Successful pregnancy and birth in a patient with panhypopituitarism caused by craniopharyngioma / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
;
: 2462-2467, 2005.
Artigo
em Coreano
| WPRIM
| ID: wpr-145413
ABSTRACT
Conceptions and uncomplicated pregnancies in patients with panhypopituitarism are rare especially after treatment of craniopharyngioma. We recently experienced a case of a patient with panhypopituitarism who became pregnant by gonadotropin therapy and gave birth to a healthy baby. A 33-year-old woman developed hypogonadotropic hypogonadism and diabetes insipidus because of craniopharyngioma which was surgically removed. Post-operative panhypopituitarism with diabetes insipidus was treated with adequate doses of L-thyroxin, prednisolone, desmopressin, medroxyprogesterone acetate (MPA), conjugated estrogen. To induce ovulation, human menopausal gonadotropin (hMG) and human chorionic gonadotropin (hCG) were administered, and a single intrauterine insemination (IUI) procedure was performed. The patient became pregnant and gave birth to a healthy baby. This case suggests that ovulation induction using gonadotropins and comprehensive hormone replacement therapy can result in the successful pregnancy in patients with panhypopituitarism after treatment of craniopharyngioma.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ovulação
/
Indução da Ovulação
/
Prednisolona
/
Acetato de Medroxiprogesterona
/
Terapia de Reposição Hormonal
/
Craniofaringioma
/
Parto
/
Desamino Arginina Vasopressina
/
Diabetes Insípido
/
Estrogênios
Limite:
Adulto
/
Feminino
/
Humanos
/
Gravidez
Idioma:
Coreano
Revista:
Korean Journal of Obstetrics and Gynecology
Ano de publicação:
2005
Tipo de documento:
Artigo
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