Parental Project and Premature Ovarian Insufficiency

Study Overview
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Brief Summary
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One of the main repercussions of POI is infertility. When the diagnosis of POI is announced, the question of fertility is addressed and the patient is often directed towards egg donation or adoption when she has a parental project. However, there are cases of spontaneous pregnancies after diagnosis. This study was conducted to determine the proportion of patients with POI who were able to realize a parental project after diagnosis in the long term and by what means.

Detailed Description
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The investigators propose to study patients with POI who were hospitalized in the endocrinology and reproductive medicine department of the Pitié-Salpêtrière Hospital for the etiological assessment of ovarian failure and its consequences between December 31, 1982 and January 12, 2021. The investigators will only include patients who were admitted to the day hospital because we have a complete etiological workup and a complete history for them, which allows investigators to describe the population properly. The patients must be over 18 years old at the time of the survey in order to be able to evaluate the presence of a parental project only in adult patients. Patients for whom there is no valid contact information in the computer file (postal address or valid email address or cell phone number) or whose last consultation was more than 2 years ago will be excluded. Patients with Turner syndrome will be excluded because they may have comorbidities, particularly cardiac, that contraindicate pregnancy. Patients with POI secondary to oncological treatments (gonadotoxic chemotherapy or pelvic radiotherapy) will also be excluded because of the uncertain prognosis and the contraindications to pregnancy in case of hormone-dependent tumors.

Official Title
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Parental Project and Premature Ovarian Insufficiency

Conditions
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Infertility, Primary Ovarian Insufficiency

Intervention / Treatment
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* Other: Survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients at least 18 years old at the time of the survey Patients with a diagnosis of PIO according to the current definition: cycle disturbances of more than 4 months and FSH > 25 on 2 measurements one month apart Patients having been hospitalized in day hospital (HDJ) in the endocrinology and reproductive medicine department of the Pitié-Salpêtrière hospital for the etiological assessment of ovarian insufficiency and its repercussions between December 31, 1982 and January 12, 2021 Valid contact information available: address, cell phone, e-mail Patients who have been informed and do not object to participate in the study Exclusion Criteria: Turner syndrome POI secondary to oncology treatments (chemotherapy, pelvic radiotherapy) Opposition to participating in the study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Survey|Survey on the parental project and its realisation|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Realisation of parental project | Determine proportion of patient who realised a parental project after the diagnosis of POI | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Determine how and to what extent they have carried out their parental project | Evaluation if, after the diagnosis of POI, the parental project was realized through: spontaneous pregnancy or egg donation, simple stimulation or in vitro fertilization, embryo reception, or the adoption of a child after the diagnosis of POI | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| determine how many children on average these patients had after the diagnosis of POI. | Evaluation of the number of children born after the diagnosis of POI | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| determine the delay between the diagnosis of POI and the birth of the first child after the diagnosis according to the method | Evaluation of the time between the diagnosis of POI and the birth of the first child after diagnosis according to the method (egg donation, spontaneous pregnancy, adoption, etc.) | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| Survey. Describe the characteristics of patients who were able to have a child after diagnosis | Evaluation of the characteristics of patients who were able to have a child after diagnosis: o age at diagnosis | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| Survey. Describe the characteristics of patients who were able to have a child after diagnosis | Evaluation of the characteristics of patients who were able to have a child after diagnosis: o AMH level | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| Survey. Describe the characteristics of patients who were able to have a child after diagnosis | Evaluation of the characteristics of patients who were able to have a child after diagnosis: o FSH level | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| Survey. Describe the characteristics of patients who were able to have a child after diagnosis | Evaluation of the characteristics of patients who were able to have a child after diagnosis: o presence of follicles on ultrasound | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| Survey. Describe the characteristics of patients who were able to have a child after diagnosis | Evaluation of the characteristics of patients who were able to have a child after diagnosis: o cause of POI | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| Survey. Describe the characteristics of patients who were able to have a child after diagnosis | Evaluation of the characteristics of patients who were able to have a child after diagnosis: o number of pregnancies prior to diagnosis | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| Survey. Describe the characteristics of patients who were able to have a child after diagnosis | Evaluation of the characteristics of patients who were able to have a child after diagnosis: o number of children before diagnosis | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| Survey. Describe the characteristics of patients who were able to have a child after diagnosis | Evaluation of the characteristics of patients who were able to have a child after diagnosis: o normal puberty | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 
| Survey. Describe the characteristics of patients who were able to have a child after diagnosis | Evaluation of the characteristics of patients who were able to have a child after diagnosis: o age at menarche | data from patients with a diagnosis between 31/12/1982 and 12/01/2021 and whose opposition to the study is not expressed | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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spontaneous pregnancy, adoption, oocyte donation, parental project