Infertile for three years after marriage, what to do if the follicles are small after examination?

Patient's question:

Married for three years without pregnancy, ultrasound shows small follicles that mature to around 15mm and then ovulate. Additionally, I have undergone a six-hormone test, and my prolactin level is about 100 units higher than the normal maximum. Last month's follow-up test still showed a level about 100 units higher, but my menstruation is normal with a cycle of 28-30 days, lasting 6-7 days each time. Occasionally, I experience menstrual cramps. I have taken traditional Chinese medicine for regulation.

Doctor's answer:

Hello:
Poor follicular development leading to abnormal ovulation is a cause of infertility. Factors contributing to ovulation disorders include: central nervous system anovulation; hypothalamic anovulation; pituitary anovulation; ovarian anovulation; polycystic ovary syndrome (PCOS); luteinized unruptured follicle syndrome (LUFS); and others: endocrine disorders outside the gonads, such as thyroid or adrenal cortex dysfunction, as well as systemic diseases like severe malnutrition, can affect the regulation of ovarian function and lead to ovulation disorders. It is recommended that you visit a hospital for a thorough examination to identify the specific cause of your ovulation disorder and receive targeted treatment. Do not miss the best age for pregnancy.

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