Ovarian hypofunction; Ovarian insufficiency
Premature ovarian failure is reduced function of the ovaries (including decreased production of hormones). Ovarian failure that occurs before the age of 40 is considered premature ovarian failure.
Premature ovarian failure may be caused by genetic factors such as chromosome abnormalities. It may also occur with certain autoimmune disorders that disrupt the normal function of the ovaries. Most often there is no obvious cause, although a family history of the condition may play a role.
Chemotherapy and radiation therapy can also cause premature ovarian failure.
Women with premature ovarian failure may develop symptoms of menopause, which include:
This condition may also make it hard for a woman to become pregnant.
A blood test will be done to check your level of follicle-stimulating hormone, or FSH. FSH levels are higher than normal in women with premature ovarian failure.
A vaginal ultrasound may be done to check how many follicles the ovaries contain. Reduced numbers of ovarian follicles may occur in women who develop this condition.
Other blood tests may be done to look for autoimmune disorders or thyroid disease.
Women with premature ovarian failure who want to become pregnant may be concerned about their ability to conceive. Those younger than age 30 may have a chromosome analysis to check for problems. In most cases, older women who are close to menopause do not need this test.
Estrogen therapy often helps relieve menopausal symptoms and prevents bone loss. However, it will not increase your chances of becoming pregnant. Fewer than 1 in 10 women with this condition will be able to get pregnant. The chance of getting pregnant increases to 50% when you use a fertilized donor egg (an egg from another woman).
Call your health care provider if:
Broekmans FJ, Fauser BCJM. Female infertility: evaluation and management. In: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 132.
Bulun SE. Physiology and pathology of the female reproductive axis. In: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020:chap 17.
Douglas NC, Lobo RA. Reproductive endocrinology: neuroendocrinology, gonadotropins, sex steroids, prostaglandins, ovulation, menstruation, and hormone assay. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 4.
Dumesic DA, Gambone JC. Amenorrhea, oligomenorrhea, and hyperandrogenic disorders. In: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. 6th ed. Philadelphia, PA: Elsevier; 2016:chap 33.
Lobo RA. Menopause and aging. In: Strauss JF, Barbieri RL, eds. Yen and Jaffe's Reproductive Endocrinology. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 14.BACK TO TOP
Review Date: 4/19/2022
Reviewed By: John D. Jacobson, MD, Department of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Health Content Provider
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2023 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.