Journal of Human Reproductive Science
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ORIGINAL ARTICLE Table of Contents   
Year : 2014  |  Volume : 7  |  Issue : 3  |  Page : 218-220
Spontaneous successful pregnancy in posthypophysectomy hypopituitarism: A rare case report


Department of Maternal and Reproductive Health, SGPGIMS, Lucknow, India

Correspondence Address:
Indu Lata
Department of Maternal and Reproductive Health, SGPGIMS, Lucknow
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1208.142492

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Pregnancy in patients with pan-hypopituitarism following surgery of pituitary adenoma is rare and considered high risk. Hormonal dysfunction in these patients involves more than one axis (gonadotrophic, thyroidal, and adrenal). However, advance in infertility treatment have led to the increased pregnancy rate in hypopituitarism women. We present a case of nonfunctioning pituitary macroadenoma, who after pituitary surgery (hypophysectomy) developed hypopituitarism followed by multiple tuberculoma brain with hydrocephalus with arachnoiditis. She conceived spontaneously after 9 years of pituitary surgery and carried her pregnancy to the term. Elective caesarean section was done at 38 weeks and both infant and mother are well. The case highlights the rarity of the phenomenon and the safe outcome of the pregnancy with proper replacement.


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