Pituitary Adenoma — Endoscopic Surgery & Hormone Management in Noida

Pituitary apoplexy is a sudden haemorrhage or infarction into a pituitary adenoma, causing sudden severe headache (thunderclap), visual loss, double vision (ophthalmoplegia), and potentially rapid deterioration of consciousness. It is a neuro-endocrine emergency requiring urgent imaging, high-dose hydrocortisone, and often emergency neurosurgical decompression. If you or someone develops sudden severe headache with visual symptoms, call emergency services immediately.

Yes. Dr. Manish Vaish (AANS International Fellow) and Team performs fully endoscopic transnasal transsphenoidal pituitary adenoma surgery at Medanta Hospital, Sector 50, Noida. There is no external incision. The endoscope passes through the nostril and nasal cavity directly to the sphenoid sinus and pituitary fossa. Most patients go home within 3–5 days.

Yes. Prolactin-secreting adenomas (prolactinomas) are a common and treatable cause of infertility in young women. Excess prolactin suppresses the normal hormonal cycle, causing irregular or absent periods. Treatment with a dopamine agonist (cabergoline) normalises prolactin levels, restores menstrual cycles, and enables fertility — usually without surgery.

This depends on whether the remaining normal pituitary tissue continues to function adequately. Post-operative testing includes cortisol (an essential hormone), thyroid function, and testosterone/oestrogen levels. If any axis is deficient, hormone replacement is prescribed. Dr. Vaish's team coordinates endocrinology input at Medanta Noida for all pituitary surgical patients.