Sheehans syndrome is usually characterized by postpartum bleed, lactation
failure and amenorhea. You will have pituitary hormone defect. PCOS is usually unlikely in sheehans. Having a possible adrenal insufficiency
and atypical hypothyroidism
, it would be preferable to have a complete hormonal
evaluation and MRI. It can be done any way. Partial hypopituitrism can also be seen in patients with normal pituitary.