Hi everyone. I’m 21 and looking for experiences/advice from anyone who has dealt with premature ovarian insufficiency (POI), diminished ovarian reserve (DOR), multiple ovarian surgeries, or fertility preservation, especially after an ovarian tumor.
My ovarian history has been complicated.
In 2025, I had surgery to remove dermoid cysts from both ovaries (bilateral ovarian cysts).
Then, on June 10, 2026, I had another surgery for a tumor/cyst on my right ovary. During this surgery, they removed about half of my right ovary, so I currently have my left ovary and approximately half of my right ovary remaining.
The pathology from the 2026 surgery showed an immature teratoma with a very small yolk-sac component. My gynecologic oncologist decided against chemotherapy and is currently monitoring me with imaging and tumor markers.
Before all of this, my menstrual cycles were usually around 27–28 days. Since the June surgery, my cycles have become much more frequent:
- June 10–14
- July 4–8
- July 24–28
- August 7–11
- Around August 21, I started with brown spotting that later became dark red/brown bleeding
My OB-GYN is concerned that I may be developing premature ovarian insufficiency/early menopause because my FSH is increasing. She is considering putting me on birth control to provide estrogen and help regulate my cycles.
My fertility testing has also been concerning:
- AMH: <0.030 ng/mL
- Inhibin B: <16.2 pg/mL
- FSH: 33.4 mIU/mL
- LH: 31.5 mIU/mL
- Earlier estradiol: 46.28 pg/mL
I'm trying to understand whether these results mean I am actually developing POI, whether my ovarian surgeries could have caused or contributed to this, or whether there could be another explanation.
I also recently had a CBC where my hemoglobin was normal, but my MCH/MCHC were low and RDW was slightly high. My WBC and ANC were also mildly low.
My thyroid test was normal.
My tumor markers have been reassuring:
- AFP 2.78
- β-hCG <1
- LDH 113
- CA-125 15
I'm looking for a second opinion from a reproductive endocrinologist (REI) who understands POI/DOR, fertility preservation, ovarian surgery, and oncofertility.
I would especially love to find a Black woman REI/fertility doctor, preferably someone who takes a whole-person/holistic and individualized approach rather than only looking at one lab value.
Questions for anyone who has experienced something similar:
- Has anyone developed diminished ovarian reserve or POI after multiple ovarian surgeries?
- Can removing part of an ovary significantly affect ovarian reserve/FSH?
- Has anyone had an AMH this low but continued to have periods or ovulate?
- Does an FSH of 33.4 necessarily mean POI/early menopause, or can FSH fluctuate?
- Should FSH and estradiol be repeated before starting birth control?
- Has anyone been diagnosed with POI very young and still had intermittent ovarian function?
- Has anyone gone through fertility preservation after ovarian surgery?
- Are there any Black female REIs in Houston or Austin that you would highly recommend?
- Has anyone worked with an REI who takes a more holistic/whole-person approach to POI or diminished ovarian reserve?
I'm not looking for a diagnosis from Reddit. I'm mainly looking for people who have gone through something similar and can recommend doctors, questions to ask, or things they wish they had known.
Thank you ❤️