Patient's question:
I've been married for several years now, and so far, we haven't had any children. I'm very anxious about it and don't know if it's my problem. I've asked my husband to get checked, but he refuses. I'm afraid my condition might worsen. Could you please tell me what factors can lead to ovulation failure?Doctor's answer:
The reasons for anovulation mainly include the following aspects:1. Hypothalamic disorders. These are divided into functional and organic types. The former includes idiopathic hypothalamic amenorrhea, psychogenic amenorrhea, functional hyperprolactinemia, and anorexia nervosa. The latter includes hypothalamic tumors, post-infectious encephalitis, and post-traumatic head injuries.
2. Pituitary dysfunction. This includes pituitary adenomas, Sheehan syndrome, and tuberculosis or syphilitic granulomas.
3. Ovarian dysfunction. This includes primary ovarian amenorrhea and secondary ovarian amenorrhea. The former includes conditions like Turner syndrome. The latter includes premature ovarian failure, organic damage to the ovaries, such as loss of function after radiation exposure, and destruction caused by tumors or inflammation.