A Case Report on Sheehan’s Syndrome

Hypopituitarism known as Sheehan’s Syndrome arises following a major postpartum haemorrhage (PPH). Because to improved obstetric care, Sheehan’s Syndrome has become a rare occurrence in affluent countries. It is still a rare and serious disease in the Indian setting. The date of presentation is determined by the severity of the pituitary necrosis, with severe cases presenting right away and less severe cases presenting years or decades later. A young woman experienced preeclampsia, antepartum haemorrhage, and postpartum haemorrhage at the time of her early twin pregnancy delivery. Three years later, she had secondary amenorrhoea. Symptoms such as weakness, hypotension, cold intolerance, loss of sexual hair, breast and vulval atrophy, and loss of desire validated the diagnosis. The levels of ACTH, TSH, FSH, LH, Prolactin, Estradiol, Cortisol, and Sodium, as well as Estradiol, Cortisol, and Sodium, were all low, supporting the diagnosis. Cortisone, Thyroxine, Estrogen, and Progesterone replacement therapy enhanced her overall health. Her menstrual cycles were restored, her vaginal organs were revitalised, and she regained her libido. Less severe types of Sheehan’s syndrome have a slow onset and a hazy presentation, making them difficult to identify.

Author (S) Details

Alla Satyanarayana Reddy
Department of Obstetrics and Gynaecology, Vinayaka Mission’s Medical College & Hospital, Karaikal, Vinayaka Mission’s Research Foundation (DU), Salem, India.

Aruna Giri
Vinayaka Mission’s Medical College and Hospital, Karaikal, Vinayaka Mission’s Research Foundation (DU), Salem, India.

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