Before revision: Hormone Test Result FSH, LH GnRH stimulation Unresponsive from third gestation until several weeks postpartum Growth Hormone Insulin tolerance test Response increases during first half of pregnancy and then normalizes until several weeks postpartum TSH TRH stimulation Response unchanged Pancreatic Insulin Glucose tolerance test Peak glucose increases, and glucose concentration remains elevated for longer Adrenal Cortisol ACTH infusion Exaggerated cortisol and aldosterone responses Metyrapone Diminished response Mineralocorticoids ACTH infusion No deoxycorticosterone response Dexamethasone No deoxycorticosterone response Breast changes
After revision: Normal histology of the breast during lactation.Hormone Test Result FSH, LH GnRH stimulation Unresponsive from third gestation until several weeks postpartum Growth Hormone Insulin tolerance test Response increases during first half of pregnancy and then normalizes until several weeks postpartum TSH TRH stimulation Response unchanged Pancreatic Insulin Glucose tolerance test Peak glucose increases, and glucose concentration remains elevated for longer Adrenal Cortisol ACTH infusion Exaggerated cortisol and aldosterone responses Metyrapone Diminished response Mineralocorticoids ACTH infusion No deoxycorticosterone response Dexamethasone No deoxycorticosterone response Breast changes