Why is there dominant follicular development but no ovulation?

Patient's question:

Hydrogen peroxide ultrasound contrast, fallopian tubes are patent, ultrasound examination shows normal follicular development, but the right follicle grew to 2.3×1.8 before menopause, while the left one measuring 1.0×0.8 has disappeared (ultrasound examination). The doctor said it was expelled, but since it didn't develop properly, it's useless even if expelled. What further tests do I need to undergo now? Do I need medication to assist with menopause?

Doctor's answer:

Every 2 days, perform ultrasound monitoring once. When the follicle diameter reaches 17 mm, change to daily monitoring. When the follicle matures and reaches a diameter of 19-20 mm, measure twice daily if necessary, until menopause. So far, in addition to symptomatic treatment for anovulation, the patient also needs to pay attention to diet, such as eating a balanced diet, maintaining a positive mood, and paying attention to choosing a regular hospital for treatment. This is the only way to achieve good therapeutic effects.

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