Top
20
Doctor insights on: Tips To Ovarian Insufficiency

Share
Dr. Michael Opsahl
28 doctors shared insights

Ovarian Insufficiency (Definition)

"Primary ovarian insufficiency describes a spectrum of declining ovarian functions and reduced fecundity due premature decrease in follicle number, an increase in follicle destruction or poor response to gonadotropins".This abnormal "Hypoestrogenic state" increases risks of vasomotor symptoms, urogenital atrophy, osteoporosis, fractures, cardiovascular diseases and other ...Read more


2

2
What are the symptoms of ovarian insufficiency?

What are the symptoms of ovarian insufficiency?

Irregular/ no period: Irregular cycles or no periods, especially in a woman who was regular before, is a common sign. However there are many other causes of irregular cycles that we need to exclude. Hot flashes, vaginal dryness, or mood changes may occur, particularly if the woman's periods are stopped. Some women with primary ovarian insufficiency still have regular periods but see md for difficulty getting pregnant. ...Read more

3

3
What is the definition or description of: Ovarian insufficiency?

What is the definition or description of: Ovarian insufficiency?

Spectrum of disorder: "Primary ovarian insufficiency describes a spectrum of declining ovarian functions and reduced fecundity due premature decrease in follicle number, an increase in follicle destruction or poor response to gonadotropins".This abnormal "Hypoestrogenic state" increases risks of vasomotor symptoms, urogenital atrophy, osteoporosis, fractures, cardiovascular diseases and other issues if left untreated ...Read more

4

4
What is the treatment for ovarian insufficiency?

What is the treatment for ovarian insufficiency?

Trying to conceive?: If not trying to conceive: bone density scan, calcium, vitamin d, and hormone replacement with estrogen and progestin. We look for and treat any adrenal insufficiency. If you're trying to conceive, 5-10% of women with poi will get pregnant on their own after diagnosis, but if you truly have poi we don't have good fertility treatments using your own eggs. Egg donation or embryo donation are best. ...Read more

5

5
What are the tests for primary ovarian insufficiency?

What are the tests for primary ovarian insufficiency?

Many tests, see REI: Reproductive endocrinology md will confirm poi - pregnancy test, fsh, lh, estradiol, amh, thyroid and prolactin tests, pelvic ultrasound. Test for genetic causes: karyotype looking for turner's syndrome, fragile x premutation testing, fish test for sry (y-chromosome material). Test adrenal antibodies which cause addison's disease. Screen for diabetes, thyroid antibodies, and parathyroid disease. ...Read more

6

6
What are the symptoms associated with primary ovarian insufficiency?

What are the symptoms associated with primary ovarian insufficiency?

Irregular/ no period: Irregular cycles or no periods, especially in a woman who was regular before, is a common sign. However there are many other causes of irregular cycles that we need to exclude. Hot flashes, vaginal dryness, or mood changes may occur, particularly if the woman's periods are stopped. Some women with primary ovarian insufficiency still have regular periods but see md for difficulty getting pregnant. ...Read more

7

7
What is the definition or description of: Primary ovarian insufficiency?

What is the definition or description of: Primary ovarian insufficiency?

Early failure: Premature ovarian failure is a loss of normal function of your ovaries before age 40. If your ovaries fail, they don't produce normal amounts of the hormone estrogen or release eggs regularly. ...Read more

9

9
Was planning to see classmates at upcoming 20th reunion. Now I am hearing my best friend has ovarian insufficiency. What is that?

Premature menopause: Ovarian insufficiency is another way of saying someone is going through menopause. There can be various causes of why someone might go through this prematurely. This can be treated with supplemental hormones and should not keep your friend from attending the reunion. ...Read more

See 1 more doctor answer
11

11
What is the treatment for primary ovarian insufficiency?

What is the treatment for primary ovarian insufficiency?

Trying to conceive?: If not trying to conceive: bone density scan, calcium, vitamin d, and hormone replacement with estrogen and progestin. We look for and treat any adrenal insufficiency. If you're trying to conceive, 5-10% of women with poi will get pregnant on their own after diagnosis, but if you truly have poi we don't have good fertility treatments using your own eggs. Egg donation or embryo donation are best. ...Read more

12

12
Is there something wrong with ovaries or hormone system if I have ovarian insufficiency?

Is there something wrong with ovaries or hormone system if I have ovarian insufficiency?

EARLY menopause: Ovarian failure or 'insufficiency' is a really another name for menopause (which may be premature if <40 yo). Normally the pituitary gland (in the brain) sends 2 hormone messengers FSH & lh to 'tell' the ovary to make estrogen/'female' hormones. When the ovary 'fails' =estrogen levels drop and fsh/lh levels rise confirming ovarian 'insufficiency' . Treatment with 'hormones' is optional. ...Read more

13

13
Is it common for primary ovarian insufficiency to develop postpartum?

Is it common for primary ovarian insufficiency to develop postpartum?

Early menopause: Premature ovarian failure can occur at any age, but it is unusual immediately following pregnancy. Regular menses suggest ovulation and a healthy ovary, but there are many causes of lack of menses after having a baby. Included considerations are breastfeeding, polycystic ovaries (estrogen is produced, but no ovulation), another pregnancy! pituitary failure (sheehan's syndrome) is a rare cause. ...Read more

14

14
With primary ovarian insufficiency and not taking hrt, is it possible for a woman to get an occasional period?

With primary ovarian insufficiency and not taking hrt, is it possible for a woman to get an occasional period?

Kinda: If you have little to no estrogen from your ovaries you should not bleed at all. But if you have some in your diet or are overweight you may have bleeding so talk to your obgyn or endocrinologist. ...Read more

See 1 more doctor answer
15

15
Has anyone seen a patient with adrenal insufficiency, intermittent ovarian failure, intermittent glucose intolerance, and thyroid values in normal range? Perhaps also with a pituitary tumor?

Has anyone seen a patient with adrenal insufficiency, intermittent ovarian failure, intermittent glucose intolerance, and thyroid values in normal range?  Perhaps also with a pituitary tumor?

Pituitary tumors: You need an endocrinologist to sort this out. A big pituitary tumor (>10 mm) can wipe out other hormones; you could lose some (eg reproductive) but not others. Typically the last to go from a pituitary insult is TSH and acth (thyroid and adrenal), but odd things can occur. A micro tumor does not usually damage the rest of the pituitary, but may produce excess hormone (eg. Prolactin, acth). ...Read more

See 1 more doctor answer
16

16
Normal paps, neg. HPV, slight burning during and spotting after sex. Have primary ovarian insuffciency and vag. dryness. Worried about cancer. Likely?

Normal paps, neg. HPV, slight burning during and spotting after sex. Have primary ovarian insuffciency and vag. dryness. Worried about cancer. Likely?

Vaginal irritation: Due to your ovarian insufficiency, your estrogen levels are likely low ,leading to the vaginal dryness. This dryness is likely the cause of the burning during intercourse and the spotting after. There are excellent estrogen creams that can be used vaginally to reduce dryness. Lubricants may also be helpful, but long term the condition will likely respond better to the estrogen cream. ...Read more

18

18
Causes of ovarian pain?

Causes of ovarian pain?

Well, a few things: Can cause pain. An ovarian cyst that expands the ovary rapidly causes discomfort. Severe pain, an emergency, is called ovarian torsion where a heavy cysts twist on the blood supply causing what we call an "acute abdomen". Lower abdominal pain is more broad. Make sure not pregnant, otherwise pain may or may not be from the ovaries. Gdluc. ...Read more

19

19
What is pre ovarian failure?

What is pre ovarian failure?

Ovaries stop workin: At 48 your ovaries can stop producing hormones as the average age of menopause is approx 51 yo, it is often but not always associated with hot flashes, some women will can try herbal meds or you may need hormones and often the vagina needs vaginal estrogen. ...Read more

20

20
Whats olycystic ovarian disease?

Whats olycystic ovarian disease?

Insulin and ovaries: Pcos is a manifestation of Insulin resistance, which indicates pre-diabetes or diabetes 2.There are many derangments including those of adrenal androgen, a higher free testosterone, eradication of/or irregular cycles.Hirsuitism and acne increase with these androgens. A woman's cycle becomes annovulatory. Glucophage (metformin) is the preferred treatment of the problem. Clomiphene is used to help ovulation. ...Read more