Patient's question:
Last May, a checkup on sex hormone six items showed only prolactin was high, while the rest were very low. T3 and T4 were also low, but other thyroid function tests were normal. In September last year, a hospital stay revealed all five sex hormones were low, prolactin was normal, T3 and T4 were normal, a pituitary microadenoma, polycystic ovary changes, and an abnormally small uterus. Pituitary stimulation tests were normal.Medical history and treatment outcomes:
No special treatment was administered, and artificial cycles were used to maintain menstruation. Follow-up thyroid function tests were always normal, and prolactin levels were normal each time. All sex hormones were low, and now the weight has returned to normal, but menstruation has not resumed.
Help needed:
Is it possible to treat pituitary amenorrhea without surgery using traditional Chinese medicine?
Doctor's answer:
Hello, surgical treatment is better for this disease. Pituitary adenomas with a diameter of ≤10 mm are called microadenomas, most of which are diagnosed through imaging (CT or MRI) (pituitary adenomas with a diameter >10 mm are called macroadenomas). Some microadenomas are incidentally discovered during head CT or MRI scans for other reasons. The patients have no clinical symptoms of pituitary tumors, and pituitary endocrine tests are also completely normal. For such patients, there is no need to take any treatment measures, and regular follow-up is sufficient. If there are no symptoms, a head enhanced MRI should be repeated every 1-2 years.