Sheehan's syndrome

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Preparing for your appointment

By Mayo Clinic staff

If your primary care doctor suspects Sheehan's syndrome, you'll likely be referred to an endocrinologist, a doctor who specializes in metabolic disorders. To help prepare for your appointment:

  • Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance to prepare for common diagnostic tests.
  • Write down all symptoms and changes you're experiencing, even if they seem unrelated to each other. Be sure to mention severe blood loss during childbirth.
  • Write down key personal information, including any recent life changes or other stressors.
  • Make a list of your key medical information, including recent surgical procedures, the names of all medications you're taking and any other conditions for which you've been treated.
  • Take a family member or friend along, if possible. Sometimes it can be difficult to soak up all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Take a list of questions. Make a list of questions ahead of your appointment so that you can make the most of your time with your doctor. List the questions most important to you first in case you run out of time. For instance, you'll want to know what the long-term complications of Sheehan's syndrome might be, whether you'll need treatment and what treatment options exist.
References
  1. Feinberg EC, et al. The incidence of Sheehan's syndrome after obstetric hemorrhage. Fertility and Sterility. 2005;84(4):975-979.
  2. Soares DV, et al. Clinical, laboratory and therapeutics aspects of Sheehan's syndrome. Arquivos Brasileiros de Endocrinologia e Metabologia. 2008;52(5):872-878.
  3. Dokmetas HS, et al. Characteristic features of 20 patients with Sheehan's syndrome. Gynecological Endocrinology: The Official Journal of the International Society of Gynecological Endocrinology. 2006;22(5):279-283.
  4. Schrager S, et al. Sheehan syndrome: A rare complication of postpartum hemorrhage. The Journal of the American Board of Family Practice. 2001;14(5):389-391.
  5. Sert M, et al. Clinical report of 28 Patients with Sheehan's syndrome. Endocrine Journal. 2003;50(3):297-301.
  6. Pham PC, et al. Sodium and water disturbances in patients with
  7. Sheehan's syndrome. American Journal of Kidney Diseases. 2001;38(3):E14.
  8. Kelestimur F, et al. Sheehan's syndrome: Baseline characteristics and effect of 2 years of growth hormone replacement therapy in 91 patients in KIMS-Pfizer International Metabolic Database. European Journal of Endocrinology. 2005;152(4):581-587.
  9. The Pituitary Gland. In: Ganong WF. Review of Medical Physiology. 22nd edition. The McGraw-Hill Companies Inc.; 2005. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=11. Accessed Nov. 28, 2008.

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Jan. 31, 2009

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