Posted by: KK | 2008/10/16

Early Menopause

Can it be cured? What are the chances of conceiving? When the say there is hormonal imbalance, can the doctors balance it? White cells deficiency?

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Our expert says:
Expert ImageFertility expert

Dear KK

Premature menopause may present very similarly to a condition called premature ovarian failure. In the case of premature menopause it is implied that there are no further possibilities of egg production, in that the ovarian egg resources are exhausted. However in the case of premature ovarian failure the situation is some what different in that there remains a fair volume or quantity of egg within the ovaries but theses eggs cannot be stimulated due to receptor insensitivity problems. Whilst both conditions may present very similarly in terms of hormone assays as well as clinical manifestations example, hot flushes and absence of menstruation, the fertility potential for each condition is significantly different. Unfortunately in the case of premature menopause very little can be done and oocyte donation may be the only option. In the case of premature ovarian failure however, it is possible in certain SELECTED situations to be able to promote egg formation even ovulation as well as pregnancy. To separate the two entities you would need to see a gynaecologist with a special interest with these conditions and it may even sometimes be necessary to have an ovarian biopsy done to confirm the diagnosis.

Answered by: Dr. M.I. Cassim

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