Irregular menstruation, ovulation monitoring, follicle shrinkage, how to treat

Patient's question:

Medical History: Trying to conceive for half a year without pregnancy. Menstruation has not been very regular. Previously, there were tests and ultrasounds, which showed no abnormalities. In July, menstruation occurred twice. The first period started on July 2 and ended on July 8, and the second period started on July 21 and ended on July 28. On August 3, I went to the municipal maternal and child health hospital for an examination. The results are as follows:
History of Treatment and Effectiveness:
On August 3, endometrial thickness was monitored at 0.8 cm, with the largest right ovarian follicle measuring 1.10.7 and the left ovarian follicle measuring 0.90.68.
On August 3, hormone tests showed slightly elevated testosterone levels (the standard is less than 0.8, and my result was 0.89). Other tests were normal.
On August 6, endometrial thickness was monitored at 0.9 cm, with the largest right ovarian follicle measuring 1.51.

Doctor's answer:

Hello, normal mature dominant follicles are 18-25mm. Both too large or too small are not conducive to conception and cannot ovulate normally. 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 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. It is recommended that you seek medical examination at a regular specialized hospital as soon as possible to identify the cause and receive targeted treatment. Wish you health!

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