Autoimmune oophoritis: Difference between revisions

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{{Orphan|date=February 2015}}
 
{{italic title}}
{{Infobox medical condition
{{Infobox medical condition (new)
| name             = Autoimmune oophoritis
| name           =  
| synonyms        =  
| synonyms       =
| specialty        = [[Endocrinology]], [[Reproductive endocrinology]]
| image          =
| symptoms         = [[Irregular menstruation]], [[amenorrhea]], [[infertility]], [[hot flashes]], [[vaginal dryness]]
| caption         =  
| complications   = [[Premature ovarian failure]], [[osteoporosis]], [[cardiovascular disease]]
| pronounce      =
| onset           = Typically in [[young women]]
| field          = [[Gynecology]]
| duration         = Chronic
| symptoms       =  
| causes           = [[Autoimmune disease]]
| complications   =  
| risks           = [[Family history]], [[other autoimmune disorders]]
| onset           =  
| diagnosis       = [[Blood test]]s for [[hormone levels]], [[ovarian biopsy]], [[antibody testing]]
| duration       =  
| differential     = [[Polycystic ovary syndrome]], [[hypothalamic amenorrhea]], [[Turner syndrome]]
| types           =  
| treatment       = [[Hormone replacement therapy]], [[immunosuppressive therapy]]
| causes          =
| medication       = [[Estrogen]], [[progesterone]], [[corticosteroids]]
| risks           =  
| prognosis       = Variable, often leads to [[infertility]]
| diagnosis       =  
| frequency       = Rare
| differential   =
| prevention      =  
| treatment       =  
| medication     =  
| prognosis       =  
| frequency       =
| deaths          =  
}}
}}
 
{{Short description|An autoimmune disorder affecting the ovaries}}
'''Autoimmune oophoritis''' is a rare [[autoimmune disease]] where the body's [[immune system]] mistakenly attacks the [[ovaries]].<ref>{{cite book|last1=Mackay|first1=edited by Noel R. Rose, Ian R.|title=The autoimmune diseases|date=2006|publisher=Elsevier Academic Press|location=St. Louis, MO|isbn=978-0-12-595961-2|edition=4th|ref=Chapter 68}}</ref> This causes the ovaries to have inflammation, [[atrophy]] and [[fibrosis]]. The changes to the ovaries can cause them to not function properly.
{{Use dmy dates|date=October 2023}}
 
'''Autoimmune oophoritis''' is a rare [[autoimmune disorder]] characterized by inflammation of the [[ovaries]] due to an immune response against ovarian tissue. This condition can lead to [[ovarian failure]] and is often associated with other autoimmune diseases.
==Signs and symptoms==
==Pathophysiology==
* [[Primary amenorrhea]] – where [[menstruation]] has never occurred
Autoimmune oophoritis occurs when the body's [[immune system]] mistakenly targets and attacks the ovarian tissue. This immune response can lead to the destruction of ovarian follicles, resulting in decreased [[estrogen]] production and impaired [[ovarian function]]. The exact cause of this autoimmune response is not fully understood, but it is believed to involve a combination of genetic and environmental factors.
* [[Secondary amenorrhea]] – where menstruation occurred once puberty happened but then later stopped
==Clinical Presentation==
Patients with autoimmune oophoritis may present with symptoms of [[premature ovarian insufficiency]] (POI), including:
* [[Amenorrhea]] (absence of menstrual periods)
* [[Oligomenorrhea]] (infrequent menstrual periods)
* [[Infertility]]
* [[Infertility]]
* Sex hormone deficiency
* [[Hot flashes]]
* Lower abdominal pain
* [[Vaginal dryness]]
* [[Fever]]
* [[Mood changes]]
* [[Malaise]]
==Diagnosis==
* [[Vaginal discharge]]
The diagnosis of autoimmune oophoritis is often challenging and involves a combination of clinical evaluation, laboratory tests, and imaging studies. Key diagnostic steps include:
* Irregular bleeding or absent menstrual period – also known as [[amenorrhea]]
* Measurement of [[hormone]] levels, such as [[follicle-stimulating hormone]] (FSH) and [[luteinizing hormone]] (LH), which are typically elevated in POI.
* Symptoms that are related to [[cysts]]
* Detection of [[autoantibodies]] against ovarian tissue, although these are not always present.
 
* [[Ultrasound]] imaging to assess ovarian size and follicle count.
==Causes==
==Associated Conditions==
The underlying cause of autoimmune oophoritis is unknown. In many cases it can be a part of [[lupus]], [[pernicious anemia]], [[myasthenia gravis]], or other [[autoimmune conditions]]. Autoimmune oophoritis can be associated with [[autoimmune polyglandular syndrome]] type I and type II.<ref name=":0">{{Cite web|url=https://rarediseases.info.nih.gov/diseases/9461/autoimmune-oophoritis|title=Autoimmune oophoritis|last=|first=|date=|website=NIH.gov|language=en|archive-url=|archive-date=|dead-url=|access-date=2018-08-07}}</ref>
Autoimmune oophoritis is often associated with other autoimmune disorders, such as:
 
* [[Autoimmune thyroiditis]]
==Diagnoses==
* [[Addison's disease]]
Diagnosis involves a special blood test which looks for anti-steroid or anti-ovarian antibodies, a [[pelvic ultrasound]] to look for enlarged cystic ovaries, and other type of tests to rule out other issues that can be a part of primary ovarian insufficiency (POI).<ref name=":0" />
* [[Type 1 diabetes mellitus]]
 
* [[Systemic lupus erythematosus]]
==References==
==Treatment==
{{Reflist}}
There is no cure for autoimmune oophoritis, but treatment focuses on managing symptoms and preventing complications. Options include:
{{Include-USGov
* [[Hormone replacement therapy]] (HRT) to alleviate symptoms of estrogen deficiency.
|agency=National Institutes of Health
* [[Fertility treatment]]s, such as [[in vitro fertilization]] (IVF), for women desiring pregnancy.
|policy=https://rarediseases.info.nih.gov/diseases/9461/autoimmune-oophoritis}}
* Monitoring and management of associated autoimmune conditions.
== External links ==
==Prognosis==
{{Medical resources
The prognosis for individuals with autoimmune oophoritis varies. While some women may retain partial ovarian function, others may experience complete ovarian failure. Early diagnosis and management can help improve quality of life and address fertility concerns.
|  DiseasesDB      =
==Related pages==
|  ICD10          =
* [[Autoimmune disease]]
|  ICD9            =
* [[Premature ovarian insufficiency]]
|  MedlinePlus    =
* [[Hormone replacement therapy]]
|  MeshID          =
}}
 
[[Category:Inflammatory diseases of female pelvic organs]]
[[Category:Autoimmune diseases]]
[[Category:Autoimmune diseases]]
{{womens-health-stub}}
[[Category:Reproductive system disorders]]
{{dictionary-stub1}}
<gallery>
File:M._mycetomatis_cytological_smear.jpg|M. mycetomatis cytological smear
</gallery>

Latest revision as of 22:42, 3 April 2025


Autoimmune oophoritis
Synonyms
Pronounce N/A
Specialty Endocrinology, Reproductive endocrinology
Symptoms Irregular menstruation, amenorrhea, infertility, hot flashes, vaginal dryness
Complications Premature ovarian failure, osteoporosis, cardiovascular disease
Onset Typically in young women
Duration Chronic
Types N/A
Causes Autoimmune disease
Risks Family history, other autoimmune disorders
Diagnosis Blood tests for hormone levels, ovarian biopsy, antibody testing
Differential diagnosis Polycystic ovary syndrome, hypothalamic amenorrhea, Turner syndrome
Prevention N/A
Treatment Hormone replacement therapy, immunosuppressive therapy
Medication Estrogen, progesterone, corticosteroids
Prognosis Variable, often leads to infertility
Frequency Rare
Deaths N/A


An autoimmune disorder affecting the ovaries


Autoimmune oophoritis is a rare autoimmune disorder characterized by inflammation of the ovaries due to an immune response against ovarian tissue. This condition can lead to ovarian failure and is often associated with other autoimmune diseases.

Pathophysiology[edit]

Autoimmune oophoritis occurs when the body's immune system mistakenly targets and attacks the ovarian tissue. This immune response can lead to the destruction of ovarian follicles, resulting in decreased estrogen production and impaired ovarian function. The exact cause of this autoimmune response is not fully understood, but it is believed to involve a combination of genetic and environmental factors.

Clinical Presentation[edit]

Patients with autoimmune oophoritis may present with symptoms of premature ovarian insufficiency (POI), including:

Diagnosis[edit]

The diagnosis of autoimmune oophoritis is often challenging and involves a combination of clinical evaluation, laboratory tests, and imaging studies. Key diagnostic steps include:

Associated Conditions[edit]

Autoimmune oophoritis is often associated with other autoimmune disorders, such as:

Treatment[edit]

There is no cure for autoimmune oophoritis, but treatment focuses on managing symptoms and preventing complications. Options include:

Prognosis[edit]

The prognosis for individuals with autoimmune oophoritis varies. While some women may retain partial ovarian function, others may experience complete ovarian failure. Early diagnosis and management can help improve quality of life and address fertility concerns.

Related pages[edit]