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Published on: February 12, 2018
Primary Ovarian Insufficiency, Bone Health, and Other Outcomes in Adolescents
Danielle T Cipres1, Catherine M Gordon2
1Division of Gynecology, Department of Surgery, Boston Children's Hospital, 333 Longwood Avenue, 5th Floor, Boston, MA 02115, USA; Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Abstract:
Adolescents with primary ovarian insufficiency (POI) frequently present with arrested pubertal development or amenorrhea. Early evaluation of menstrual irregularities can avoid a delayed diagnosis. There are various genetic, autoimmune, and iatrogenic causes of POI, although most of the cases will not have an identified cause. Prompt initiation of hormone replacement therapy will restore developmentally appropriate pubertal progression, establishment of menses, and optimization of bone and cardiovascular health. The diagnosis of POI is often unexpected and life-altering for an adolescent and has broad health and psychosocial implications that are best approached with empathy, educational resources, and engagement of multidisciplinary specialists.
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