Thanks for your question on HCM. Pituitary gland is master of all endocrine glands. It regulates the hormonal balance in the body. So pituitary gland is very important to maintain balance of various hormones. And hormones are important in almost all biological activities. So your all symptoms are mostly due to hormonal imbalance. And with hormone replacement therapy your all symptoms will definitely improve. So better to consult oncologist and endocrinologist for treatment. Get done hormone levels and start treatment accordingly.