Primary Ovarian Insufficiency

In this episode, Dr Nicky Keay, an Endocrinologist, discusses unveiling primary ovarian insufficiency and early menopause covering how we navigate these distinct entities with multiple aetiologies.

Topics

intro
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a definition of Primary Ovarian Insufficiency (POI)
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Risk Factors
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How common is POI
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incidence of early menopause
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symptoms that women with POI/EM might present with
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investigations to request
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diagnostic criteria for POI/EM
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management goals of treatment
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Hormone Therapy
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bone health and DEXA scanning
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effects on fertility
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support systems and resources
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take-home messages
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Take home messages

relatively uncommon, but should be considered
A supportive approach is key
Find out what the woman wants (seeking pregnancy, current symptoms, etc)
Consider long term health, HRT preferable over COCP

Resources

What is POI? - the daisy network
Tools for Clinicians - British Menopause Society (BMS)
Diagnosing and managing primary ovarian insufficiency - bpac NZ
Management of premature ovarian insufficiency - Australasion Menopause Society

Presenter

Nicola Keay

Endocrinologist

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Nicky is an Honorary Clinical Lecturer, Division of Medicine, University College London. She lectures and researches in areas of exercise endocrinology, with publications in this field.

Nicky’s clinical endocrine work is mainly with active women, exercisers, dancers and athletes, with a focus on relative energy deficiency in sport (REDs) and those navigating perimenopause/menopause. Nicky works to provide a more personalised approach for female hormone health. Nicky authored the British Association of Sports and Exercise Medicine Health4performance.co.uk online resource.

Nicky is the medical advisor to Scottish Ballet, and is the author of “Health Hormones and Human Potential: A guide to understanding your hormones to optimise your health and performance”.