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#412 - 12/16/02 03:45 AM sheehans syndrome
Anonymous
Unregistered


Its me macha. Can anyone tell me anything about sheehan's syndrome? <img src="http://www.asklenore.com/ubbthreads/images/icons/confused.gif" alt="" />

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#413 - 12/16/02 02:00 PM Re: sheehans syndrome
Anonymous
Unregistered


Macha,
Hello. I am looking in my critical care nursing book and it says this about Sheehans syndrome: under the heading of Common Etiologies of Anterior Pituitary Failure....Hemorrhage...panhypopituitarism due to postpartum hemorrhage and hypotension classicallly presents with lactation failure or failure to resume menses. Up to one third of the women who develop hypotension (decreased blood pressure) due to severe bleeding during delivery will develop some degree of pituitary failure, which may not manifest itself clinically for months or years after the delivery. The susceptibility of the pituitary to damage at delivery is due to the 50% increase in size from lactotroph hyperplasia during pregnancy. Ischemia (decreased blood flow) compresses the already hyperplastic pituitary, causing increased intrasellar pressure and diminishing tissue perfusion in the unyielding sella turcica. Postpartum pituitary damage may occur in the absence of circulatory collapse, but an underlying disease that decreases tissue perfusion, such a diabetes, hypertension, arteritis or sickle cell anemia is usually present. In other words,,,,,the pituitary is already enlarged d/t pregnancy, and it is more suseptable to damage, esp. if you have bad circulation to begin with and you have alot of bleeding after the baby is born and decreased blood pressure...,,,this can cause damage to the pitutitary and you may not be able to lactate and your return of menses will be affected.
I have never heard of this syndrome, but it sure doesn't sound like much fun! I hope you got your question answered.
take care,
Cathy

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#414 - 12/20/02 06:07 AM Re: sheehans syndrome
Lenore Offline

extra helpful experienced member

Registered: 09/24/02
Posts: 1347
Loc: Canada
Hi Macha,

Basically if you had a hemorrhage during the birth of a child you run the risk of it affecting your pituitary. It's one of the medical reasons for low milk supply.

Who do you think has this and why?

Warmest regards,
_________________________
Lenore Goldfarb, Ph.D.,CCC,IBCLC
Wife to Rob, Mom to Adam aged 13, and Ethan aged 9, both born via GS and breastfed via Regular Newman-Goldfarb Protocol.

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#415 - 06/01/03 01:25 PM PCOS [Re: Lenore]
Anonymous
Unregistered


Hi lenore. Its been a while, but after all this time, I have found out what is wrong. Remember when I was inducing lactation, and I was asking you about me not having ever got my period back since I had dd? Well, I have PCOS. So far, Im having 1 period every 8 months and coneiving is becoming a complete nightmare. We've basically been having unprotected sex for 2 years, and Im as barren as a desert. Nothing. I am taking metformin and losing weight, but dh is away for 6 months, so cant try then. I am just so upset. I really need someone to talk to.

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#416 - 06/01/03 07:57 PM Re: PCOS
Anonymous
Unregistered


Take heart- I have PCOS too. Tried for 10 +years adopted two special needs infants. Started metformin in 2000, completed the NG protocol for adoptive nursing for my second baby. And low an behold I had one" normal period" when my daughter started to eat solids and wham, bam thank you mam I was pregnant with twins.

They are due on 6/28/03. It was a surprise to me, my hubby and my RE who told me I had a better chance of winning the powerball and our states lottery on the same day than ever conceiving naturally.

My RE has now had three women with sever PCOS who never responded to any follicule stimulating drugs, adopt do the protocol and get pregnant, as well as I Know of two or three others on this board anf the ABRW site who have had this miricle. All he can say is "maybe it gets the hormones straightened out for a while" All I know isI was more surprised than anything, because I didn't even buy maternity insurance when our cobra ran out. It was another $149 month on top of my amount, so needless to say these two have cost me more than my two adopted ones, but hey who knows I keep buying my one powerball ticket

Jane

PS- having intermittent braxton hicks and a few consitent contractions for the last 24 hrs.

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#417 - 06/03/03 03:28 AM Re: PCOS
DawnL Offline
extra helpful experienced member

Registered: 09/28/02
Posts: 272
I have PCO, too. Mine is not severe, but I think that is partially because I had surgery to remove cysts in my ovaries several years ago.
Have you ever been to FertileThoughts? I have been going there since 1994, and they are great. You will find someone to talk to, no matter what the infertility issues are. They are a big group, and so supportive. Go to fertilethoughts.com There are tons of message boards there. You can find me on the adoption boards.
I am sorry you have PCO. I wouldn't wish infertility on anyone!
DawnL
_________________________
wife to Jim, mommy to Daphne and Jeran and Jalen

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#418 - 06/04/03 06:01 AM Re: PCOS
Lenore Offline

extra helpful experienced member

Registered: 09/24/02
Posts: 1347
Loc: Canada
Dear Macha,

Well the ladies are right. Reports have come in that doing the protocol with the Diane 35/domperidone combination may help. We do not know why but hey, the proof is in the pudding as they say. However I must warn you that Diane 35 has been linked to a four fold increase in the incidence of deep vein thrombosis (blood clots) and so if you do decide to go this route we strongly advise that you notify your MD and discuss the use of low molecular weight heparin to ward off this potentially fatal side effect. If a blood clot in your leg goes to your lung, you're in deep trouble. So I can't emphasize enough that although the diane 35/domperidone protocol may help, you've got to be extremely careful.

Fondly,
_________________________
Lenore Goldfarb, Ph.D.,CCC,IBCLC
Wife to Rob, Mom to Adam aged 13, and Ethan aged 9, both born via GS and breastfed via Regular Newman-Goldfarb Protocol.

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