The Role of Inactive Pituitary Adenoma in the Development of Hypogonadotropic Hypogonadism

Authors

  • Khamraeva Dilafruz Ismatullo kizi Basic doctoral student at the RSSPMCE named after academician Yo.Kh.Turakulov
  • Kholova Dilorom Sharifovna PhD, leading researcher of the scientific department "Neuroendocrinology with pituitary gland surgery"
  • Khalimova Zamira Yusufovna MD, professor, deputy director for science at the RSSPMCE named after academician Yo.Kh.Turakulov

Keywords:

Hypogonadotropic hypogonadism, pituitary adenoma, chiasmatic-sellar region tumors

Abstract

This article explores the impact of inactive pituitary adenoma on the development of hypogonadotropic hypogonadism in women. A clinical study was conducted on 76 female patients aged 18 to 47 years to assess hormonal changes and clinical manifestations. The study found that hypogonadotropic hypogonadism is the most frequent clinical indication of pituitary insufficiency (67%) in tumors of the chiasmatic-sellar region. Key symptoms include menstrual irregularities, infertility, neurovegetative and urogenital disorders, and underdevelopment of the uterus and ovaries. The symptoms of hypogonadism typically emerge in the early stages of the disease, preceding the onset of visual and neurological impairments. The diagnosis is confirmed by reduced levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), and estradiol.

References

Sullivan KA, Silverman A-J. 1993 The ontogeny of gonadotropin-releasing hormone neurons in the chick. Neuroendocrinology. 58:597-608.

Boyar RM, Finkelstein JW, Witkin M, Kapen S, Weitzman E, Hellman L. 1973 Studies of endocrine function in "isolated" GnRH deficiency. Journal of Clinical Endocrinology and Metabolism. 36:64-72.

Kallmann FJ, Schoenfeld WA. 1944 The genetic aspects of primary eunuchoidism. American Journal of Mental Deficiency. 158:203-236.

Fromantin M, Gineste J, Didier A, Rouvier J. 1973 Les impuberismes et les hypogonadismes a l'incorporation. Probl Actuels Endocrinol Nutr. 16:179-199.

Resorlu B, Abdulmajed MI, Kara C, Unsal A, Aydos K. Is intracyto-plasmic sperm injection essential for the treatment of hypogonado-trophic hypogonadism? A comparison between idiopathic and secondary hypogonadotrophic hypogonadism. Hum Fertil (Camb). 2009;12(4):204-8, http://dx.doi.org/10.3109/14647270903331139

22. Bakircioglu ME, Erden HF, Ciray HN, Bayazit N, Bahceci M. Gonadotrophin therapy in combination with ICSI in men with hypogonadotrophic hypogonadism. Reprod Biomed Online. 2007; 15(2):156-60, http://dx.doi.org/10.1016/S1472-6483(10)60703-1

23. Zorn B, Pfeifer M, Virant-Klun I, Meden-Vrtovec H. Intracytoplasmic sperm injection as a complement to gonadotrophin treatment in infertile men with hypogonadotrophic hypogonadism. Int J Androl. 2005; 28(4):202-7.

24. Fahmy I, Kamal A, Shamloul R, Mansour R, Serour G, Aboulghar M. ICSI using testicular sperm in male hypogonadotrophic hypogonadism unresponsive to gonadotrophin therapy. Hum Reprod. 2004;19(7):1558-61, http://dx.doi.org/10.1093/humrep/deh243

25. Vaitukaitis JL, Ross GT, Braunstein GD, Rayford PL. Gonadotropins and their subunits: basic and clinical studies. Recent Prog Horm Res. 1976;32:289-331.

26. Gonadotropin preparations: past, present, and future perspectives. Fertil Steril. 2008;90(5 Suppl):S13-20.

27. Bosch E. Recombinant human follicular stimulating hormone and recombinant human luteinizing hormone in a 2:1 ratio combination. Pharmacological characteristics and clinical applications. Expert Opin Biol Ther.2010;10(6):1001-9,

http://dx.doi.org/10.1517/14712598.2010.485607

28. Esteves S, Papanikolaou V. Clinical Efficacy, Safety and Tolerability of Recombinant hCG to Restore Spermatogenesis and Androgenic Status of Hypogonadotropic Hypogonadism Males. Fertil Steril. 2011;96(3):S230, http://dx.doi.org/10.1016/j.fertnstert.2011.07.884

Misell LM, Holochwost D, Boban D, Santi N, Shefi S, Hellerstein MK, et al. A stable isotope-mass spectrometric method for measuring human spermatogenesis kinetics in vivo. J Urol. 2006;175(1):242-6; discussion 6.

Downloads

Published

2025-03-31

How to Cite

kizi, K. D. I., Sharifovna, K. D., & Yusufovna, K. Z. (2025). The Role of Inactive Pituitary Adenoma in the Development of Hypogonadotropic Hypogonadism. International Journal of Integrative and Modern Medicine, 3(3), 145–148. Retrieved from https://medicaljournals.eu/index.php/IJIMM/article/view/1672

Similar Articles

<< < 1 2 3 4 5 6 > >> 

You may also start an advanced similarity search for this article.