Premature Ovarian Insufficiency (POI) Clinic

​POI refers to the early loss of eggs and the cells surrounding the ovaries. ​The most common symptom of POI is the absence of your period or lighter periods that are further apart. Other symptoms can include hot flashes, night sweats, mood changes, sleep problems, decreased sexual desire, vaginal dryness and difficulty getting pregnant.

The POI clinic at Mount Sinai Hospital is currently the only clinic of its kind in Canada. Our team is dedicated to helping with the unique challenges associated with premature ovarian insufficiency.

Learn more about POI and how it is treated. 

What to expect

When you arrive at our clinic, our clinic team may ask you to fill in a detailed questionnaire about your medical history.  

During your appointment, you will see both a gynaecologist and an endocrinologist.

We will ask about your medical history and symptoms and perform a physical exam that may include a pelvic exam.

We will then work with you to decide on a care plan that is specific to your needs. Your treatment may include any of the following:

• Further testing such as blood work or ultrasounds  
• Medication such as hormone therapy
• Referrals to a fertility specialist

You might also be invited to participate in a research study to advance our understanding of POI.

We may recommend follow-up appointments to help us monitor your condition during treatment. Once your symptoms are managed, you should return to your primary care provider for routine gynaecological care such as annual Pap tests.

Please note we are a teaching hospital, so you may see a medical students, residents, fellows or other medical trainees as part of your care. Learners are supervised by other members of our dedicated care team who work together to provide you with comprehensive care. 

What to bring

• Health (OHIP) card or valid health-care coverage
• Hospital card
• A list of current medications
• A list of questions you want to ask 

How to access our services

You need a referral from a health-care provider to be seen at our clinic. Visit our referral criteria for more information.

If you are under 40 and have not had a period for more than three or four months, please contact your primary care physician to see if you are a candidate for this clinic.