A Multicenter Observational Study on the Development and Health Effects of Premature Ovarian Insufficiency
Overview
- Phase
- Not Applicable
- Intervention
- hormone replacement therapy
- Conditions
- Premature Ovarian Insufficiency
- Sponsor
- Women's Hospital School Of Medicine Zhejiang University
- Enrollment
- 400
- Locations
- 1
- Primary Endpoint
- procollagen type I carboxyl-terminal propeptide
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Premature ovarian insufficiency (POI) refers to the occurrence of ovarian hypofunction in women before the age of 40, which seriously affects women's overall health and quality of life. However, there is currently insufficient understanding of the risk factors, pathogenesis, short-term and long-term health effects of POI, and the health effects of the disease, and there is a lack of high-quality evidence to support clinical diagnosis and treatment decisions. This study intends to construct a hospital-based multi-center POI case-control and prospective special disease cohort, after baseline assessment and follow-up monitoring, collect disease characteristics, lifestyle, social psychology, environmental and occupational exposure, biological samples and other data, aiming to observe POI The natural occurrence, progression and health impact of POI, clarify the risk factors of POI, evaluate the impact of POI on women's health and disease risk, and discuss the benefits, risks and options of HRT for POI patients. The results of this study will deepen and expand the understanding of the occurrence and development of POI and its short-term and long-term health effects, provide high-level evidence for optimizing POI prevention, diagnosis and treatment strategies, and establish a long-term management system, laying the foundation for interventional research.
Investigators
Zhou Jianhong
Department director
Women's Hospital School Of Medicine Zhejiang University
Eligibility Criteria
Inclusion Criteria
- •Age 18-39 years old
- •Meet POI diagnostic criteria
- •Volunteer to participate in this study and willing to cooperate with the investigation
Exclusion Criteria
- •Reproductive endocrine disease
- •Those receiving hormone supplementation and other steroid-containing drug therapy now or within half a year
- •Chromosomal abnormalities
- •Pregnancy and breastfeeding women
- •Uncontrolled endocrine system diseases
- •Uncontrolled cardiovascular system diseases
- •Uncontrolled autoimmune related diseases
- •Abnormal liver function
- •Abnormal kidney function
- •Abnormal coagulation function
Arms & Interventions
Premature ovarian insufficiency group
Intervention: hormone replacement therapy
Outcomes
Primary Outcomes
procollagen type I carboxyl-terminal propeptide
Time Frame: 1 year
peripheral venous blood
bone density
Time Frame: 1 year
Dual Energy X-ray
Low-density lipoprotein cholesterol/High-density lipoprotein cholesterol
Time Frame: 1 year
peripheral venous blood
Estradiol/follicle stimulating hormone
Time Frame: 1 year
peripheral venous blood
fasting blood glucose
Time Frame: 1 year
peripheral venous blood
Secondary Outcomes
- free triiodothyronine/free thyroxine(1 year)