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What are the causes of endocrine disorders in liver cirrhosis?

Dr. Dr. Phillip Bland, MD,  - general practice specialist at 1127 Wilshire Blvd Ste 1010Los Angeles, CA 90017
Dr. Phillip Bland, MD

1127 Wilshire Blvd Ste 1010Los Angeles, CA 90017 general practice

Expert Medical Information

Cirrhosis can lead to endocrine disorders, primarily due to abnormal liver function, reduced inactivation of estrogen, and increased estrogen secretion. When liver function declines, the liver cannot promptly eliminate excess estrogen, aldosterone, and antidiuretic hormone, leading to their excessive accumulation in the body. The increase in estrogen, through a negative feedback mechanism, inhibits the pituitary gland's secretion, resulting in decreased androgen and adrenal corticosteroid production. These hormonal changes often manifest as endocrine imbalances and also suppress the production of male hormones. Female patients may experience irregular menstruation, amenorrhea, or infertility. Male patients may develop gynecomastia, a condition where the male breasts enlarge, which is not typical in normal males. Additionally, male patients may experience hair loss, reduced facial and body hair, and decreased libido.

Common symptoms include fever, fatigue, and discomfort in the affected area. Always consult with a healthcare professional for an accurate diagnosis.
Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
Seek immediate medical attention if you experience severe symptoms, rapid worsening of condition, or if self-care measures aren't providing relief within a reasonable timeframe.