drduck
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what will happen if a female patient who is pregnant who is in the first trimester....has her pitutary removed?????
i mean will the pregnancy continue or will there be wastage???
help...
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| new_n_lost
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Pregnancy induces stress on the Female pt. The Body's most combative response to this stress is Cortisol whose sole secretion is dependent on Pituitary gland. Now the question i sthat whether the effect will be direct or indirect to the Fetus. I havent as yet come across such info but i can imagine the indirect effects on the Fetus.
Good Point will have to search it though.
Edited by new_n_lost on 07/14/07 - 09:36 PM
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| Luckyall
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Im just thinking in terms of abortion/not:
Pituitary removal---> lack of LH ---> wich NL stimulates Luteal cells to make Progest.---> major factor in maintaining Pregn.
But there is hCG secr at the time of implantation who will take over stimulation of Luteal cells----> and still have Progesterone secr to maintain pregn.
So i ll say, the pregnancy can still go on ! I didnt search, yet... thas how i d answer in 50 sec manner
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| drduck
Forum Guru
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u ave a point.....but pregnancy usually have hyperglycemia....and female cortisol doent affect the fetus to a very great extent...
what else pitutary deficiency will do??????????
hey i m really not testing others brain
this was a doubt came to my mind and so felt like discussing with u all
i personally felt nothing will happen....now i need ur views....
prove me wrong
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| new_n_lost
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Inadequately treated hypopituitarism may lead to poor pregnancy outcome, including spontaneous abortion, intrauterine fetal demise, maternal hypotension, hypoglycemia, and even maternal death.
http://www.endotext.org/female/female14/femalefra...
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost
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In conclusion, the HPA axis plays an important physiological role in normal pregnancy, contributing to regulation of maternal fertility, parturition, blood pressure control, and sodium balance. Although disorders of the HPA axis are rare, CS and adrenocortical hypofunction, when untreated, are associated with significant maternal and fetal morbidity and potential mortality.
http://edrv.endojournals.org/cgi/content/full/26/6/775
___________________
"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| tompat
Forum Elite
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i think pregnancy will continue, but there will be problems like mental retardation in fetus/ new born.
what nnl 's post and given link says is there is SIGNIFICANT amount of maternal and fetal mortality.this is epidemiologically relevant, means there may be a chance of 10-20% mortality, which is SIGNIFICANT to pay more attention and care.but still a larger group of pt will continue with pregnancy.
the fig used above are hypothetical, let me know if i m wrong
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