Does extreme stress play a role in causing premature ovarian failure?

No: Unfortunately premature ovarian failure is genetically controlled. It's helpful to know when your mother went through menopause since one may pattern after their mother in terms of timing. There are occasionally maybe a grace period where normal ovarian function will return sporadically. There have been cases that have been found in the literature where spontaneous conception has occurred after estrogen and Progesterone replacement. Truly the treatment of choice though is looking at donor egg in vitro fertilization.