Premature Ovarian Insufficiency (POI) | Diagnosis, HRT & Fertility | Dr...

 

 

Premature Ovarian Insufficiency (POI) – 2024 Update

Premature Ovarian Insufficiency (POI) is not menopause or ovarian failure. It reflects fluctuating ovarian function, with rare spontaneous pregnancies possible.

Key Points:

  • Diagnosis: FSH ≥25 IU/L + ≥4 months amenorrhea; single test often sufficient

  • Etiology: Always check genetic, autoimmune, or iatrogenic causes (Karyotype, FMR1, 21-hydroxylase antibodies)

  • Hormone Therapy: Life-saving; higher-dose estrogen (transdermal preferred); add progesterone if uterus present

  • Fertility: Egg/embryo donation is gold standard

  • Local Care: Estriol cream for dryness, dyspareunia, urinary symptoms

  • Monitoring: Bone, heart, mental health; therapy adherence essential

Learn more in Dr. Abha Majumdar’s full POI Masterclass here: https://youtu.be/dfKAMwnOuHE

 

visit : www.drabhamajumdar.com 

#PrematureOvarianInsufficiency #POIMasterclass #HRT #GynecologyEducation #DrAbhaMajumdar #MedicalEducation

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