Pituitary disorder care in Fresno, CA
The pituitary is a pea-sized gland at the base of the brain that directs the thyroid, the adrenal glands, the ovaries and testes, growth and water balance. When it makes too much of a hormone, usually because of a benign adenoma, the result can be prolactinoma, acromegaly or Cushing's disease. When it makes too little, the result is hypopituitarism, with fatigue, low blood pressure, loss of periods or libido and other symptoms that depend on which hormones are missing.
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Diagnosis combines a targeted hormone panel with the right imaging, usually a dedicated pituitary MRI. We interpret prolactin, IGF-1, cortisol, thyroid and sex hormone levels together, because a pituitary problem rarely affects just one axis, and we perform stimulation testing when a deficiency needs to be confirmed. If you were told about a pituitary incidentaloma on a scan done for another reason, we sort out whether it is making hormones and whether it needs treatment or simply monitoring.
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Many pituitary conditions are managed with medication alone: prolactinomas usually shrink with a tablet, and hormone deficiencies are replaced carefully and monitored. When surgery is the right answer we coordinate with experienced pituitary neurosurgeons and manage your hormones before and after the operation. Pituitary care is lifelong, and we provide the regular follow-up, lab monitoring and imaging schedule it requires.
Call Spring Endocrinology for pituitary disorder care in Fresno, Clovis, Madera and across the Central Valley.
(559) 216-0407
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If any of these sound familiar, a specialist visit is worth it. Bring recent labs if you have them.
Hormone conditions overlap. These are the ones we most often treat alongside pituitary disorder care.
Cushing's syndrome, Addison's disease, adrenal nodules and hormone-driven blood pressure problems, diagnosed with the right testing and managed long term.
Learn moreLow testosterone, menopause, PCOS and hormone imbalance diagnosed properly and treated with the right therapy, by endocrinology specialists rather than a med spa.
Learn moreHypothyroidism, Graves disease, Hashimoto's, nodules and parathyroid problems diagnosed and managed by a thyroid specialist, including thyroid eye disease infusions.
Learn moreLocal details for pituitary disorder care in the towns we serve most, from our Northeast Fresno clinic. See every area.
Straight answers from the Spring Endocrinology team. For more, read the full FAQ.
Almost never. The vast majority of pituitary tumors are benign adenomas. They matter because of the hormones they make or the pressure they put on nearby structures, and both are very treatable.
Usually not. Most prolactinomas respond well to oral medication that lowers prolactin and shrinks the tumor. Surgery is reserved for the uncommon cases that do not respond or cannot tolerate medication.
Hypopituitarism means one or more pituitary hormones are too low. Treatment replaces the missing hormones, such as thyroid hormone, cortisol, testosterone or estrogen, and sometimes growth hormone, with careful dosing and regular monitoring.
Yes. When surgery is needed we coordinate with experienced pituitary neurosurgeons, manage your hormones before and after the procedure, and continue your long-term follow-up afterward.
It depends on the condition and treatment, but most patients have labs every few months at first and then one to two times a year, with MRI on a schedule set for your specific diagnosis.
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