Early ovarian failur. Chemotherapy, ovarian surgery, genetics, exposure to radiation would be the most common antecedants.
Not really. Primary insufficiency or failure is usually not caused. Most causes are genetic and thus not preventable. Cancer treatment as a child can destroy all the eggs. Rare immune disorders and unexplained causes can also kill the eggs. As you can see, there are not really opportunities to prevent this problem. Secondary ovarian failure can me modded as other docs indicated. I hope this answer helps.
Secondary? Primary would mean they never function. Smoking, some pelvic surgery, infection, thromboses, radiation, chemotherapy are some possibilities.
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.
Well. Having uterine bleeding and having a period can be different. If you have had ovarian failure at your age, gone longer than a year without a cycle than you should go see your doc. That would be equivalent to post menopausel bleeding which requires a workup. Adipose tissue creates estrogen as well by converting adrenal hormones; this can cause some growth of the lining and bleeding. Good luck.
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.
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.
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.
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.
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.