this deficiency. women with poi perceive lower social support than control women, so building a trusted community of practice for them would be expected to improve their well-being. also, when having that social support, it often helps with reducing stress and having better coping skills. it is important to connect women with poi to an appropriate collaborative care team because the condition has been clearly associated with suicide related to the stigma of infertility. suicide rates are known to be increased in women who experience infertility. epidemiology the prevalence increases with age and is approximately 1 in 10,000 women under age 20, 1 in 1,000 women under age 30, and one percent by age of 40. history fuller albright et al. in 1942 reported a syndrome with amenorrhea, estrogen deficiency, menopausal fsh levels, and short stature. they used the term "primary ovarian insufficiency" to distinguished poi from ovarian insufficiency secondary to a primary failure of pituitary fsh and other hormonal secretion. poi has been described as a more accurate and less stigmatizing term than premature ovarian failure or premature menopause. chapter 28 of the early qing dynasty work fù qīngzhǔ nǚkē (《傅青主女科》fù qīngzhǔ's gynecology) describes the cause and appropriate treatment for premature menopause. 年未老经水断 (niánwèilǎo jīngshuǐduàn) glosses as 'not yet old, menstrual water cut-off.'