Polycystic ovulation

Polycystic ovary syndrome is an endocrine disease that often manifests as ovulatory dysfunction. The symptoms are different for each person, and many people are infertile. The reason for infertility is mainly because polycystic ovary syndrome affects the patient's ovulation. Without eggs, there is naturally no way to conceive. Polycystic ovary syndrome and anovulation are not terminal illnesses and can be treated. After a period of treatment and recovery, patients still have hope of recovery.

Polycystic ovary syndrome (PCOS) is an endocrine system disease, which is often manifested by ovulation disorders and abnormal glucose metabolism. The clinical manifestations are diverse and vary from person to person. Among them, infertility caused by ovulation disorders is a common clinical manifestation of polycystic ovary syndrome, and most people come to the doctor for infertility. The cause of polycystic ovary syndrome is currently unclear. It is generally believed that it is related to abnormal secretion of multiple endocrine hormones in the body, which leads to excessive secretion of androgens from the ovaries.

The surface of normal ovaries is covered with a layer of white membrane. In normal women, the site of follicle development is located in the germinal layer under the white membrane. In each menstrual cycle, a dominant follicle matures and breaks through the white membrane to discharge the egg. This process is called ovulation. The development of the follicle generally takes nearly a year, but its final development and maturity only takes about 15 days. This stage is generally the first half of a woman's menstrual cycle. It is abnormal for the follicle to ovulate early or late, resulting in immature or over-mature eggs, which generally leads to fertilization disorders.

There are currently two possible reasons for polycystic ovary syndrome complicated with ovulation disorders:

1. The white membrane on the surface of the ovary is thick and dense. When the follicle develops to maturity and ovulates, the tunica albuginea is thick and dense, which causes the follicle to be unable to break through the tunica albuginea, resulting in ovulation disorder. Although some of them may eventually release eggs, they will be overmature eggs and cannot be fertilized. Another part may eventually fail to break through the membrane to expel the egg, which is called unruptured luteinized syndrome.

2. Some patients with polycystic ovary syndrome may have follicular development disorders, with multiple follicles developing but none of them maturing, that is, there is no dominant follicle and ovulation cannot occur. Anovulation or infrequent ovulation is also the main reason for prolonged menstrual cycle and infrequent menstruation in patients.

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4. Of course, patients with PCOS may occasionally ovulate and become pregnant, so PCOS is called infertility rather than infertility.