A New Approach to Primary Ovarian Insufficiency

被引:71
作者
Rafique, Saima
Sterling, Evelina W. [1 ]
Nelson, Lawrence M. [2 ]
机构
[1] Rachels Well, Project Vital Sign, Mclean, VA 22101 USA
[2] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, US PHS, Intramural Res Program Reprod & Adult Endocrinol, NIH,CRC, Bethesda, MD 20892 USA
基金
美国国家卫生研究院;
关键词
Primary ovarian insufficiency; Premature ovarian failure; Premature menopause; Infertility; Integrated care; BONE-MINERAL DENSITY; POSTMENOPAUSAL WOMEN; PREMATURE MENOPAUSE; NATURAL MENOPAUSE; YOUNG-WOMEN; VENOUS THROMBOEMBOLISM; COLLABORATIVE CARE; OOCYTE DONATION; FAILURE; DEPRESSION;
D O I
10.1016/j.ogc.2012.09.007
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
There is a need for a new approach to managing women with primary ovarian insufficiency. This condition is a serious chronic disease that may have far reaching effects on physical and emotional health. An integrative and collaborative approach to management works best. To maintain wellness, most women with primary ovarian insufficiency need to reassess their primary source of meaning and purpose in life and how this diagnosis may have threatened that part of who they are. They also need assessment with regard to bone health, thyroid and adrenal function, determination of FMR1 premutation and karyotype status, and ongoing estradiol-progestin hormone replacement.
引用
收藏
页码:567 / +
页数:21
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