In clinical practice, we often find that many patients are treated in obstetrics and gynecology due to amenorrhea, infertility and menstrual disorders. When they go to neurosurgery for vision loss, they often have an average history of 3-4 years of sexual function loss. Therefore, early detection of pituitary adenoma is especially important. If surgical treatment can be taken before it compresses the optic nerve and causes vision loss, and systematic and comprehensive follow-up is taken, very good results will be achieved, and some of them can even be cured.
Pituitary adenoma is a benign tumor of the pituitary gland that has a high incidence in the population. Pituitary adenomas not only cause headaches and vision loss, but also endocrine disorders such as decreased sexual function, infertility, menstrual disorders, and changes in the face and limbs. Pituitary tumors are more likely to occur in young and middle-aged people, and they can cause serious damage to the growth, development, labor ability and reproductive function of patients, and cause a series of psychosocial effects.
The most common functional adenomas are divided into prolactin, growth hormone, adrenocorticotropic hormone, thyrotropin, gonadotropic hormone, and polysecretory adenomas. Why do pituitary tumors cause these symptoms? What is the most effective treatment when pituitary tumors are detected?
Hypogonadism refers to impotence and decreased libido. These patients often complain that they have no desire to have sex with their wives no matter how long the interval is, or they complain that they are not interested in sex at all, and that they only have sex occasionally when their wives ask for it. The literature shows that about 60% of pituitary tumor patients have sexual dysfunction, but the actual situation is much higher than this number, because our tradition has been very conservative about sex, and some people are often reluctant to talk about this, the main reasons for low sexual function caused by pituitary tumor are: 1, the compression of normal pituitary tissues by pituitary tumor and damage by radiotherapy The pituitary gland is low in function and affects the hypothalamic-pituitary-gonadal axis in the body, resulting in insufficient secretion of gonadotropins, which further leads to low gonadal function.
This may be related to the fact that hyperprolactinemia inhibits the release of gonadotropins, reduces pituitary responsiveness and decreases testosterone production, and testosterone supplementation alone is not effective in this case.
3, thyrotropin adenoma due to hypothyroidism, the systemic metabolism is slow, so that the metabolism of estrogen and androgen in the body is reduced with the lack of thyroxine.
4. Obesity caused by patients with adrenocorticotropic hormone and growth hormone pituitary adenoma is also one of the causes of low sexual function.