Primary ovarian insufficiency and Turner syndrome

Document Type

Book Chapter

Publication Date

2025

Identifier

DOI: /10.1016/B978-0-443-10512-8.00027-8

Abstract

Primary Ovarian Insufficiency (POI) is characterized by oligomenorrhea/amenorrhea lasting 4 or more months, along with elevated FSH levels exceeding 25 IU/L on two occasions, one month apart, prior to age 40. POI manifests in various ways, including delayed puberty, primary or secondary amenorrhea, oligomenorrhea, infertility, vasomotor symptoms, vaginal dryness, or mood changes. The initial assessment for POI involves a comprehensive examination encompassing beta-HCG, prolactin, thyroid function studies, FSH, LH, estradiol, AMH, chromosome analysis, fragile X testing, 21-hydroxylase antibodies, thyroid peroxidase antibodies. In Turner syndrome, is it crucial to evaluate for potential comorbidities by conducting appropriate screening, and making relevant referrals. Hormone replacement therapy is recommended or individuals with POI.

Journal Title

NASPAG Essentials of Pediatric & Adolescent Gynecology

First Page

183

Last Page

189

Library Record

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