A note on contraception
Hormone tests are an important part of uncovering both POI and PCOS. To get accurate results, you will need to come off birth control for three months before doing blood tests. Contraception can also mask symptoms such as irregular periods, which can further delay the diagnosis of POI.
A POI diagnosis can be devastating because of what it means for fertility.
While rare, it is still possible to get pregnant with POI, which is why it’s important to distinguish the condition from menopause. 50% of women with POI experience infrequent ovulation and menstrual cycles after being diagnosed, while 5–10% of these women may achieve spontaneous pregnancies. (4) There have also been some cases (1) where hormone replacement therapy (HRT) has helped women with POI conceive naturally. This won’t work for everyone and some contraindications may mean HRT isn’t appropriate for you. A fertility expert can you help navigate this complex territory.
IVF is another option you can explore, just keep in mind that this path can come with its own challenges, including costs, and emotional ups and downs.