Hypopituitarism is a condition in which the pituitary gland does not produce normal amounts of some or all of its hormones.
The pituitary gland is a small structure that is located just below the brain. It is attached by a stalk to the hypothalamus. The hypothalamus is the area of the brain that controls the pituitary gland's function.
The hormones released by the pituitary gland (and their functions) are:
In hypopituitarism, there is a lack of 1 or more pituitary hormones. Lack of a hormone leads to loss of function in the gland or organ the hormone controls. For example, lack of TSH leads to loss of normal function of the thyroid gland.
Hypopituitarism may be caused by:
Sometimes, hypopituitarism is due to uncommon immune system or metabolic diseases, such as:
Hypopituitarism is also a rare complication after pregnancy of a condition called Sheehan syndrome.
Symptoms of hypopituitarism include any of the following:
Symptoms may develop slowly and may vary greatly, depending upon:
Other symptoms that may occur with this disease:
Exams and Tests
To diagnose hypopituitarism, there must be low hormone levels due to a problem with the pituitary gland. The diagnosis must also rule out diseases of the organ that is affected by this hormone.
Tests may include:
Levels of a pituitary hormone may be high in the bloodstream if you have a pituitary tumor that is producing too much of that hormone. The tumor may crush other cells of the pituitary, leading to low levels of other hormones.
If hypopituitarism is caused by a tumor, you may need surgery to remove the tumor. Radiation therapy may also be needed.
You will need lifelong hormone medicines to replace hormones that are no longer made by organs under the control of the pituitary gland. These may include:
Drugs are also available to treat related infertility in men and women.
Hypopituitarism is usually permanent. It requires lifelong treatment with 1 or more medicines. But you can expect a normal life span.
Side effects of medicines can develop. Stopping corticosteroid and thyroid supplementation can be life threatening.
When to Contact a Medical Professional
Call your health care provider if you develop symptoms of hypopituitarism.
In most cases, the disorder is not preventable. Awareness of risk may allow early diagnosis and treatment.
Burt MG, Ho KKY. Hypopituitarism and growth hormone deficiency. In: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 11.
Clemmons DR, Nieman LK. Approach to the patient with endocrine disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 221.
Review Date: 10/28/2015
Reviewed By: Brent Wisse, MD, Associate Professor of Medicine, Division of Metabolism, Endocrinology & Nutrition, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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