Does hormone replacement therapy treat premature ovarian insufficiency?

Premature ovarian insufficiency means the ovaries are working less consistently before the usual age of menopause. Period changes, hot flushes, night sweats, vaginal dryness, sleep difficulty and fertility concerns may follow. Lower oestrogen can also affect bone and cardiovascular health over time. Hormone replacement therapy may provide oestrogen and, when needed, progestogen to replace hormones the body is not making steadily. It can support symptom control and health needs, but ovarian activity may still fluctuate and spontaneous ovulation can occur.

Arrange care with a clinician familiar with ovarian insufficiency. Discuss the treatment form, womb protection, contraception, fertility goals, bone health, blood pressure and follow-up. Hormone replacement therapy is different from contraception, so ask specifically how pregnancy prevention will be managed if needed. Mention migraine, clotting problems, liver disease, unexplained bleeding and any hormone-sensitive cancer history before treatment. Calcium-rich foods, resistance exercise and avoiding tobacco can support bone health alongside medical care.

Seek review for new or persistent vaginal bleeding, pelvic pain, severe headaches or troublesome treatment effects. Get urgent help for chest pain, sudden breathlessness, weakness, speech changes or a painful swollen leg. If pregnancy is possible and there is pain or bleeding, contact a clinician promptly.

How will we confirm and monitor premature ovarian insufficiency? Which hormone replacement approach supports my symptoms and bone health? Do I need separate contraception or fertility counselling?