Addressing the Emotional, Social and Ethical Aspects of Premature Ovarian Insufficiency (POI): A Personal Narrative

Abstract

Premature Ovarian Insufficiency (POI) poses complex medical, emotional and ethical challenges, especially in conservative societies like India. This narrative highlights an endocrinologist’s experience in managing a young woman with POI, emphasizing the profound emotional distress and societal implications, particularly regarding subfertility and an impending marriage. The case explores the nuanced approach required to deliver this life-altering diagnosis with empathy, address the patient’s and family’s emotional needs, and offer psychological support alongside fertility options and hormone replacement therapy. Ethical considerations, including patient autonomy, confidentiality, and the delicate decision of disclosing the diagnosis to a prospective groom, are also examined. The narrative underscores the importance of cultural sensitivity and the endocrinologist’s role in mitigating societal stigma. It illustrates the broader responsibilities of healthcare providers, who must navigate these multifaceted challenges with compassion, providing medical care and emotional and ethical guidance to help patients and their families cope with the impact of POI.

Keywords

• fertility
• hormone replacement therapy
• premature ovarian insufficiency
• psychology
• social support