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Hallmarks of aging
Research brief

FIGO/IMS position paper proposes life-course hormone therapy model for premature ovarian insufficiency and early menopause

A joint FIGO and IMS position paper argues that premature ovarian insufficiency and early menopause should be treated as chronic endocrine conditions and sentinel events for accelerated aging, and proposes reframing hormone therapy as long-term replacement to prevent disability. [1]

Automatic summary · not editorially reviewed

The key findings

  1. The paper states that POI and EM, compared with normal menopause, confer a longer duration of estrogen deficiency and are associated with a shorter lifespan and reduced healthspan. [1]

  2. The authors propose recognizing POI and EM as chronic endocrine conditions and sentinel events for accelerated aging rather than variants of menopause at normal age. [1]

  3. The paper proposes reframing HT as hormonal replacement aimed at preventing long-term disability, with timely initiation, adequate dosing and long-term continuation as foundational. [1]

The source at a glance

Study type / format
Joint FIGO and IMS position paper (abstract)
Population / context
Women with premature ovarian insufficiency or early menopause
Summary based on
Study abstract
Original publication
August 18, 2026

Proposed reframing of POI and early menopause care

The authors state that premature ovarian insufficiency (POI) and early menopause (EM) affect millions of women worldwide and, compared with normal menopause, bring a longer duration of estrogen deficiency. They link this to a shorter lifespan and reduced healthspan through increased risks of cardiovascular, skeletal, cognitive and psychological morbidity and sexual health concerns. The paper proposes a shift toward a life-course model of care in which POI and EM are no longer managed as variants of menopause at normal age but recognized as chronic endocrine conditions and sentinel events for accelerated aging.

Supporting source [1]

Proposed hormone therapy approach and coordinated action

The paper proposes reframing hormone therapy (HT) as hormonal replacement aimed at preventing long-term disability, with timely initiation, adequate dosing and long-term continuation described as foundational to POI/EM care alongside integrated preventive strategies. It notes that current approaches to HT in POI/EM remain fragmented, delayed and overly influenced by paradigms derived from older postmenopausal populations. FIGO and IMS call for a globally coordinated effort to strengthen awareness, professional education and research and to ensure equitable access to multidisciplinary care.

Supporting source [1]

Scope of the position paper as an abstract

This is an abstract of a joint FIGO and IMS position paper. It presents proposals and calls for action rather than results of a new study; no trial design, sample size, follow-up or outcome data are reported in the abstract. The stated goal is to improve women's health and support the long-term sustainability of healthcare systems. The full text was not reviewed.

Supporting source [1]

How to interpret this

Abstract only; the full text was not reviewed. This is a position paper presenting proposals and calls for action, not a study with reported design, sample, follow-up or outcome data.

Based on the study abstract; the full paper, tables and supplementary data were not reviewed.

Source & supporting passages

[1]
Hormone therapy (HT) in women with premature ovarian insufficiency or early menopause: Time to think of a new paradigm for healthy aging. A joint FIGO and IMS position paper.

Benedetto C, Khadilkar SS, Nappi RE, Genazzani AR, Frezet F, Cucinella L, Divakar H, Anagnostis P, Panay N. · europepmc.org · August 18, 2026

Read the quoted passagesIn the language of the original source
  1. Finding 1 ↑

    confer a longer duration of estrogen deficiency
  2. Finding 2 ↑

    recognized as chronic endocrine conditions and sentinel
  3. Finding 3 ↑

    HT should be reframed as a hormonal

AI-assisted summary with linked source passages. No independent editorial or clinical review.

Our editorial method

Discussion

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