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TABLE 1. Etiological factors in premature ovarian failure.

Congenital defects Reduced number of germ cells
Increased follicular atresia
X chromosome alterations
Enzymatic alterations 17a -hydroxylase deficiency
Galactosemia
Gonadotropin secretion alterations Secretion of biological inactive forms
α or ß subunit defects
Gonadotropin receptor alterations Resistant ovary syndrome (Savage syndrome)
Autoimmune disorders Isolated
Associated with other endocrine disorders
Iatrogenic causes Radiotherapy
Chemotherapy
Ovariectomy
Infectious causes Viral agents
Idiopathic