$Unique_ID{BRK00100} $Pretitle{} $Title{Explanation of Sheehan's Syndrome} $Subject{sheehan's syndrome syndromes pituitary gland Ill Defined Symptoms symptom Rare Diseases deliveries delivering delivery hormonal hormones shrinking breasts lactate lactation breast-feed hair pubic hair loss infertile diabetics cerebrovascular diabetic sheehan infertility fertile fertility sterile sterility} $Volume{N-22} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Explanation of Sheehan's Syndrome ------------------------------------------------------------------------------ QUESTION: Could you explain Sheehan's Syndrome to me? ------------------------------------------------------------------------------ ANSWER: Often associated with difficult deliveries, Sheehan's Syndrome occurs in women who have experienced shock and hemorrhage. It is a relatively rare condition; about one case in 10,000 deliveries is reported. What happens is that during delivery not enough blood gets to the pituitary. Damage occurs, and the result is a variety of hormonal deficiencies and some strange symptoms. If you know a woman with Sheehan's Syndrome, she may show signs of mental deterioration and perhaps complain of other symptoms such as shrinking breasts, an inability to lactate (breast-feed), loss of hair in the pubic region and under the armpits, her period may have stopped, and she could be infertile. The syndrome can happen even when there has been no hemorrhage during a difficult delivery. A person can have Sheehan's and there may be no symptoms because the disease may be at an early stage or in a less severe form. In these instances, the disease will manifest itself if the person is under a great deal of stress. Other people prone to the disease are diabetics who have cerebrovascular disease. Doctors can accurately diagnose Sheehan's with the help of hormone-level lab tests and stimulation tests. Successful treatment involves hormone replacement therapy, carefully tailored to each patient's needs. However, it is essential that the patient continue to have a thorough follow-up of lab tests and clinical results so that she may lead a relatively normal lifestyle. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.