Periods (Irregular or None)

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This symptom could be caused by the failure of your pituitary gland. Below are the hormones that could be deficient.

Cortisol Deficiency

The most common symptoms of cortisol deficiency* are

chronic, or long-lasting, fatigue
muscle weakness
loss of appetite
weight loss
abdominal pain

Other symptoms can include

nausea
vomiting
diarrhoea
low blood pressure that drops further when you stand up, causing dizziness or fainting
irritability, anxiety and depression
joint pain
craving salty foods
hypoglycemia, or low blood glucose
irregular or no menstrual periods
loss of interest in sex
headache
sweating

Fatigue

Christine Wrightson: “Early in 2005 I suffered a virus that would not clear up. Initially I had a sore throat with flu-like symptoms. This developed into severe fatigue, vertigo, tinnitus, blurred vision, vomiting, feeling faint, palpitations, poor circulation and hot sweats. I felt at times that I was going to die.” http://www.investinme.org/mestory0041.shtml

Sources:

NIDDK https://www.niddk.nih.gov/health-information/endocrine-diseases/adrenal-insufficiency-addisons-disease/symptoms-causes

Thyroid UK Adrenal insufficiency – Thyroid UK

Note
*Cortisol deficiency may also be called hypocortisolism, hypoadrenalism, adrenal insufficiency, and adrenocorticotrophic hormone deficiency.
‘Primary’ means ’caused by a problem in the adrenal glands.’
‘Secondary’ means ’caused by a problem in the pituitary gland.’
‘Tertiary’ means ’caused by a problem in the hypothalamus.’
‘Central’ means ’caused by a problem in the pituitary gland or the hypothalamus.’

For how to test if you have cortisol deficiency see ‘Diagnosis‘ page

Sex Hormone Deficiency

Your gonadotrophic hormones (LH/FSH) are what stimulate your sex organs to make testosterone and oestrogen.

If they fail, the symptoms are:

Erectile dysfunction
Infertility
Less hair growth on the face and body
Less muscle
Development of breast tissue (gynecomastia)
Bone weakness (osteoporosis)
Depression and anxiety

For men
In severe cases

Difficulty concentrating
Hot flushes

For women

Periods get less or stop
Breasts fail to grow
Hot flushes
loss of body hair
low or absent sex drive
milky discharge from breasts

Erectile Dysfunction and Infertility

James Smith: “my sperm was tested for number and motility, and found to be near zero. I was prescribed a regime of diet, exercise and sleep and the dropping of certain antidepressants, and at first this appeared to work, and then not to. It was a standard one-size-fits-all procedure, and nobody ever paused to wonder why a 35-year-old who had been fertile before should have problems now?”

Source:
Healthline https://www.healthline.com/health/hypogonadism#symptoms https://www.healthline.com/health/low-testosterone/depression#low-t-and-depression

Note:
Sex hormone deficiency may also be called hypogonadism, hypogonadotropic hypogonadism (if caused by the pituitary), or testosterone deficiency (in males).
‘Primary’ means ’caused by a problem in the sex organs themselves’
‘Secondary’ means ’caused by a problem in the pituitary gland.’
‘Tertiary’ means ’caused by a problem in the hypothalamus’.
‘Central ‘ means ’caused by a problem in the pituitary or the hypothalamus’.

For how to test if you have gonadotrophic insufficiency (hypogonadism) see ‘Diagnosis’ page.

Thyroid Hormone Deficiency

Symptoms of thyroid deficiency are

tiredness
being sensitive to cold
weight gain
constipation
depression and anxiety
slow movements and thoughts
muscle aches and weakness
muscle cramps
dry and scaly skin
brittle hair and nails
loss of libido (sex drive)
pain, numbness and a tingling sensation in the hand and fingers (carpal tunnel syndrome)
irregular periods or heavy periods

Later stage symptoms

a low-pitched and hoarse voice
a puffy-looking face
thinned or partly missing eyebrows
a slow heart rate
hearing loss
anaemia

Weight gain, fatigue

Katie Hughes: “my body expanded with horrifying speed, all my weight piling onto my belly”
[Katie Hughes who had thyroid deficiency and growth hormone deficiency]

Source:
NHS website https://www.nhs.uk/conditions/underactive-thyroid-hypothyroidism/symptoms/

Note
Thyroid hormone deficiency can also be called hypothyroidism.
‘Primary’ means ’caused by a problem in the thyroid gland.’
‘Secondary’ means ’caused by a problem in the pituitary gland.’
‘Tertiary’ means ’caused by a problem in the hypothalamus.’
‘Central’ means ’caused by a problem in the pituitary gland or the hypothalamus.’

For how to test if you have Thyroid Hormone Deficiency, see Diagnosis page.

Prolactin Abnormality

Excess prolactin

This is the most common prolactin abnormality. If your pituitary gland is affected, it may not produce prolactin inhibiting factors (PIFs), such as dopamine.

The symptoms are

In women

Difficulty in getting pregnant
Disruption in periods
Loss of sex drive
Painful sex through vaginal dryness
Low bone mass
Breasts producing milk outside of pregnancy.
Failure to ovulate
Headaches*

In men

Enlarged breasts, producing milk
Impotence
Loss of sex drive
Infertility (less sperm or no sperm)
Headaches*
Decreased muscle mass and body hair

*Especially if the excess prolactin is caused by a prolactinoma (a small tumour on the pituitary)

Insufficient prolactin

The symptoms are

In women

ovarian dysfunction
failure of the breasts to produce milk after childbirth

In men

metabolic syndrome
anxiety
erectile dysfunction
premature ejaculation

Sources:
The Pituitary Foundation Adult Growth Hormone Deficiency | The Pituitary Foundation
*Impact of adult growth hormone deficiency on daily functioning and well-being – PubMed (nih.gov)

For how to test if you have prolactin abnormality see ‘Diagnosis‘ page

Periods (Irregular or None)

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