Premature Ovarian Failure

Occurs when the ovaries stop functioning normally before age 40

Aetiology

  • Idiopathic
  • Genetic (Turner's syndrome, fragile X)
  • Chemotherapy, radiotherapy
  • Oophorectomy

Clinical presentation

  • Hot flushes
  • Night sweats
  • Atophic vaginitis
  • Amenorrhoea
  • Infertility

Investigations

Endocrine features

  • High FSH
  • High LH
  • Low oestradiol