Plenty of Fish — also known as POF — is a popular dating site for singles. With more than 3 million users, it's one of the largest dating sites out. Primary ovarian insufficiency (POI) is a condition in which the ovaries stop is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. The condition used to be called "premature ovarian failure" and .. other health professionals up-to-date on the latest medical findings. I used OkCupid for years and POF for about 1 year. I think the biggest difference between these sites is how they match you with others. With OkC, you have.
Unless pregnancy is desired, a discussion of effective contraception should take place. Although OCs are commonly prescribed in this situation, the use of barrier methods or an intrauterine device is encouraged 1. If a patient chooses a nonestrogen method of contraception, estrogen also should be administered to preserve bone mineral density and prevent other adverse effects of hypoestrogenemia.
A missed menstrual cycle should warrant a pregnancy test. Associated Comorbidities Primary ovarian insufficiency increases the risk of bone loss, CV disease, and endocrine disorders. Health care providers also should be aware of the potential psychologic effects of primary ovarian insufficiency and should counsel family members and patients on the risk of associated comorbidities.
Bone Loss Loss of ovarian function at an early age affects bone architecture at the very time when bone accrual is at its maximum. There are no published data to support specific recommendations for dual-energy X-ray absorptiometry scanning in adolescents with estrogen deficiency. Although some experts suggest monitoring bone density annually in adolescents with estrogen deficiency during early to mid puberty to document peak bone accrual and then every 2 years in late adolescence, others do not because the implications of a low bone mineral density result in this population are unclear given the low risk of fracture and the potential for long-term treatment of low bone mass.
To date, long-term use of bisphosphonates is not recommended in the adolescent population because of uncertain adverse effects and safety profiles. Further research in this area is needed.
Cardiovascular Disease Individuals with early loss of endogenous estrogen have been shown to have an increased risk of CV mortality Although data in the adolescent population are lacking and there are no standard screening regimens for CV disease in this population, vigilant monitoring is warranted, and practitioners should help patients optimize CV health.
Women's Health Care Physicians
Routine visits should include counseling on tobacco avoidance and appropriate diet and exercise to optimize CV health. Measuring blood pressure at least annually and lipid levels every 5 years is recommended. Patients with Turner syndrome have additional CV risks, including aortic aneurysm. Additional guidelines for patients with Turner syndrome and no obvious CV pathology include either routine cardiac imaging every 5—10 years or focused imaging when transitioning from a pediatric to adult health care provider, before attempting pregnancy, or with the appearance of hypertension to assess for coarctation or aortic stenosis Although early loss of ovarian function has been associated as a risk factor for CV mortality, there are no data indicating that these patients are at an increased risk of CV adverse effects from hormonal therapy 15, Following initial diagnosis of primary ovarian insufficiency, it is appropriate to test thyrotropin levels for the presence of thyroid peroxidase antibodies.
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Although no recommendations for routine thyroid screening exist in this population, given the high prevalence of this disorder in patients with primary ovarian insufficiency, it is acceptable to test for thyroid disease every 1—2 years. Patients should be tested for adrenal anti-bodies and if results are positive, should undergo yearly corticotropin stimulation testing.
Data are lacking on the follow-up of patients with negative test results 1. Diabetes mellitus, pernicious anemia, myasthenia gravis, rheumatoid arthritis, systemic lupus erythematosus, and dry eye syndrome also have been associated with primary ovarian insufficiency, and testing should be based on symptomatology. Antiovarian antibodies may be present in these patients, but their specificity and pathogenic usefulness has not been validated Patient Counseling When primary ovarian insufficiency is diagnosed in the adolescent female, the patient and her family are often unprepared for such news with its implications for compromised fertility and impaired self-image and the need for long-term hormonal therapy.
It is best to inform the patient and family by having a direct conversation in the office Adolescents may demonstrate myriad emotions ranging from apathy or denial to remorse or sadness, and these emotions may be different from those of their parents or guardians. Practitioners can consider telling the parents separately from their children so that the parents will have an opportunity to understand the diagnosis and adjust their demeanor to be most supportive of their daughters.
Health care providers who make this clinical diagnosis should be mindful of the sensitive nature of this medical condition as well as the cultural significance of the diagnosis within the family unit. Referrals to a reproductive endocrinology and infertility specialist should be made when desired by the patient and family to further discuss available reproductive treatments.
In vitro fertilization with donor oocytes is often the most appropriate treatment; there are otherwise limited therapeutic options. Although the procedure may not be ideal, it may provide some hope for the patient who is told that her fertility is severely compromised.
However, this is not a recommended option for patients with Turner syndrome because of the risk of aortic rupture during pregnancy.
Psychologic counseling also should be offered because impaired self-esteem and emotional distress have been reported after diagnosis of primary ovarian insufficiency 19— Because many patients will use the Internet to learn more about their diagnoses, referral to appropriate sources for support is an efficient means to enhance patient care see Resources. A greater understanding of female reproductive biology and the physiologic effect of primary ovarian insufficiency enables health care providers to offer counseling for these young women.
Once primary ovarian insufficiency is diagnosed, patients should be evaluated at least annually. Referral to accurate medical information is encouraged. Resources The following resources are for information purposes only. Referral to these sources and web sites does not imply the endorsement of the American College of Obstetricians and Gynecologists.
These resources are not meant to be comprehensive. The exclusion of a source or web site does not reflect the quality of that source or web site. Please note that web sites are subject to change without notice. Retrieved February 5, Using both sites is best, but Okcupid has changed, removing features that were once free and making them available only as a paid upgrade.
The site is still free to use, but you can no longer see who viewed your profile unless you upgrade.
Primary Ovarian Insufficiency in Adolescents and Young Women - ACOG
There are premium upgrade options available, but the site is completely free to use otherwise, including sending and receiving messages. Unless you live in a rural area, you won't have a shortage of people to message. The site was around long before dating apps and it's still one of the largest free dating sites on the Internet. The app has a swiping feature similar to Tinder.
See who viewed your profile for free. Not all women I met on POF were flaky of course, but many were. Some girls would vanish for no reason, after agreeing on date plans. This works both ways of course. Women have stories about guys being flaky on the site too, but this occurred more on this site than any other. Almost every time a user would add me to their favorites list it was a fake profile. I would also receive scam messages too, but not often. The fake profiles are obvious to see in a basic search.
No way to hide a profile. You can block a profile, but you can't hide one, so you see the same profiles you've already looked at every time you do a search. Like POF, the site is free, however, OKC has taken away certain free features, like being able to see who viewed your profile. Members have the option to answer profile questions.
Reading the answers makes it easier to see if you have anything in common before sending a message. Unlike POF, the profile page is organized by multiple sections, starting with a self-summary. You can add ten photos to your profile, in addition to connecting your profile with Instagram to show those photos.