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Author Archives: kkc

Early Menopause

Question: I am wondering if there is any research or if there have there been any suggestions that Cushing’s can bring about early menopause? I am 36 and had pituitary surgery in 2006. My cycles are back, but they are not the same as before Cushing’s. Perhaps this is just my new “normal” but shouldContinue Reading

Cushing’s and Sex Drive

Question: Since having Cushing’s, my sex drive is next to nothing. Is this common, will this problem remain forever or get better? Is there anything that can help? Answer: A decrease in libido or sex drive is common in patients with Cushing’s. Several factors influence a person’s sex drive. In women, regular menstrual periods or adequateContinue Reading

Treatment for Nelson’s Syndrome

Question: I have had two transsphenoidal surgeries, followed by removal of my adrenal glands, and now have Nelson’s. What would be the treatment of choice, complete removal of my pituitary gland, radiation, or both? Answer: Nelson’s syndrome represents the enlargement of an ACTH secreting pituitary tumor following removal of both adrenal glands. Initially described inContinue Reading

Symptoms of Recurrent Cushing’s Disease

Question: If someone is having a recurrence of Cushing’s Disease, will the symptoms be the same as the original Cushing’s? What symptoms should we be looking for? Answer: Patients who experience a recurrence of Cushing’s are often more perceptive of changes the second time and are often accurate in suspecting a recurrence. In my clinicalContinue Reading

Macroadenoma Recurrence Rate

Question: What percentage of those with pituitary macroadenomas who have transsphenoidal surgery have a recurrence? Answer: For macroadenomas causing Cushing’s, the recurrence rate is about 10% in 10 years. These are often invasive lesionsContinue Reading

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