IMR Press / CEOG / Volume 41 / Issue 2 / DOI: 10.12891/ceog16482014

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Premature ovarian failure in a 17-year-old woman
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1 Department of Gynecology-Obstetrics and Urological Sciences, University of Rome “Sapienza”, S. Andrea Hospital, Rome (Italy)
Clin. Exp. Obstet. Gynecol. 2014, 41(2), 223–225; https://doi.org/10.12891/ceog16482014
Published: 10 April 2014
Abstract

Introduction: Premature ovarian failure (POF) in a healthy adolescent is a rare event. It is diagnosed by the presence of amenorrhea, hypoestrogenism, and elevated follicle-stimulating hormone (FSH) levels before the age of 40. Case: The patient presented with amenorrhoea at 17 years after identifying a change from her regular to irregular and metrorrhagic cycles. No positive medical history was noted regarding smoking, chemotherapy, radiation or autoimmune diseases and the physical examination was normal. Her family history revealed that both her maternal aunt and grandmother were affected by POF, but the karyotype test was normal and the FMR1 screening premutation test was negative. The patient underwent an ovarian biopsy which revealed the absence of functional follicles. She began a replacement therapy with estroprogestogens and she was informed about the most successful means to start a family, including adoption and oocyte donation. Conclusion: POF is a heterogeneous, multifactorial, and poorly understood condition that involves medical concerns, psychological sphere, and sexuality of the affected patients. Management should be directed at symptoms resolution, bone protection, and psychosocial support for women facing this unexpected and devastating diagnosis.
Keywords
Premature ovarian failure
FMR1 test
Hormone replacement therapy
Infertility
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