Diagnosis and management of premature ovarian insufficiency

Rumana Rahman, Nick Panay
In: Best Practice & Research Clinical Endocrinology & Metabolism · 2021 · vol. 35(6) , pp. 101600 · doi:10.1016/j.beem.2021.101600 · PMID:34823999 · W3213471657
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This paper reviews the diagnosis and management of premature ovarian insufficiency, covering its causes, symptoms, diagnostic criteria, and treatment options.

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Abstract

Premature ovarian insufficiency (POI) is a complex clinical syndrome with life-changing physiological and psychological consequence in young women of reproductive age. However, the understanding of the etiology, diagnosis and optimal intervention strategies for this condition remains poorly understood. In recent years advances in epidemiologic and genetic research has improved our knowledge and awareness of POI. Further prospective randomised trials are required to improve the psychological and sexual health, fertility treatment options and long-term management of the impact on bone, cardiovascular and cognitive impact in women with POI. In this paper we aim to provide an overview on the diagnosis and management of POI, discuss the current understanding of the condition and future directions.

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