A: No ovulation is any cause of ovarian dysfunction and a series of amenorrhea caused the syndrome.
Women before puberty, pregnancy, lactation and after menopause rational living ovulation. Pathological anovulation following reasons:
1. Systemic diseases, such as psychological factors, malnutrition, anemia, tuberculosis, diabetes, sex chromosome abnormalities.
2. The hypothalamus - pituitary diseases, such as anterior pituitary insufficiency, pituitary abnormalities and cancer, and oral contraceptives do not cause ovulation.
3. The adrenal glands, including adrenal hyperplasia, adrenal tumor, adrenal insufficiency.
4. Thyroid such as hyperthyroidism, hypothyroidism, etc.
5. Ovarian anovulation, including ovarian abnormalities, ovarian dysfunction, and gonadal secretion of ovarian tumors or lesions (eg, masculine tumor, polycystic ovaries, etc.).
Diagnosis is based on
1. Menstrual cycle disorders, rare or amenorrhea;
2. Years of primary infertility, associated with hirsutism, obesity.
3. Long-term period without ovulation, basal body temperature single-phase.
4. With the exception of ovarian ovulation than not, you should look for other diseases (such as systemic disease, hypothalamic - pituitary disease, etc.) factors do not ovulate. Can be used for endocrine determination, such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), pituitary prolactin (PRL), progesterone (P), testosterone (T), estradiol (E2) and comprehensive analysis.
5. Bimanual showed bilateral symmetric cystic ovarian enlargement and uterus hypoplasia. Such as suspicious was feasible hysterosalpingography to confirm the diagnosis.
