Can menstrual disorders lead to infertility?

Patient's question:

I have been married for three years and have not been able to get pregnant. Usually, my menstruation is always delayed, either not coming at all, which is irregular. I would like to consult: Can irregular menstruation lead to infertility? What is the cause of my infertility?

Doctor's answer:

You have been married for three years without pregnancy, and your menstrual cycle has been consistently delayed or absent. This situation is likely due to menstrual disorders, which may be caused by endocrine disorders such as polycystic ovary syndrome (PCOS) or hyperandrogenemia. These conditions can lead to anovulation, making it difficult to conceive! Therefore, it is recommended that you visit a hospital to undergo a blood test for six endocrine hormones and a thorough ultrasound examination to monitor your menopausal status. Once the cause of infertility is identified, you can receive targeted treatment.

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