Patient's question:
Last May, a checkup revealed high prolactin and low levels of the other six sex hormones, as well as low T3 and T4 levels. Other thyroid function tests were normal. In September of last year, a hospital stay showed all five sex hormones were low, with normal prolactin and T3/T4 levels. A pituitary microadenoma and polycystic ovary changes were also found, along with a smaller uterus. Pituitary stimulation tests were normal.Medical history and treatment outcomes:
No specific treatment was administered, and artificial cycles were used to maintain menstruation. Follow-up thyroid function tests were always normal, as were prolactin levels. All sex hormones were low, and her weight has now returned to normal, though menstruation has not resumed.
Desired assistance:
Is it possible to treat pituitary amenorrhea without surgery using traditional Chinese medicine?
Doctor's answer:
Hello, surgical treatment is better for this disease. A pituitary tumor with a diameter ≤10mm is called a microadenoma, and most are diagnosed through imaging (CT or MRI) (a pituitary tumor with a diameter >10mm is called a macroadenoma). Some microadenomas are accidentally discovered during head CT or MRI scans for other reasons. The patients have no clinical symptoms of a pituitary tumor, and pituitary endocrine tests are also completely normal. For such patients, no treatment measures are urgent, and regular follow-up is sufficient. If there are no symptoms, a head enhanced MRI should be repeated every 1~2 years.