Bilateral ovaries show no developed follicles, what could be the reason?

Patient's question:

I have been measuring my basal body temperature for four months, and it has been biphasic. Today is the eleventh day of my period, and I had an ultrasound. The results showed that no developed follicles were observed in both ovaries. Last month on the 14th, the ultrasound revealed a cyst in the right adnexal region, but today the doctor said it has disappeared. What is going on? Why are there no follicles?

Doctor's answer:

In your case, it falls under ovulation disorders. The factors that can cause ovulation disorders include: central nervous system anovulation; hypothalamic anovulation; pituitary anovulation; ovarian anovulation; polycystic ovary syndrome; luteinized unruptured follicle syndrome; other: endocrine system disorders outside the gonads, such as thyroid and adrenal cortex dysfunction, as well as some systemic diseases like severe malnutrition, can affect the regulation of ovarian function, leading to ovulation disorders. It is recommended that you seek detailed examination in a specialized hospital, get a clear diagnosis, and receive symptomatic treatment. Do not miss the best time for treatment.

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