Patient's question:
What are the reasons for abnormal ovulation? Last time I went to the hospital for a check-up, I was preparing to have my follicles tested. After a while, the doctor said my ovulation was abnormal. What are the reasons for abnormal ovulation?Doctor's answer:
Infertility due to anovulation, as one of the most prevalent conditions causing infertility today, has garnered increasing attention from women. However, many are still unaware that even after treatment, the condition has a certain probability of recurrence.Causes of anovulation:
(1) Turner syndrome and pure gonadal dysgenesis are chromosomal abnormal diseases, both primarily characterized by primary amenorrhea, with elevated gonadotropins and reduced estrogen levels. Pregnancy can be achieved through in vitro fertilization and embryo transfer using donated eggs.
(2) Premature ovarian failure and polycystic ovary syndrome (PCOS): High gonadotropin amenorrhea occurring before the age of 40 due to ovarian dysfunction accounts for approximately 20%–28% of primary amenorrhea and 4%–20% of secondary amenorrhea.
(3) Polycystic ovary syndrome (PCOS): Often or menstrual oligomenorrhea, long-term anovulation, excessive androgens, and non-cyclical estrogen fluctuations. It is a major cause of anovulatory infertility.
(4) Luteinized unruptured follicle syndrome (LUFS): In a normal menstrual cycle or medication-induced ovulation cycle, the ovary develops a dominant follicle, but the follicle does not disappear or remains growing 48 hours after the LH peak, persisting for several days. The granulosa cells have undergone luteinization, but the follicle remains unruptured.
Advice: It is recommended to undergo comprehensive etiological testing and actively treat the condition based on the identified cause. Wishing you good health!