Patients meet many different specialists during the course of treatment, some of whom they'll be in contact with for a long time. Some are associated with dramatic events such as surgery and radiotherapy. Patients need to understand why they are seeing different people, and why it is relevant to their treatment! All these relationships are important, especially the long term ones.
Initially, the patient may not know where the pituitary gland is, what it does, how the operation is done, or about the specialist's particular area of involvement. They may not know what questions to ask.
They may come to an endocrinologist after years of nondiagnosis, perhaps even treatment for other things.
"My first diagnosis came after many years of treatment by my GP [general practitioner] for depression, tiredness, loss of libido, and a general loss of interest in everything, resulting in sleeping tablets, antidepressants etc.—all to no avail."
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