Pituitary hormonal reserve in patients presenting hyperprolactinemia, intrasellar masses, and amenorrhea without galactorrhea

Arturo Zárate, Elías S. Canales, Hugo Villalobos, Jorge Soria, Laurence S. Jacobs, Abba J. Kastin, Andrew V. Schally

Research output: Contribution to journalArticle

37 Scopus citations

Abstract

The pituitary release of gonadotropins, prolactin, and TSH after the simultaneous intravenous administration of 50 μg LH RH and 400 μg TRH was evaluated in 7 amenorrheic women with sellar enlargement and hyperprolactinemia. It was found that only minimal amounts of LH and FSH were released by LH RH. All patients had elevated serum prolactin levels but TRH administration elicited negligible release of prolactin. This was in contrast to the normal TSH response to TRH in most of these women. It is concluded that intrasellar masses may be associated with hyperprolactinemia which does not necessarily cause galactorrhea and that impaired gonadotropin reserve correlates with the presence of amenorrhea.

Original languageEnglish (US)
Pages (from-to)1034-1037
Number of pages4
JournalJournal of Clinical Endocrinology and Metabolism
Volume40
Issue number6
DOIs
StatePublished - Jan 1 1975
Externally publishedYes

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ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Biochemistry
  • Endocrinology
  • Clinical Biochemistry
  • Biochemistry, medical

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