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55 Possible Causes for Bitemporal Hemianopsia, Prolactin Increased, Sexual Dysfunction

  • Craniopharyngioma

    In adults, sexual dysfunction was the most common presentation, with 88% of males presenting with impotence or marked decrease in sexual drive, and 82% of females presenting[dx.doi.org] Of the seventeen (63%) patients presenting with varying degrees of bitemporal hemianopsia, all had improvement in vision postoperatively.[ncbi.nlm.nih.gov] In this paper we report a case of mixed pituitary adenoma/craniopharyngioma observed in a 75-year-old woman presenting with diplopia and slight increase of serum prolactin[ncbi.nlm.nih.gov]

  • Empty Sella Syndrome

    Possible symptoms are: Impotence (Erectile dysfunction) Low libido (Lack of sexual desire) Absent or irregular menstruation Nipple discharge Headaches Fatigue (Low energy)[symptoma.com] A 48-year-old man with a prolactin-secreting macroadenoma treated with cabergoline presented with progressive bitemporal hemianopsia.[ncbi.nlm.nih.gov] […] to increase after thyrotrophin releasing hormone (TRH, 500 microgram), confirmed the diagnosis of panhypopituitarism.[ncbi.nlm.nih.gov]

  • Launois Syndrome

    […] hypothalamus (an organ lying close to the pituitary) Pituitary gland and hypothalamus malfunction causes endocrinal abnormalities, growth retardation (short physical stature, sexual[dovemed.com] Symptoms related to the compressive effects of the tumor include headaches, visual disturbances such as bitemporal hemianopsia, and signs of hypopituitarism.[symptoma.com] dysfunction, including impotence and decreased libido Gastroesophageal reflux Hypertension See Clinical Presentation for more detail.[emedicine.medscape.com]

  • Prolactinoma

    The most common clinical manifestations included sexual dysfunction (47.4%), headache (55.9%), and visual disturbance (46.7%).[ncbi.nlm.nih.gov] Clinically, the patient was found to have hypogonadism and bitemporal hemianopsia.[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]

  • Galactorrhea-Amenorrhea Syndrome

    المحتويات Diethylstilbestrol 159 Adnexal Masses 183 Hirsutism 199 Contraception 213 Infertility 236 Menopause 256 Evaluation of Sexual Dysfunction 275 Sexual Harassment Sexual[books.google.com] 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] 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]

  • Pituitary Adenoma

    Manifestations may include hypogonadism (sexual dysfunction, loss of libido, and impotence), hypothyroidism (fatigue, weakness, weight gain, coarse dry hair and dry skin,[pacificneuroscienceinstitute.org] Here, we report the case of a 67-year-old woman who presented with bitemporal hemianopsia and visual impairment accompanied by mildly elevated prolactin.[ncbi.nlm.nih.gov] Some women produce breast milk even though they are not breastfeeding ( galactorrhea ) because of a related increase in prolactin.[merck.com]

  • Hypogonadism

    Sexual symptoms include loss of libido, erectile dysfunction, decrease in sexual phantasies, loss of body hair and hot flushes.[intechopen.com] SYSTEMIC DISEASES increased SHBG,dec free testosterone Alcohol increases estrogen synthesis Prolactin-supresses FSH,LH Spironolactone(ascites)- supresses androgen CHRONIC[slideshare.net] Prolactin level, if increase suggesting more investigations on pituitary gland 4.[slideshare.net]

  • Hyperprolactinemia

    Serum prolactin level, menstrual disturbances, sexual dysfunction, psychopathologies, and quality of life were measured at weeks 0, 1, 2, 4, 6, and 8.[ncbi.nlm.nih.gov] 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]

  • Forbes-Albright Syndrome

    In men, the most common symptoms of hyperprolactinaemia are decreased libido, sexual dysfunction (in both men and women), erectile dysfunction, infertility, and gynecomastia[dict.eudic.net] Humphrey visual field 24-2 showing a bitemporal hemianopsia. Figure 2.[eyewiki.aao.org] However, increased prolactin serum concentration doesn’t always cause galactorrhea.[checkorphan.org]

  • Pituitary Neoplasm

    Symptoms of low pituitary hormones include fatigue, dizziness, dry skin, irregular periods in women, and sexual dysfunction in men.[hormone.org] Cushing-like effects, diplopia, bitemporal hemianopsia and diabetes insipidus are some of many symptoms that can be encountered.[symptoma.com] Increased production of prolactin can cause abnormal milk production, irregular menses and infertility in women; for men, increased prolactin levels can cause impotence, infertility[acromegaly.org]

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