Doctor insights on:
Can You Get Pregnant After Having And Treating A Pituitary Tumor
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Yes: Pituitary tumors often disrupt hormones and make it difficult to get pregnant. During pregnancy the pituitary gland can enhance on brain scan and look like a tumor. A minor tumor that already is present may get activated during pregnancy. A thorough medical evaluation would be appropriate. ...Read more
Endocrine evaluation: This can be a difficult situation if the abnormal hormone levels or the medications (bromocriptine) are interfering with the hormones which regulate menstrual cycles. You should see an endocrinologist or fertility specialist for a full evaluation. If the tumor is small, some advocate surgical removal to restore normal hormone levels and improve chances of achieving a successful pregnancy. ...Read more
Yes: Prolactin the hormone that allows breastfeeding. In excess, it inhibits ovulation. A small tumor in the pituitary gland at the base of the brain produces an excess of the hormone. Medication like Parlodel (bromocriptine) can bring the level of this hormone to normal and ovulation should resume. Consult an endocrinologist. ...Read more
If you had an intradural, extramedullary tumor at L4 of uncertain type and a pituitary tumor that has caused years of diagnostic confusion and multiple conflicting opinions, would you get biopsies?
Yes I would: Getting a biopsy done on this spinal tumor (or aim for complete excision, is possible) could help define the nature/type of this tumor and hence may also help in providing a reliable medical therapy in the future. ...Read more
212 IGF-1 (191);repeat 218; no SX acromegaly but recently diagnosed with cardiomyopathy; coincidental or should I get MRI to rule out pituitary tumor?
NO PITUITARY MRI!: Hi. Those IGF-1's would be normal for a 55 yo woman. Cardiomyopathy has a million and one causes, and acromegaly is WAY DOWN the list of likely causes. Pituitary is classic for "incidentalomas" - masses found incidentally, most of which have no bearing on disease. So you have NO biochemical evidence of acromegaly. Whatcha gonna do if a pituitary tumor IS found? Send a surgeon in??? I hope not! ...Read more
Possibly.: Memory is a complex function of the brain that is dependent on many different areas. If a pituitary tumor is sufficiently large or spreads to other areas of the brain, then it is conceivable that memory would be affected. However, other symptoms, such as disruptions in hormone levels/functions and changes in vision, are far more likely. ...Read more
Depends on case:
If you mean suppressing the gland, such as using bromocryptine for a pituitary adenoma, it can help control the symtpoms and prolactinomas can shrink.
For other tumors, this may not be the case art all - for metastases to the pituitary or for craniopharyngioma, addressing hormone function generally does not affect the tumor's growth, although hormone symptoms can be relieved quite a bit. ...Read more
Usually not: Pituitary tumors are almost always benign, and most are amenable to surgical excision. Residual tumor is often treated with radiation therapy. Growth of some tumors may be stopped with oral medication. Regardless, some tumors tend to grow, albeit very slowly in general. Revision surgery is sometimes required, and one key to treatment is good surveillance for further growth with periodic mris. ...Read more
Yes: Some of the pituitary hormones control the menstrual cycle and can be inhibited by prolactin from a pituitary tumor. With treatment, the menstrual cycles usually return with this type of problem. Also, with a large tumor, if part or all of the pituitary is injured, menstrual cycles may not return. Large tumors can cause serious problems and almost always need treatment. ...Read more
"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more
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