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Popp, Kathrin H.; Gröner, Jan B. and Stalla, Günter K. (2021): Hypophyse und Kontaktsportarten. In: Gynäkologische Endokrinologie, Vol. 19, No. 3: pp. 196-204

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Sports-related traumatic brain injuries frequently occur and often remain underdiagnosed. They affect both professional and recreational athletes. Sports-related pituitary injuries increase morbidity, decrease the quality of life and in severe cases complete pituitary deficiency can lead to increased mortality if left undiagnosed and untreated. Mild sports-related traumatic brain injuries can also sometimes lead to a temporary pituitary insufficiency due to shear forces and other factors. After trauma the somatotropic and gonadotropic pituitary axes most frequently fail. Symptoms such as chronic fatigue (fatigue syndrome), decreased drive, depressed mood, physical exhaustion, unclear anemia, loss of libido, erectile dysfunction, fever of unclear etiology, weight loss or cognitive deficits can be indications of hypopituitarism. The diagnosis is made by basal hormonal analysis and dynamic endocrinological function testing in the chronic phase after trauma. Treatment is performed by hormone replacement. The aim should be to achieve values within the average normal range for the patient's age.

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