Anovulation

Patients with polycystic ovarian syndrome don’t ovulate regularly.  For a variety of reasons, their pituitary gland does not cycle as expected, so the ovarian follicles don’t respond.  Patients tend to have modest levels of estrogen production all the time and no 2-week time of progesterone production.  As a result, their cycles are few and sometimes very heavy when they do occur. Also, pregnancy is hard to achieve.  One of the real frustrations is that you can have either no LH surge (never a positive OPK) or a chronic high LH level (OPK always positive).

A reproductive endocrinologist can help you decipher all this, look for causes of anovulation, and make recommendations for medication and lifestyle modifications that will help!  Feel free to reach out to us.