What exactly is going on when the ovaries do not ovulate?

Patient's question:

I've been married for a year, and I haven't had any children yet. I went for an ovary monitoring test, and the results said I'm not ovulating. I want to know what causes not ovulating. Is it easy to treat?

Doctor's answer:

Hello, the causes of ovulatory dysfunction are often attributed to three aspects: endocrine disorders of the hypothalamic-pituitary axis, abnormal information feedback mechanisms, and local factors of the ovary. The hypothalamus and pituitary are key components of the female perinatal endocrine adjustment axis. They are controlled by the central nervous system, releasing gonadotropin-releasing hormone and gonadotropins to regulate the function of the ovary and other organs, while also being regulated by the feedback effects of hormones secreted by the ovary and other endocrine glands. If the hypothalamus or pituitary experiences organic inflammation or dysfunction, it can disrupt the normal menopausal function of the ovary. For example, abnormal prolactin secretion caused by pituitary adenomas leads to ovulatory dysfunction and menstrual disorders, which is a typical case.

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