Lady recovered from severe PPH, complains of failure of lactation and menstruation, which of the following can be seen
Sheehan Syndrome Rare consequence of severe postpaum haemorrhage which causes anterior pituatory necrosis and leads to pituitary failure The typical picture is failure of lactation, amenorrhoea, hypothyroidism and adrenocoical insufficiency Failure of lactation is the first sign Ref: Text book of Obstetrics; Sheila balakrishnan; 2 nd edition; Page no 403
Increased Excretion of Na
Retention of Water
Increased Prolactin
Increased GnRH
Disorders of menstruation