Isolated growth hormone deficiency and amenorrhea - Case report

Introduction and importance: Growth hormone (GH) deficiency is the most common hypopituitarism disorder. We highlight the challenges to its diagnosis and management in the setting of a developing country.

Clinical discussion: Amenorrhea present after a brief menarche should alert gynaecologists of a possible multi-hormone disorder with an underlying structural abnormality. IGHD may be due to a structural abnormality, such as pituitary gland hypoplasia. Unfortunately, economic reasons prevented the patient from receiving optimal treatment.

Conclusion: IGHD rarely presents with a gynaecological complaint. Hormonal and genetic tests along with imaging should be undertaken. Growth hormone supplementation is the treatment of choice.

Keywords: Growth hormone deficiency; Hypopituitarism; Pituitary dwarfism.

© 2022 The Authors.

Conflict of interest statement

The authors declare that we do not have any conflicts of interest.