PCOS according to the Rotterdam consensus criteria: change in prevalence among WHO-II anovulation
and association with metabolic factors.
High oxidant levels in PCOS may alter the proliferation and apoptosis of granulosa and theca cells, resulting in multiple unregressed follicles and anovulation
High frequency of luteal phase deficiency and anovulation
in recreational women runners: Blunted elevation in follicle-stimulating hormone observed during lutealfollicular transition.
The end result is anovulation
with other clinical manifestations, such as acne and hirsutism.
MEDICAL CONDITIONS " There can be underlying medical conditions like low haemoglobin, thyroid, irregular menstrual cycle, fibroids ( tumours in the uterine cavity), endometriosis ( tuberculosis in the genital tracts), anovulation
, pelvic inflammatory disease and PCOS.
I learned from recent recertification reading that the risks for failure of ablation are dysmenorrhea, tubal ligation, and obesity, not anovulation
. Therefore I may be more lenient with the use of ablation in this situation.
The medical management of anovulation
is complex because it entails initiating a multitiered approach to patient care.
or dysfunctional ovaries, as seen in PCOS, may not be obvious early on.
For example, one study found 78% of normally menstruating recreational runners had luteal deficiency or anovulation
in one-third of their cycles.
Ovary is one of the most important organs in the female reproductive system as well as an endocrine organ that undergoes aging by a continuous decreasing in the number of follicles, diminished quality of oocytes, menstrual irregularities, ovarian hormonal deficiency, anovulation
, and subfertility leading to menopause which is the final step in this process .
Female patients with BTM usually suffer from hypogonadotropic hypogonadism (HH) associated with amenorrhea, anovulation
, and infertility, attributed to the iron effect on the pituitary gland as well as on the female reproductive system.
PCOS is connected with nearly 75% of women who suffer from infertility due to anovulation