Why don't you ovulate even though you have good follicles?

Patient's question:

Not pregnant and don't know what factors or causes it, can only go to the hospital for a check-up. The doctor said I have high-quality follicles, but there are no signs of ovulation, which is the factor or cause of not being able to get pregnant. What's strange to me is why I'm not ovulating, what's going on? Can I still be a mother?

Doctor's answer:

Hello! The size of mature follicles is 18-25mm. If the follicles cannot mature or do not ovulate after maturing, it is considered ovulation dysfunction. The factors that can cause ovulation dysfunction 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 and adrenal cortex dysfunction, as well as some systemic diseases like severe malnutrition, can affect the regulation of ovarian function and lead to ovulation dysfunction. Since the factors or causes of the dysfunction vary, the treatment methods also differ. It is recommended that you undergo comprehensive examinations related to this to identify the specific factors or causes, so that scientific and targeted regulation and treatment can be applied, which will yield good results. It is essential to visit a reputable infertility and subfertility specialty hospital for comprehensive examinations. The doctor will provide targeted treatment based on your condition. Wishing you health and early pregnancy!

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