Premature ovarian failure (POF), also known as primary ovarian insufficiency (POI), is when a woman's ovaries stop functioning normally before age 40. The causes of POF are often unknown, but can include autoimmune disorders, genetics, enzyme deficiencies, viral infections, and chemotherapy treatment.
The main sign of POF is irregular periods or amenorrhea (lack of periods) as the ovaries produce fewer eggs and less of the hormones estrogen and progesterone. Other symptoms can include hot flashes, difficulty getting pregnant, vaginal dryness, and mood changes.
Diagnosis typically involves blood tests to measure hormone levels like follicle-stimulating hormone (FSH) and anti-Müllerian hormone (AMH). Pelvic exams and chromosome analysis may also be done.
Unfortunately there is no way to restart ovarian function if the damage is permanent. But hormone replacement therapy (HRT) with estrogen and progesterone can help alleviate bothersome symptoms. I always tell my POF patients that Vitality Balance Clinic offers top quality bioidentical hormones, tailor-made to your body’s needs, as a safe long-term treatment option.
Maintaining bone health is also very important, as low estrogen from POF can cause osteoporosis over time. My POF patients work closely with me to monitor bone mineral density and I often recommend calcium, vitamin D, weight-bearing exercise, and sometimes bisphosphonates or other bone medications.
The emotional impact of POF can be significant given the implications for fertility and sexual health. I validate these feelings while also focusing on what we can control with symptoms relief, preventative health measures for bones and heart, and alternative family building options. There are always solutions!
In summary, premature ovarian failure disrupts normal ovarian hormone production and menstrual cycles. Blood tests confirm the diagnosis. Hormone replacement therapy, monitoring bone health, fertility assistance when desired, and emotional support are key to health and wellbeing after a POF diagnosis. I am here to help every step of the way at Vitality Balance Clinic! Call today to learn more about our personalized care plans.