Ovulatory dysfunction

Ovulatory dysfunction is known as abnormal, irregular, or absent ovulation. Menses are often irregular or absent. Diagnosis is possible by history and can be confirmed by measurement of hormone levels or serial pelvic ultrasonography. Treatment is usually induction of ovulation with clomiphene or other drugs.

Etiology

Chronic ovulatory dysfunction in premenopausal women is commonly caused by polycystic ovary syndrome (PCOS), also has many other causes, including hyperprolactinemia, hypothalamic dysfunction and other disorders.

Symptoms and Signs

Ovulatory dysfunction is suspected if menses are absent, irregular, or not preceded by symptoms, such as breast tenderness, lower abdominal bloating, or moodiness.

Diagnosis

  • Basal body temperature monitoring
  • Measurement of urinary or serum hormones
  • Ultrasonography

Treatment

  • Induction of Ovulation with close and constant monitoring