Located In New York City

Primary Ovarian Insufficiency (POI)

Introduction

Infertility Due to Primary Ovarian Insufficiency (POI)

A woman’s ovaries normally function until she is well into her 40s. Generally, menopause will begin around age 50. Unfortunately, some women experience primary ovarian failure. This condition can occur in women before they reach the age of 40.

Primary ovarian insufficiency, or POI, is the result of the ovaries not producing normal amounts of the hormone estrogen, or they do not release eggs regularly. Infertility is often the result.
POI is different from premature menopause, although the two are often confused. Women who experience premature menopause cannot get pregnant, while those with POI can still have irregular or occasional periods for years and may become pregnant.

Low estrogen levels in women with POI can produce other problems, such as osteoporosis. Restoring sufficient levels of estrogen can reverse these symptoms.

Symptoms of POI

Menopause, estrogen deficiency, and POI have similar symptoms:

  • Missed or irregular periods over the years, or could develop after having a baby or stopping birth control pills
  • Difficulty getting pregnant
  • Hot flashes
  • Night sweats
  • Vaginal dryness
  • Dry eyes
  • Irritability or difficulty concentrating
  • Reduced sexual desire

Some women do not mind missing periods; however, it is still important to see a doctor to identify the problem. Bone loss and increased risk of heart disease are associated with low estrogen levels. If you miss a period for three or more consecutive months, you should consult a doctor.

- Primary Ovarian Insufficiency POI in New York, NY

Causes for POI

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It can be difficult to determine the exact cause of POI; however, it can be caused by:

  • Chromosomal defects: Mosaic Turner syndrome is an example of a genetic disorder associated with POI.
  • Certain toxins, especially those involved in chemotherapy and radiation therapy, can damage cellular genetic material. The toxins in cigarette smoke, certain chemicals, pesticides, and viruses may also lead to ovarian failure.
  • Autoimmune disease can cause an immune system response to ovarian tissue, resulting in the body’s defense mechanism attacking the tissue, harming the egg-containing follicles, and damaging the egg.

The risk for developing POI increases with age when you are 35 or older. If there is a family history of POI, the risk is also increased; ovarian surgery can elevate the risk for POI.
Infertility is one of the complications of POI. In rare instances, a woman may still be able to get pregnant until her eggs are depleted. When POI is the cause of infertility, a woman may be able to use donor eggs in order to become pregnant.

Neway Fertility provides options, including resources for women experiencing POI. If you have fertility problems, contact our office and schedule an appointment for a consultation.


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Starting a family is an exciting adventure, regardless of the journey taken. Welcome to Neway Fertility, we are an NYC Fertility Clinic that specializes in customized treatment plans to address your specific fertility needs. You will feel right at home in our warm, friendly environment where we offer the best of patient-centered care.

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    Dr. Wang is truly amazing. He is the most compassionate, patient, and understanding doctor I have ever encountered. He takes the time to explain everything, making sure you feel comfortable and informed every step of the way. Compared to my consult at NYU, the experience at Neway was completely different. I felt at ease, never rushed, and always cared for. One of the best things about this clinic is how efficient they are, there is no waiting during appointments, and you get seen very quickly, which makes the whole process even smoother. If you are looking for a fertility clinic where you will feel supported and genuinely cared for, I highly recommend Dr. Wang, Dr. Lee, and the entire team at Neway.

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    Dr. Wang’s care is unmatched. He personally performs every scan, retrieval, and transfer, and his gentle touch made my recovery seamless compared to past experiences. His nurse, Cecilia, and the rest of the team are equally incredible—organized, supportive, and attentive to every detail. If you’re searching for a doctor who truly cares, offers personalized protocols, and provides VIP care—especially if you’re older or have endometriosis—Dr. Wang is the best IVF doctor in the country. He made my dream of becoming a mom a reality, and I will forever be grateful for him!

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    I had tried 3 other clinics before finding Neway through a recommendation in a Facebook group. As soon as I met Dr. Wang my whole experience with infertility changed. I felt respected and taken care of which was far from my experience at other clinics. Dr. Wang is so friendly and compassionate, answers every email within depth explanations and personally sees you at every appointment. He is open to your input at every step of the way. He is an incredible doctor! I am so happy I found him. I couldn’t recommend him more highly.

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    Dr. Wang and his staff are just amazing! I received very good care at this clinic. They are very prompt and everything always runs on time. Specifically, Dr. Wang is very knowledgeable and takes a step-by-step approach based on your specific case rather than follow a cookie cutter approach!

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    Neway Fertility is top notch, if you are searching for a clinic for you, Neway is the one. You are in the best hands with Dr.Kort and Dr. Wang. They will guide you in the best direction according to your specific case. They fully listen to your personal needs and concerns and do whatever it takes to make you feel comfortable. The Nursing staff is phenomenal; Lindsay Blackburn will address any concerns/needs that may surface. She responds to every inquiry you may have, via email/phone. She never misses a beat! Erica Pagan is also terrific at financially coordinating your needs. I have had a wonderful experience with Neway Fertility and if you are looking for personal, dedicated care during this process, Neway Fertility is for you, you will not be disappointed!

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