Pituitary tumors and most other sellar lesions present in four general ways:
• Endocrinological dysfunction. This may result from overproduction of the six pituitary hormones: PL, GH, ACTH or, rarely, thyroid-stimulating hormone (TSH) and gonadotrophins, but may also result from underproduction syndromes, such as Addisonian crisis or secondary amenorrheas. Specific endocrinopathy will be covered for each tumor type in turn (see below).
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.