Volume : II, Issue : VII, July - 2013

A Case of Pituitary Macroadenoma in Etiology of Secondary Amenorrhea

Dr Shilpa N. Ninama, Dr Shital T. Mehta, Dr Jigesh Mehta

Abstract :

pituitary macroadenoma is rare etiology of secondary amenorrhea which was defined as absence of menstruation since 6 month in whom normal menstruation has already establish. A 32 years old female Hindu patient with G2P2A0L2 coming from medium socio economical status presented with amenorrhea since 3years, galactrrohea since 5months, visual disturbances since 3months.On clinical examination Bilateral east examination shows milk like secretion, rest normal. All routine investigations were normal. Special investigation—S. prolactin level-265.7 ugm/ml, On lateral X RAY of skull and MRI shows 17/13 /11 mm pituitary macroadenoma which was compressing optic chiasma. After referring neurosurgeon, ophthalmologist and physician other pathologies were rule out, in my patient secondary amenorrhea was purely due to pituitary adenoma. Patient manages conservatively by Tab. Cabergolin thrice a week. Patient came in follow up with S. prolactin level, at present patient symptomatically better. Transphenoidal excision of tumor was other modality of treatment which needs coloation of Neurosurgeons.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR Shilpa N. Ninama, DR Shital T. Mehta, DR Jigesh Mehta A Case of Pituitary Macroadenoma in Etiology of Secondary Amenorrhea International Journal of Scientific Research, Vol : 2, Issue : 7 July 2013

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