Op. from Çamlıca Medipol University Hospital, Department of Obstetrics and Gynecology. Dr. Ulkar Heydarova, “The cessation of functions of the ovaries before the age of 40 is considered as Premature Ovarian Insufficiency. Premature Ovarian Insufficiency can be seen in approximately 100 out of every 1 women.
Stating that the average age range for menopause is shown as 50 to 52, Op. Dr. Ulkar Heydarova, “Menopause between the ages of 40 and 45 is considered as early menopause. The cessation of functions of the ovaries before the age of 40 is considered as premature ovarian failure and can be seen in approximately 100 out of every 1 women. Deterioration of ovarian functions before the age of 30 is a condition that can be seen in one out of every thousand women. The cause of Premature Ovarian Insufficiency varies widely and in 90 percent of cases, a definite cause cannot be determined. However, genetic and environmental factors play an important role.
Listing the important known causes, Heydarova said, “Numeric and structural chromosomal abnormalities, autoimmune diseases, radiation therapy and chemotherapy. The family history of all patients should be questioned. Especially in cases with POI before the age of 30, genetic examination should definitely be done.
Symptoms of Early Menopause
Kiss. Dr. Heydarova concluded by citing the symptoms of early menopause:
“These patients may apply with complaints such as menstrual irregularities, amenorrhea, hot flashes, and night sweats. The diagnosis of POI should be considered in patients with any of these complaints, a detailed anamnesis should be taken from the patient, and diagnostic tests should be performed accordingly. Menstrual irregularity and other medical reasons that may cause amenorrhea should be investigated and excluded. Although it is not a definitively accepted test to evaluate ovarian reserve; Measuring AMH (Anti Mullerian Hormone) values in the blood is the most reliable method known. With treatment, the progression of the disease cannot be prevented and the ovarian reserve cannot be increased, unfortunately, but early diagnosis and treatment are important in terms of preventing health problems that may occur. Early diagnosis is very important, especially in preventing future osteoporosis and cardiovascular diseases. The patient should be carefully informed about the increased risk of early osteoporosis and cardiovascular diseases due to the lack of estrogen hormone. Psychological support will be beneficial in addition to medical treatment”.