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Because of the unique demands of pregnancy, a woman’s pituitary is specially vulnerable to damage from loss of blood during delivery. In Sheehan’s Syndrome, the hemorrhage during delivery is so severe that the blood circulation to the pituitary gland is jeopardized, resulting in partial tissue death. Since the pituitary is a “master gland” managing a great many other glands, a partially functioning pituitary can cause problems, especially long-term. Low milk supply or inability to breastfeed is the only problem evident immediately; missing or infrequent periods could also occur however, not be recognized as an issue for quite a while because the woman is postpartum. Hypothyroidism often builds up in the future, and significant exhaustion, intolerance to frosty, and dry pores and skin is common.
- ‘cheat’ foods (i.e. periodic high-calorie meals),
- 0: Very Easy
- High-Calorie Drinks
- 6 years ago from Gainesville, GA
- Recording your diet and exercise patterns in a diary
Some women may experience lack of body hair, early aging, and low blood circulation pressure. Intervals may re-start or may never happen regularly never. Sometimes an adrenal crisis will establish, often prompted by another ongoing health turmoil to which the body cannot effectively react. Diabetes, electrolyte imbalances, and congestive heart failure are possible late problems of the syndrome as well. In worst-case scenarios, coma and even death can occur.
Sheehan’s Syndrome is under-diagnosed because the majority of its symptoms seriously gradually and act like other problems (like anemia, exhaustion, maturing, etc.). It can go undetected for a long time and frequently only gets recognized whenever a different health issue throws the woman into an adrenal problems. Any woman who experienced a substantial bleed during delivery and difficulty breastfeeding postpartum should be examined for Sheehan’s Syndrome as soon as possible, particularly if her period didn’t restart regularly despite not having the ability to breastfeed.
Any girl with a substantial bleed should also alert her General Practitioner to her background of hemorrhage during childbirth so she can be evaluated for Sheehan’s Syndrome periodically over time. Remember, this condition may develop gradually over time, so it must be examined for as you age regularly. To check for Sheehan’s Syndrome, thyroid, cortisol, and adrenal hormone tests have to be performed. An MRI of the head may also be indicated.
The most common treatment for Sheehan’s Syndrome involves hormone substitutes until menopause, and thyroid and/or adrenal medications forever as needed. The sooner it is diagnosed and treated, the better the outcome. Sadly, in many women, accreta-related bleeding during the birth can be so severe that a hysterectomy is required to stop the bleeding, thus ending the woman’s fertility forever.