Pituitary disease in pregnancy

2012 ◽  
pp. 202-207
Author(s):  
Dorota Dworakowska ◽  
Simon J. B. Aylwin

Author(s):  
C. Nelson ◽  
S. Germain

This chapter describes the causes, symptoms and clinical management strategies of endocrine disease in pregnancy, beginning with thyroid and parathyroid disease, then diabetes mellitus, pre-existing diabetes, gestational diabetes, adrenal diabetes and pituitary disease.


2019 ◽  
Vol 79 (04) ◽  
pp. 365-374 ◽  
Author(s):  
Stephan Petersenn ◽  
Mirjam Christ-Crain ◽  
Michael Droste ◽  
Reinhard Finke ◽  
Jörg Flitsch ◽  
...  

AbstractThe diagnosis and treatment of pituitary disease in pregnancy represents a special clinical challenge. Not least because there is very little data on the treatment of pregnant patients with pituitary disorders. A selective search of the literature was carried out with the aim of compiling evidence about the diagnosis and treatment of pituitary disease in pregnancy. The search covered the databases PubMed/MEDLINE including PubMed Central and also used the Livivo (ZB MED) search engine. Recent studies were evaluated for recommendations about the care of pregnant patients with hormone-inactive and hormone-active pituitary adenomas (prolactinoma, acromegaly and Cushingʼs disease), pituitary insufficiency, pituitary apoplexy and hypophysitis. The most well-established forms of treatment are for prolactinoma, due to the incidence of this disease and its impact on fertility. When pregnancy has been confirmed, prolactinoma treatment with dopamine agonists should be paused. Although microprolactinomas rarely increase significantly in size after the administration of dopamine agonists is discontinued, symptomatic tumor growth of macroprolactinomas can occur. In such cases, treatment with dopamine agonists can be resumed. If the primary tumor is large and the risk that it will continue to grow is high, it may be necessary to continue medical treatment from the start of pregnancy. If one of the partners has a pituitary disorder, it is often still possible for many couples to achieve their wish of having children if they receive medical support to plan and the pregnancy is carefully monitored. Given the complexity of pituitary disease, pregnant patients with pituitary disorders should be cared for and treated by a multidisciplinary team in centers specializing in the diagnosis and treatment of pituitary disease.


Author(s):  
Murat Sarikaya ◽  
Nesibe Taser ◽  
Zeynal Dogan ◽  
Bilal Ergul ◽  
F. Irsel Tezer ◽  
...  

2007 ◽  
Vol 177 (4S) ◽  
pp. 450-450
Author(s):  
Mia A. Swartz ◽  
Mona T. Lydon-Rochelle ◽  
David Simon ◽  
Jonathan L. Wright ◽  
Michael P. Porter

Ob Gyn News ◽  
2011 ◽  
Vol 46 (7) ◽  
pp. 7
Author(s):  
HEIDI SPLETE
Keyword(s):  

Ob Gyn News ◽  
2008 ◽  
Vol 43 (3) ◽  
pp. 10
Author(s):  
BETSY BATES
Keyword(s):  

Ob Gyn News ◽  
2005 ◽  
Vol 40 (3) ◽  
pp. 11
Author(s):  
DIANA MAHONEY

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