Premature Ovarian Insufficiency or Menopause | PYHP 148

In this episode, we talk about POI (primary/premature ovarian insufficiency) and early
menopause. Samantha sent in a question about whether she is in menopause or has
POI at the age of 36.
We break Samantha’s question into:
– What is POI (Premature/Primary ovarian insufficiency)?
– Taking estradiol during perimenopause
– Difference between perimenopause and menopause
– What is an FSH?
– Insulin resistance and perimenopause
Samantha’s Question:
I am 36 and have been slowly noticing perimenopause/low estrogen symptoms for the
past year and a half. I went to an online provider and started HRT and have
experienced so much relief! From mental symptoms to night sweats to dryness
(everywhere) I have started to feel so much better being on estradiol and progesterone
for 3 months. I have been working with a functional nutritionist on my diet, walking daily,
etc.
i had gestational diabetes for all 3 pregnancies and also got my tubes removed last
year. After I came off the birth control all of my symptoms started! I recently saw my
normal OBGYN so I could get my HRT through insurance and he agreed- but made it
clear this isn’t menopause, could be POI, but seemed skeptical. I got bloodwork done
and my FSH has risen in the past few months from a 3.7 to an 8. But it’s still considered
normal. All of my thyroid and other bloodwork also comes back normal. Is POI a
possible diagnosis? I feel crazy!!
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