Patient's question:
I have irregular periods. A thorough examination revealed endocrine disorders, and I was advised to undergo a cranial pituitary examination to identify the cause of the endocrine imbalance. What are the general results of a cranial pituitary examination? Will there be a need for surgery if there is a tumor?Doctor's answer:
Irregular menstruation should first be examined with a color Doppler ultrasound to check for any abnormalities in the uterus and ovaries. Then, during the 2 to 5 days of menstruation, an endocrine panel (including six tests) and thyroid function tests (three tests) should be conducted to assess hormone levels. If prolactin levels are significantly elevated, a magnetic resonance imaging (MRI) of the pituitary gland is necessary to rule out a pituitary adenoma. Pituitary adenomas are usually small and can be treated with medication. If the adenoma is large or causes compression symptoms, surgical intervention should be considered.For gynecological patients, in addition to symptomatic treatment, it is important to pay attention to self-care measures. For example, maintaining good hygiene in the private area and avoiding sexual activity during medication.