What are the factors or causes that lead to small female follicles?

Patient's question:

Married for three years now, still infertile. After examination, it was found to have ovulation disorders. Small follicles, not ovulating.

Doctor's answer:

Cause 1: Pituitary anovulation usually occurs due to functional factors and organic factors.
Cause 2: Ovarian anovulation, including conditions such as premature ovarian failure, polycystic ovary syndrome (PCOS), and luteinized unruptured follicle syndrome.
Cause 3: Hypothalamic anovulation, with secondary functional factors, primary functional factors, and primary organic factors.

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