51 (pg. 2734 - 2741 ) Endogenous sex hormones and the development[molehr.oxfordjournals.org] However, increased prolactin serum concentration doesn’t always cause galactorrhea.[checkorphan.org]

  • Hyperprolactinemia

    References: [1] [2] [3] [4] Pathophysiology Clinical features Patients with hyperprolactinemia due to a pituitary adenoma may also present with bitemporal hemianopsia and[amboss.com] The level of Prolactin increases in the Blood than the normal level. This leads to Hyperlactation, Menstrual Problems and Galactorrhea.[herbpathy.com] Typically, a bitemporal hemianopsia is found, but every variation of the disorder has been reported. Disturbances should be assessed by campimetry.[em-consulte.com]

  • Acromegaly

    In addition, bitemporal hemianopsia was observed on campimetry. After further examination, the patient was diagnosed with acromegaly.[ncbi.nlm.nih.gov] ‘Octreotide also is given to decrease growth hormone secretion in acromegaly.’[en.oxforddictionaries.com] A 50-year-old female was admitted to our hospital with headache, mild acromegaly, and bitemporal hemianopsia.[ncbi.nlm.nih.gov]

  • Empty Sella Syndrome

    A 48-year-old man with a prolactin-secreting macroadenoma treated with cabergoline presented with progressive bitemporal hemianopsia.[ncbi.nlm.nih.gov] Adult GH deficiency Decreased energy levels ’Replacement therapy with thyroid, adrenocortical hormone and estrogen in females or androgens in males is usually satisfactory[ncbi.nlm.nih.gov] […] to increase after thyrotrophin releasing hormone (TRH, 500 microgram), confirmed the diagnosis of panhypopituitarism.[ncbi.nlm.nih.gov]

  • Chromophobe Adenoma

    Abstract A 50-year-old man with bitemporal hemianopsia and an enlarged sella turcica was found to have hyperthyroidism with elevated serum thyrotropin levels (17 mμg per milliliter[nejm.org] Patients with deficient ACTH secretion have decreased glucocorticoid and adrenal androgen production.[glowm.com] Thioridazine was found to increase the serum prolactin level as well as the tumor size of a prolactin--secreting pituitary chromophobe adenoma in a schizophrenic man [12].[wikigenes.org]

  • Galactorrhea-Amenorrhea Syndrome

    Periodic assessment of the visual fields showed an increase in size of the blind spots after 10 weeks and a moderate bitemporal hemianopsia after 22 weeks, which improved[ncbi.nlm.nih.gov] Abnormally elevated insulin levels lead to increased androgens via decreased sex hormone-binding globulin, and stimulation of ovarian insulin and insulinlike growth factor-I[fogsi.org] In the three women effectively treated with pyridoxine, the galactorrhea returned, serum prolactin levels increased, and the menses ceased after discontinuing pyridoxine.[ncbi.nlm.nih.gov]

  • Hypogonadism

    Testosterone is an androgen. Production of androgens decreases slightly with age. Low levels are more common in men who are obese and have multiple health conditions.[patients.uroweb.org] SYSTEMIC DISEASES increased SHBG,dec free testosterone Alcohol increases estrogen synthesis Prolactin-supresses FSH,LH Spironolactone(ascites)- supresses androgen CHRONIC[slideshare.net] Androgen receptor gene analysis was negative for mutations or polymorphic variants associated with decreased receptor activity.[ncbi.nlm.nih.gov]

  • Panhypopituitarism

    Ophthalmology examined our patient and patient had bitemporal hemianopsia. The patient was seen by neuro surgery and craniotomy was done with removal of the mass.[pubs.sciepub.com] Compressing the pituitary stalk decreases the inhibitory effect of dopamine and increases prolactin levels.[emedicine.medscape.com] During the neurologic and ophthalmic examinations, check specifically for visual acuity, extraocular movements, and bitemporal hemianopsia.[emedicine.medscape.com]