What is the first treatment for premature ovarian insufficiency?

Premature ovarian insufficiency means the ovaries are working less consistently earlier than expected. Lower oestrogen can affect periods, fertility, vaginal comfort, mood and bone strength. Hormone replacement therapy replaces hormones the body may be lacking and can relieve symptoms while supporting bone health; it is different from using hormones solely for contraception.

A bone density scan may be arranged to assess bone strength. The clinician will consider your symptoms, medical history, pregnancy plans and any reasons hormone treatment may not be suitable.

Discuss the form of hormone treatment, whether womb protection is needed, contraception and fertility support. Keep appointments for symptom review and bone-health checks. Weight-bearing activity, resistance exercise, adequate calcium and vitamin D, not smoking and limiting alcohol can support bone health alongside medical care.

Arrange assessment for newly absent or irregular periods, hot flushes, vaginal dryness or fertility concerns at a younger age than expected. Seek urgent help for chest pain, sudden breathlessness, one-sided leg swelling, severe abdominal pain or unexpected heavy bleeding, especially after starting hormone treatment.

Ask whether hormone replacement is suitable, how it differs from contraception, which tests are needed, how bone health will be followed and what fertility options are available.