Adult GH deficiency most often occurs following pituitary surgery or radiation. Whenever pituitary surgery or radiation is performed, there is a risk that normal secretion of pituitary hormones will be affected. Of all of the pituitary hormones, secretion of GH appears to be the most easily impaired. If a patient is lacking normal secretion of three or four pituitary hormones, there is a 95% chance that the patient is GH deficient. In patients who have had pituitary surgery or radiation, there is a 25% chance that the patient will be GH deficient even if secretion of other pituitary hormones is normal.… Continue Reading
Category Archives: Doctor’s Articles
Dealing With The Doctor After Treatment for Cushing’s Syndrome
The first part of this series on “dealing with the doctor” discussed the various issues that may lead one to seek medical advice regarding the possibility of Cushing’s Syndrome, and what may be expected from the initial evaluation by the doctor. This article will review what you may expect after you have received treatment. Care… Continue Reading
Tapering Glucocorticoid Replacement
Some Cushing’s patients experience difficulties during the time period when glucocorticoid (cortisone) replacement is being tapered back to physiological levels following pituitary or adrenal surgery. During Cushing’s, the normal pituitary or adrenal tissue shuts down production of ACTH or glucocorticoids. Following removal of a tumor, the non-tumorous tissue needs time to recover normal hormone output.… Continue Reading
Dealing with the Doctor: Part 1
A frequent question to this publication is “Why did it take doctors so long to recognize that I had Cushing’s syndrome?” Cushing’s syndrome is considered to be one of the most difficult disorders to diagnose. The signs and symptoms develop slowly and may often be overlooked both by patients and their health care providers. At… Continue Reading
Reproductive Disorders in Cushing’s Syndrome: Common Questions
Question: Are menstrual problems in women common in Cushing’s? Reproductive problems are common in patients with Cushing’s disease and Cushing’s syndrome. Women may experience amenorrhea ( a complete lack of menses), or irregular periods. This dysfunction typically results from the effects of the high levels of adrenal gland hormones to suppress the normal pituitary hormones… Continue Reading
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