What hormone causes the follicle not to break?

Patient's question:

A doctor's transvaginal ultrasound examination three days before menstruation, the follicle is nearly 3 cm but hasn't ruptured. Hormone panel tests on the third day of menstruation show that the first three items are abnormal. Please ask the doctor, am I suffering from polycystic ovary syndrome (PCOS)? What hormone is causing the follicle not to break?

Doctor's answer:

Based on your detailed description of the issue and the carefully reviewed values, if ovulation does not occur, there are many possible reasons. If the ratio of luteinizing hormone (LH) to follicle-stimulating hormone (FSH) is greater than 2, or if androgen levels are elevated, it should be considered as a potential case of polycystic ovary syndrome (PCOS). Your sex hormone test results can help make this inference. Since you have dominant follicles, you can consider ovulation induction to enhance the chances of conception.

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