Treatment depends on which kind of pituitary damage you have.
If your adrenal glands are not being regulated properly you will be given hydrocortisone or prednisone, and told to increase your dose when sick. See the Mayo Clinic guidance. Note that the Mayo Clinic refers to this condition as Addison’s Disease whether the cause lies in your adrenal glands themselves (primary hypoadrenalism) or whether it is hypothalamo-pituitary in origin (secondary hypoadrenalism). It is important to remember how dangerous an adrenal crisis can be, see the Pituitary Foundation guidance.
If the sex hormones are affected, men will be given testosterone patches or injections, and women will be treated with tablets or patches containing oestrogens and progestogens.
Growth hormone (GH) can be artificially replaced by means of somatropin injections which will restore normal growth in children, and help with depression, brain fog, loss of energy and a decrease in muscle strength in adults. GH increases the amount of water in your body and, rarely, some people find this causes headaches and blurred vision through intracranial pressure. If this happens, tell your consultant who may reduce your dose or recommend weight loss.
If you have thyroid deficiency you will receive levothyroxine. Some people prefer Natural Dessicated Thyroid which is obtained from pigs. The Thyroid UK website is a helpful forum providing advice on the many problems associated with this deficiency.
If you have diabetes insipidus (a possible effect of pituitary damage, not to be confused with diabetes mellitus) you will be given desmopressin. See this link for more information.
If you have an excess of prolactin you may receive medications such as dopamine agonists to reduce the level. You will possibly be offered an MRI scan to check if you have a pituitary tumour. See the Verywell Health website. The condition of prolactin deficiency, or hypoprolactinemia, is rare, and few treatments exist, see Fertilitypedia website, though ‘Clomiphene citrate or gonadotropins may be used to treat subfertility caused by hypoprolactinemia.’
More information on treatment can be obtained from:
PO Box 1944
0845 450 0376 Administration line
0845 450 0375 Support and Information HelpLine