Which specialist treats premature ovarian insufficiency?

Premature ovarian insufficiency means the ovaries are working less consistently before the usual age of menopause. A gynaecologist can review changes such as irregular or stopped periods, hot flushes, vaginal dryness, and difficulty getting pregnant. A reproductive endocrinologist has additional expertise in hormones, ovarian function, and fertility options.

Care may also include checking bone health and discussing hormone treatment. A bone density scan can help assess bone strength, while hormone replacement therapy may be considered when appropriate. The underlying reason is not always clear; genetic or autoimmune assessment may be offered according to your history.

Start with a gynaecologist, family doctor, or fertility specialist and take a record of period changes, symptoms, medicines, previous pregnancies, and any family history of early menopause. Ask whether hormone tests need to be repeated and whether referral to reproductive endocrinology would add value.

If pregnancy is a goal, say so at the first visit because fertility counselling and treatment planning may need to happen alongside symptom care. Bring questions about contraception too, since ovarian activity can be unpredictable.

Arrange medical review for periods that stop or become persistently irregular, new menopausal symptoms at an unexpectedly young age, or trouble getting pregnant. Seek urgent help for severe pelvic pain, heavy bleeding with weakness or dizziness, or symptoms that could indicate pregnancy complications.

What tests will confirm the cause of my symptoms? Should I see a reproductive endocrinologist? How might treatment affect bones, heart health, fertility, and contraception? When should my follow-up happen?