Reproductive, Metabolic, and Cardiovascular Consequences of Premature Ovarian Insufficiency: A Critical Integrative Review of Clinical Evidence, RealWorld Data, and Precision Care

Authors

  • Xolboyeva Mashhura

Keywords:

premature ovarian insufficiency; ovarian failure; hypoestrogenism; infertility; reproductive aging; cardiometabolic risk; cardiovascular disease; bone

Abstract

 Premature  ovarian  insufficiency  (POI),  defined  by  impaired  ovarian  activity  before  40  years  of  age,  represents  a  multisystem  diagnosis  rather  than  an  isolated  fertility  disorder.  Its  consequences  involve  hypoestrogenism,  intermittent  ovarian  function,  impaired  reproductive  autonomy,  skeletal  vulnerability,  cardiometabolic  risk,  and  substantial  psychosocial  burden.  Objective:  To  critically  integrate  contemporary  evidence  regarding  reproductive,  metabolic,  and  cardiovascular  sequelae  of  POI,  and  to  assess  how  real-world  evidence  and  computational tools may improve longitudinal care. Methods: 

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References

1. Panay N, et al.; ESHRE, ASRM, CREWHIRL and IMS Guideline Group on POI. Evidence-based guideline: premature ovarian insufficiency. Hum Reprod Open. 2024;2024(4):hoae065. doi:10.1093/hropen/hoae065.

2. European Society of Human Reproduction and Embryology. Guideline on premature ovarian insufficiency [Internet]. ESHRE; 2024. Available from: https://www.eshre.eu/Guidelines-and-Legal/Guidelines/Premature-ovarianinsufficiency

3. Cardiovascular Events Among Women with Premature Ovarian Insufficiency: A Systematic Review and Meta-Analysis. Rev Cardiovasc Med. 2023;24(7):193. doi:10.31083/j.rcm2407193. PMID:39077000.

4. European Society for Human Reproduction and Embryology Guideline Group on POI. ESHRE guideline: management of women with premature ovarian insufficiency. Hum Reprod. 2016;31(5):926-937. doi:10.1093/humrep/dew027.

5. ESHRE, ASRM, CREWHIRL and IMS Guideline Group on POI. Evidence-based guideline: premature ovarian insufficiency. Climacteric. 2024;27(6):510-520. doi:10.1080/13697137.2024.2423213

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Published

2026-10-17

How to Cite

Reproductive, Metabolic, and Cardiovascular Consequences of Premature Ovarian Insufficiency: A Critical Integrative Review of Clinical Evidence, RealWorld Data, and Precision Care. (2026). INTERNATIONAL CONFERENCE ON MEDICINE, SCIENCE, AND EDUCATION, 3(7), 59-75. https://universalconference.us/index.php/icmse/article/view/7908