Patient's question:
Hello, I monitored my ovulation from July to December this year and found that the left ovary had a dominant follicle in August, October, and December, while the right ovary had a dominant follicle in July. In September and November, there was no ovulation. My menstrual cycle varies between 24 to 27 days, with a light flow, using only five or six sanitary pads during a period.Could it be that my right ovary has inflammation or that my right fallopian tube has inflammation? Or is there an endocrine issue? If there is an endocrine problem, why does it only affect the right ovulation and not the left ovulation? What tests should I undergo? Please help me! Thank you!
First follow-up question: I need to have a color Doppler ultrasound examination.
Doctor's answer:
The normal size of a mature follicle is 18-25mm. Sizes below or above this standard cannot lead to normal ovulation. Factors that can cause ovulation disorders include: central nervous system anovulation; hypothalamic anovulation; pituitary anovulation; ovarian anovulation; polycystic ovary syndrome; luteinized unruptured follicle syndrome; others: endocrine 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 and lead to ovulation disorders. If one fallopian tube is affected, it may also lead to bilateral involvement over time or impair fallopian tube function, suppressing ovarian ovulation. Therefore, even if one side is patent, symptomatic treatment is still necessary. It is recommended to visit a regular infertility hospital for examination and follow the doctor's advice for scientific treatment. Wishing you health and early pregnancy!