Presentation
Stress-related hypogonadotropic hypogonadism presents in women as amenorrhea. [emedicine.medscape.com]
Females present with primary amenorrhea, and some males present with micropenis. Kallmann syndrome results from the congenital absence of GnRH-producing neurons in the hypothalamus. [thehealthscience.com]
This revised edition of Charles Brook's Handbook of Clinical Pediatric Endocrinology provides endocrinologists and pediatricians in training with a fully up-to-date clinical guide presenting evidence-based practice in the diagnosis, treatment, and management [books.google.com]
Abstract: A case report of an 18-year-old male with luteinizing hormone (LH) deficiency in hereditary congenital adrenal hypoplasia, probably of the cytomegalic type, is presented. [popline.org]
Entire Body System
- Infertility
Men with infertility related to pituitary dysfunction are often cared for by urologists who specialize in infertility. Men or women with panhypopituitarism are cared for by medical endocrinologists. [emedicine.medscape.com]
He presented with absent pubertal development and primary infertility. His parents have consanguinity and elder sister has primary infertility. He was 185 cm tall and thin (BMI 18 kg/m 2 ) with arm span of 196 cm and lower segment 102 cm. [endocrine-abstracts.org]
Both can cause several untoward conditions such as infertility, impotence, osteoporosis of bone, bone fractures, etc. [tandurust.com]
- Weight Loss
Symptoms and Signs of Pituitary Hormone Deficiency Pituitary Hormone Target Organs Effect of Deficiency ACTH Adrenal glands: cortisol and DHEA Fatigue, low sodium in blood, weight loss, skin pallor TSH Thyroid gland: thyroid hormone Fatigue, weight gain [pituitarysociety.org]
Severe weight loss suddenly can affect the hormone production. Excessive exercise can also influence lesser production of this hormone. As a result woman who performs excessive sports activity may have delayed periods. [tandurust.com]
There may also be some degree of deficiency in the adrenal gland, leading to symptoms such as persistent weakness, fever, abdominal pain, and weight loss. PROP1-related CPHD does not affect intelligence. [counsyl.com]
Weakness, hypoglycemia, weight loss, and decreased axillary and pubic hair suggest the diagnosis. Blood and urinary steroid levels are low and rise to normal after ACTH replacement. [merckmanuals.com]
Adrenocorticotopic hormone deficiency Symptoms of ACTH deficiency include fatigue, weakness, weight loss and low blood pressure. Nausea, pale skin and loss of pubic and armpit hair in women may also indicate deficiency of ACTH. [altered-states.net]
- Precocious Puberty
Disorders of Pubertal Development: Precocious Puberty. From Seminars in Reproductive Medicine 21(4):339-351 from Medscape. Available online at http://www.medscape.com/viewarticle/468259. [labtestsonline.it]
It is also often helpful in the evaluation of precocious or delayed puberty. [labtestsonline.org]
In contrast, constant administration of GnRH suppresses gonadotropin secretion, which has therapeutic benefits in certain patients, such as children with precocious puberty and men with prostate cancer. [britannica.com]
This is known as precocious puberty. According to the American Association of Clinical Chemistry (AACC), girls are more likely to experience this condition than boys. [healthline.com]
- Male Hypogonadism
Irvin Hirsch, Male Hypogonadism, Merck Manuals Dec 2014 [dontcookyourballs.com]
Male Hypogonadism. ARUP Consult. Available online at https://arupconsult.com/content/hypogonadism-male?_ga=2.126530189.1479446145.1525530915-171446445.1522145782. Accessed on 5/05/19. Vogiatzi, M. (2018 February 11, Updated). Hypogonadism. [labtestsonline.it]
Male hypogonadism due to a mutation in the gene for the beta-subunit of follicle-stimulating hormone. N Engl J Med. 1998 Jun 11. 338(24):1729-32. [Medline]. Kalantaridou SN, Makrigiannakis A, Zoumakis E, Chrousos GP. [emedicine.medscape.com]
- Tall Stature
Signs and symptoms of excess GH In children (gigantism): Abnormally rapid growth Very tall stature Painful joints Excessive sweating. [innerbody.com]
Gastrointestinal
- Abdominal Pain
There may also be some degree of deficiency in the adrenal gland, leading to symptoms such as persistent weakness, fever, abdominal pain, and weight loss. PROP1-related CPHD does not affect intelligence. [counsyl.com]
pain low blood pressure low serum sodium levels skin pallor TSH deficiency: generalized body puffiness sensitivity to cold constipation impaired memory and concentration dry skin anemia LH and FSH deficiency: reduction in libido erectile dysfunction [news-medical.net]
Overall symptoms may include fatigue, sensitivity to cold, weakness, decreased appetite, weight loss and abdominal pain. Low blood pressure, headache and visual disturbances are other associated symptoms. [altered-states.net]
- Failure to Thrive
If the problem is chronic, symptoms consist of fatigue, weight loss, failure to thrive (in children), delayed puberty (in adolescents), hypoglycemia (low blood sugar levels), anemia and hyponatremia (low sodium levels). [en.wikipedia.org]
Musculoskeletal
- Increased Muscle Mass
Testosterone also exerts effects all around the body to generate male characteristics such as increased muscle mass, enlargement of the larynx to generate a deep voice, and the growth of facial and body hair. [yourhormones.info]
This treatment resulted in an increase in muscle mass with no significant side effects. There are no firm guidelines for testosterone use in women. [hiv.va.gov]
Psychiatrical
- Social Isolation
Symptoms of GH deficiency in adults include fatigue, poor exercise performance and symptoms of social isolation. GH is only available in injectable form and must be given 6-7 times per week. [pituitary.org]
Low levels of adult human growth hormone are associated with increased incidence of depression, irritability, aggressiveness, social isolation and sleep disorders, as well as cognitive impairment and detrimental effects on metabolism. [usmedicine.com]
Neurologic
- Difficulty Concentrating
Manifestations in men include reduced muscle mass, decreased strength, fatigue, depression, difficulty concentrating, decreased libido, oligospermia, reduced functional status, and bone loss. [hiv.va.gov]
Low levels of pituitary hormones might cause many of the most troubling lingering effects of mild traumatic brain injury (mTBI), including fatigue, insomnia, impaired cognition and memory loss, difficulty concentrating and emotional or mood disturbances [usmedicine.com]
Workup
Consider MRI if workup suggests hypothalamic or pituitary mass or other abnormality (eg, abnormal pituitary hormone levels, visual field lesions, or neurologic signs). Testicular ultrasound if testicular masses are detected on examination. [hiv.va.gov]
In both women and men, LH is often used in conjunction with other tests ( FSH, testosterone, estradiol and progesterone ): In the workup of infertility To aid in the diagnosis of pituitary disorders that can affect LH production To help diagnose conditions [labtestsonline.org]
Treatment
This revised edition of Charles Brook's Handbook of Clinical Pediatric Endocrinology provides endocrinologists and pediatricians in training with a fully up-to-date clinical guide presenting evidence-based practice in the diagnosis, treatment, and management [books.google.com]
Treatment Medical Care Hypogonadotropic hypogonadism Treatment of hypogonadotropic hypogonadism depends on the gender and age of the patient as well as their desire for current fertility. [emedicine.medscape.com]
More studies are needed in infertile male patients with LH variants to demonstrate if recombinant LH or hCG treatment could be beneficial in selected populations. [austinpublishinggroup.com]
Measures of treatment effect We used the following measures of the effect of treatment. [cochranelibrary.com]
Apart from the demographic data, anamnestic details e.g. reason for the infertility, duration of the unfulfilled wish for children, past medical treatment for conception and accompanying illnesses will be documented. [clinicaltrials.gov]
Prognosis
Improving the criteria for POR, with a stratification that incorporates prognosis for pregnancy, may help to improve ART success rates for women with this condition. [excemed.org]
Outlook (Prognosis) Acute pituitary infarction is a potentially life-threatening event. Prognosis for chronic deficiency (which is detected and treated) is good. [medicine.georgetown.edu]
What Is the Prognosis for Hypopituitarism? With appropriate treatment, the prognosis is very good. [emedicinehealth.com]
What is the prognosis for a person with PROP1-related Combined Pituitary Hormone Deficiency? People with PROP1-related CPHD are typically able to live a normal lifespan. [counsyl.com]
Outlook If hormone replacement therapy is adequate, the prognosis is good. Complications are often related to the underlying disease. For More Information Visit the Pituitary Network Association web site. [webmd.com]
Etiology
The final section describes the different etiologies of GH deficiency, from molecular mechanisms and gene abnormalities to cranial radiation and traumatic brain injury, along with syndromes related to this deficiency. [books.google.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
When considering pathology related to the pituitary itself, the most common etiology of either over- or under-production of pituitary hormones in adults is a pituitary lesion. [clinicaladvisor.com]
Although these 421 patients were only screened for KAL1, this result implies that KAL1 mutations only contribute to CPHD/SOD etiology to a minor extent, if any. [nature.com]
Further, the extent of excessive visceral fat is negatively correlated with GH production, whereas exercise appears to be positively correlated. 2 There are many different etiologies for GHD in adults. [ajmc.com]
Epidemiology
Epidemiology Hypopituitarism is a rare disorder that affects less than 200,000 individuals in the United States, with an incidence of 4.2 cases per 100,000 people per year. [news-medical.net]
Genatlas disease for FSHB Gene delayed puberty,primary amenorrhea,infertility (FSH deficiency,isolated),hypogonadism in man Relevant External Links for FSHB Genetic Association Database (GAD) FSHB Human Genome Epidemiology (HuGE) Navigator FSHB Atlas [genecards.org]
Whether this condition results from inadequate LH secretion to stimulate progesterone production by the corpus luteum or an inadequate response of the corpus luteum to appropriate LH stimulation is unclear. [7, 8, 12] Epidemiology Frequency United States [thehealthscience.com]
It has been shown that the degree of elevation in lipid level 3 and the severity of bone mineral loss correlate with the severity of GHD. 4 Epidemiologic studies have clearly shown that adults with hypopituitarism, including GHD, display an increased [ajmc.com]
Epidemiology Frequency United States Hypogonadotropic hypogonadism has an overall incidence of approximately 1:10,000 to 1:86,000 men and women. Two thirds of the time, this is associated with anosmia (ie, Kallmann syndrome). [emedicine.medscape.com]
Pathophysiology
[…] disease/hypopituitarism/overview.html http://www.mayoclinic.org/diseases-conditions/hypopituitarism/home/ovc-20201485 Further Reading Hypopituitarism Diagnosis Hypopituitarism Treatment Hypopituitarism Causes Hypopituitarism Epidemiology Hypopituitarism Pathophysiology [news-medical.net]
Clinically, only FSH is used as a marker of testicular dysfunction. [4] Pathophysiology Hypothalamic causes of LH deficiency Kallmann syndrome Kallmann syndrome was first described by Franz Hosef Kallmann in 1944 and refers to congenital secondary hypogonadism [thehealthscience.com]
Pathophysiology [ edit ] The pituitary gland is located at the base of the brain, and intimately connected with the hypothalamus. [en.wikipedia.org]
Prevention
Seite 142 - Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. [books.google.de]
Plate sealers not used or reused Cover assay plate with plate sealer, use a fresh sealer each time to prevent contamination [biovision.com]
Prevention Pituitary adenomas are not associated with any known lifestyle or environmental risk factors, so there are no available methods to prevent the condition. [innerbody.com]
Getting pregnant requires that the delicate balance of hormones is intact; any disturbance in the hormone balance can result in menstrual difficulties that prevent pregnancy. [livestrong.com]
● A deficiency in GH prevents somatic growth throughout the body. [quizlet.com]