Postpartum galactorrhea-amenorrhea syndrome due to the limited thyroid reserve syndrome

A case of postpartum amenorrhea and galactorrhea is reported, with several additional features leading to the diagnosis of primary hypothyroidism. Resolution of the amenorrhea and galactorrhea was noted coincident with adequate thyroid hormone therapy. The interrelationships of the many organ systems involved are discussed, and speculations advanced regarding the mechanisms operating in such cases. The diagnosis of the limited thyroid-reserve syndrome is elucidated.