What is the reason why the follicle is small and does not grow?

Patient's question:

Menarche at age 13, menstrual cycle of 20 days from 18 to 23 years old, dark red in color. From 23 to 26 years old, menstrual cycle was irregular. Started treatment at age 24, visited both traditional Chinese medicine and Western medicine, but the follicles are still small, less than 10mm.

Doctor's answer:

If the follicle does not grow properly, ovulation cannot occur. This is a type of ovulation disorder. There are many causes of ovulation disorders: central nervous system anovulation; hypothalamic anovulation; pituitary anovulation; ovarian anovulation; polycystic ovary syndrome; luteinized unruptured follicle syndrome. Additionally, endocrine disorders in other systems 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 and lead to ovulation disorders. Different causes require different treatment methods. It is recommended that you visit a specialized hospital for a detailed examination, to confirm the diagnosis and receive appropriate treatment.

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