Relato de caso : gestação espontânea em paciente com falência ovariana precoce

Abstract

Objectives: This article aims to show the importance of diagnosis of early ovarian insufficiency, lowering comorbidities associated with this pathology and to report a case of spontaneous pregnancy after hormonal replacement therapy (HRT). Methodology: Review of a medical record from a patient from Maternidade Escola Assis Chateaubriand. Case: Woman, 21 years, with desire of pregnancy, complaints of amenorrhea and hot flushes. Diagnosed with early ovarian insufficiency after clinical history, physical examination and laboratorial evaluation. After ten months of HRT and improvement of symptoms, spontaneous pregnancy was achieved. Discussion: The disease affects 0,1% of woman under 30 years and the rate of spontaneous pregnancy in these cases varies in 3-10%. It is a cause of secondary amenorrhea. The disease has a great impact in women’s health, causing infertility and increasing comorbidities related to estrogen withdrawal, such as osteoporosis and high cardiovascular risk. Most patients only reach pregnancy with assisted reproduction techniques. Conclusion: the early diagnosis is very important for the implementation of multidisciplinary treatment for maintaining physical and mental health. Unlikely, pregnancy can occur, being mandatory evaluation for pregnancy.