Premature Ovarian Insufficiency Specialists in Karol Bagh, Delhi

What is Premature Ovarian Insufficiency?

Premature ovarian insufficiency is a condition in which the ovaries stop functioning normally before the age of 40, leading to reduced production of estrogen and irregular or absent ovulation well before the typical age of natural menopause. Unlike menopause, ovarian function in premature ovarian insufficiency can be intermittent, with occasional ovulation and even spontaneous pregnancy still possible in a small percentage of cases, distinguishing it from complete ovarian failure. It significantly affects fertility and, due to prolonged estrogen deficiency at a young age, increases long-term risks of osteoporosis and cardiovascular disease if untreated.

Causes of Premature Ovarian Insufficiency

Causes include genetic conditions such as Turner syndrome and fragile X premutation, autoimmune disorders in which the body's immune system attacks ovarian tissue, and prior chemotherapy or radiation therapy that damages ovarian follicles. In many cases, no clear underlying cause is identified despite thorough evaluation, termed idiopathic premature ovarian insufficiency. Family history also plays a role, as the condition can run in families.

Symptoms of Premature Ovarian Insufficiency

Irregular or absent menstrual periods before age 40, hot flashes and night sweats, vaginal dryness, difficulty conceiving, mood changes and irritability, sleep disturbances, decreased libido, symptoms similar to natural menopause but occurring at a much younger age

Treatment & Types of Premature Ovarian Insufficiency in Karol Bagh, Delhi

Hormone replacement therapy with estrogen and progesterone is generally recommended until the natural age of menopause to relieve symptoms and protect against bone loss and cardiovascular risk associated with early estrogen deficiency. For women desiring pregnancy, options include monitoring for spontaneous ovulation, fertility treatment using donor eggs, since natural conception is unlikely though not impossible, and addressing any identified underlying autoimmune or genetic cause. Bone density monitoring and calcium and vitamin D supplementation support long-term health.

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