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Premature ovarian failure 23(POF23)

MedGen UID:
1845723
Concept ID:
C5882747
Disease or Syndrome
Synonym: POF23
 
Gene (location): MEIOB (16p13.3)
 
Monarch Initiative: MONDO:0958035
OMIM®: 620686

Definition

Premature ovarian failure-23 (POF23) is characterized by female infertility due to reduction of ovarian reserve. After normal menarche, patients experience oligomenorrhea and secondary amenorrhea (Caburet et al., 2019). For a general phenotypic description and discussion of genetic heterogeneity of premature ovarian failure, see POF1 (311360). [from OMIM]

Clinical features

From HPO
Female infertility
MedGen UID:
5795
Concept ID:
C0021361
Pathologic Function
Infertility in a woman.
Oligomenorrhea
MedGen UID:
18159
Concept ID:
C0028949
Pathologic Function
Infrequent menses (less than 6 per year or more than 35 days between cycles).
Secondary amenorrhea
MedGen UID:
115919
Concept ID:
C0232940
Disease or Syndrome
The cessation of menstruation for six months or more in a female that is not pregnant, breastfeeding or menopausal.
Reduced antral follicle count
MedGen UID:
1766356
Concept ID:
C5421599
Finding
A count of antral follicles that is lower than normal for age.
Elevated circulating follicle stimulating hormone level
MedGen UID:
867192
Concept ID:
C4021550
Finding
An elevated concentration of follicle-stimulating hormone in the blood.
Decreased cirrculating antimullerian hormone circulation
MedGen UID:
1391876
Concept ID:
C4476972
Finding
A reduction below the normal range of the antimullerian hormone in the circulation.

Professional guidelines

PubMed

Lin L, Feng P, Yu Q
Climacteric 2020 Dec;23(6):614-621. Epub 2020 Jun 16 doi: 10.1080/13697137.2020.1775809. PMID: 32543223
Hamoda H; British Menopause Society and Women’s Health Concern
Post Reprod Health 2017 Mar;23(1):22-35. doi: 10.1177/2053369117699358. PMID: 28381102
Panay N, Kalu E
Best Pract Res Clin Obstet Gynaecol 2009 Feb;23(1):129-40. Epub 2008 Dec 16 doi: 10.1016/j.bpobgyn.2008.10.008. PMID: 19091633

Recent clinical studies

Etiology

Hickey M, Basu P, Sassarini J, Stegmann ME, Weiderpass E, Nakawala Chilowa K, Yip CH, Partridge AH, Brennan DJ
Lancet 2024 Mar 9;403(10430):984-996. Epub 2024 Mar 5 doi: 10.1016/S0140-6736(23)02802-7. PMID: 38458217
Mishra GD, Davies MC, Hillman S, Chung HF, Roy S, Maclaran K, Hickey M
Lancet 2024 Mar 9;403(10430):958-968. Epub 2024 Mar 5 doi: 10.1016/S0140-6736(23)02800-3. PMID: 38458215
Roeters van Lennep JE, Tokgözoğlu LS, Badimon L, Dumanski SM, Gulati M, Hess CN, Holven KB, Kavousi M, Kayıkçıoğlu M, Lutgens E, Michos ED, Prescott E, Stock JK, Tybjaerg-Hansen A, Wermer MJH, Benn M
Eur Heart J 2023 Oct 14;44(39):4157-4173. doi: 10.1093/eurheartj/ehad472. PMID: 37611089Free PMC Article
Nelson SM, Davis SR, Kalantaridou S, Lumsden MA, Panay N, Anderson RA
Hum Reprod Update 2023 May 2;29(3):327-346. doi: 10.1093/humupd/dmac045. PMID: 36651193Free PMC Article
Donnez J, Dolmans MM
Nat Rev Endocrinol 2013 Dec;9(12):735-49. Epub 2013 Oct 29 doi: 10.1038/nrendo.2013.205. PMID: 24166000

Diagnosis

Hickey M, Basu P, Sassarini J, Stegmann ME, Weiderpass E, Nakawala Chilowa K, Yip CH, Partridge AH, Brennan DJ
Lancet 2024 Mar 9;403(10430):984-996. Epub 2024 Mar 5 doi: 10.1016/S0140-6736(23)02802-7. PMID: 38458217
Mishra GD, Davies MC, Hillman S, Chung HF, Roy S, Maclaran K, Hickey M
Lancet 2024 Mar 9;403(10430):958-968. Epub 2024 Mar 5 doi: 10.1016/S0140-6736(23)02800-3. PMID: 38458215
Roeters van Lennep JE, Tokgözoğlu LS, Badimon L, Dumanski SM, Gulati M, Hess CN, Holven KB, Kavousi M, Kayıkçıoğlu M, Lutgens E, Michos ED, Prescott E, Stock JK, Tybjaerg-Hansen A, Wermer MJH, Benn M
Eur Heart J 2023 Oct 14;44(39):4157-4173. doi: 10.1093/eurheartj/ehad472. PMID: 37611089Free PMC Article
Nelson SM, Davis SR, Kalantaridou S, Lumsden MA, Panay N, Anderson RA
Hum Reprod Update 2023 May 2;29(3):327-346. doi: 10.1093/humupd/dmac045. PMID: 36651193Free PMC Article
Panay N, Anderson RA, Nappi RE, Vincent AJ, Vujovic S, Webber L, Wolfman W
Climacteric 2020 Oct;23(5):426-446. Epub 2020 Sep 8 doi: 10.1080/13697137.2020.1804547. PMID: 32896176

Therapy

Wang L, Cheng F, Pan R, Cui Z, She J, Zhang Y, Yang X
Int J Mol Sci 2023 Sep 18;24(18) doi: 10.3390/ijms241814215. PMID: 37762517Free PMC Article
Craciunas L, Zdoukopoulos N, Vinayagam S, Mohiyiddeen L
Cochrane Database Syst Rev 2022 Oct 6;10(10):CD008209. doi: 10.1002/14651858.CD008209.pub2. PMID: 36200708Free PMC Article
Panay N, Anderson RA, Nappi RE, Vincent AJ, Vujovic S, Webber L, Wolfman W
Climacteric 2020 Oct;23(5):426-446. Epub 2020 Sep 8 doi: 10.1080/13697137.2020.1804547. PMID: 32896176
Gompel A
Climacteric 2020 Apr;23(2):109-115. Epub 2019 Oct 28 doi: 10.1080/13697137.2019.1679113. PMID: 31657240
Lin J, Li XL, Song H, Li Q, Wang MY, Qiu XM, Li DJ, Wang L
Chin J Integr Med 2017 Feb;23(2):91-97. Epub 2017 Mar 7 doi: 10.1007/s11655-016-2642-7. PMID: 28265850

Prognosis

Roeters van Lennep JE, Tokgözoğlu LS, Badimon L, Dumanski SM, Gulati M, Hess CN, Holven KB, Kavousi M, Kayıkçıoğlu M, Lutgens E, Michos ED, Prescott E, Stock JK, Tybjaerg-Hansen A, Wermer MJH, Benn M
Eur Heart J 2023 Oct 14;44(39):4157-4173. doi: 10.1093/eurheartj/ehad472. PMID: 37611089Free PMC Article
Nelson SM, Davis SR, Kalantaridou S, Lumsden MA, Panay N, Anderson RA
Hum Reprod Update 2023 May 2;29(3):327-346. doi: 10.1093/humupd/dmac045. PMID: 36651193Free PMC Article
Medica ACO, Whitcomb BW, Shliakhsitsava K, Dietz AC, Pinson K, Lam C, Romero SAD, Sluss P, Sammel MD, Su HI
J Clin Endocrinol Metab 2021 Jan 23;106(2):e1002-e1013. doi: 10.1210/clinem/dgaa797. PMID: 33141175Free PMC Article
Li X, Xie J, Wang Q, Cai H, Xie C, Fu X
J Immunol Res 2020;2020:3582648. Epub 2020 Apr 13 doi: 10.1155/2020/3582648. PMID: 32352018Free PMC Article
Gompel A
Climacteric 2020 Apr;23(2):109-115. Epub 2019 Oct 28 doi: 10.1080/13697137.2019.1679113. PMID: 31657240

Clinical prediction guides

Ding Y, He Z, Sha Y, Kee K, Li L
Development 2023 Dec 1;150(23) Epub 2023 Dec 13 doi: 10.1242/dev.202151. PMID: 38088064
Gatta E, Anelli V, Cimino E, Di Lodovico E, Piovani E, Zammarchi I, Gozzoli G, Maltese V, Cavadini M, Agosti B, Delbarba A, Pirola I, Girelli A, Buoso C, Bambini F, Alfieri D, Bremi W, Facondo P, Lupo R, Bezzi F, Fredi M, Mazzola AM, Gandossi E, Saullo M, Marini F, Licini M, Pezzaioli LC, Pini L, Franceschini F, Ricci C, Cappelli C
Front Endocrinol (Lausanne) 2023;14:1236878. Epub 2023 Oct 23 doi: 10.3389/fendo.2023.1236878. PMID: 37937054Free PMC Article
Nelson SM, Davis SR, Kalantaridou S, Lumsden MA, Panay N, Anderson RA
Hum Reprod Update 2023 May 2;29(3):327-346. doi: 10.1093/humupd/dmac045. PMID: 36651193Free PMC Article
Li X, Xie J, Wang Q, Cai H, Xie C, Fu X
J Immunol Res 2020;2020:3582648. Epub 2020 Apr 13 doi: 10.1155/2020/3582648. PMID: 32352018Free PMC Article
Yeganeh L, Boyle JA, Wood A, Teede H, Vincent AJ
Maturitas 2019 Dec;130:21-31. Epub 2019 Sep 22 doi: 10.1016/j.maturitas.2019.09.009. PMID: 31706432

Recent systematic reviews

Ding W, Xu Y, Kondracki AJ, Sun Y
Am J Obstet Gynecol 2024 Mar;230(3):315-329.e31. Epub 2023 Oct 10 doi: 10.1016/j.ajog.2023.10.005. PMID: 37820985
Divaris E, Anagnostis P, Gkekas NK, Kouidi E, Goulis DG
Maturitas 2023 Sep;175:107782. Epub 2023 Jun 7 doi: 10.1016/j.maturitas.2023.05.006. PMID: 37331156
Nelson SM, Davis SR, Kalantaridou S, Lumsden MA, Panay N, Anderson RA
Hum Reprod Update 2023 May 2;29(3):327-346. doi: 10.1093/humupd/dmac045. PMID: 36651193Free PMC Article
Craciunas L, Zdoukopoulos N, Vinayagam S, Mohiyiddeen L
Cochrane Database Syst Rev 2022 Oct 6;10(10):CD008209. doi: 10.1002/14651858.CD008209.pub2. PMID: 36200708Free PMC Article
Roeters van Lennep JE, Heida KY, Bots ML, Hoek A; collaborators of the Dutch Multidisciplinary Guideline Development Group on Cardiovascular Risk Management after Reproductive Disorders
Eur J Prev Cardiol 2016 Jan;23(2):178-86. Epub 2014 Oct 20 doi: 10.1177/2047487314556004. PMID: 25331207

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