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anovulationFrom: Robert J. Woolley (wooll005@tc.umn.edu)Sun Mar 22 10:45:52 1998
A 25-year-old women in otherwise perfect health has menses fairly regularly every 13-17 days. No ovulation symptoms. Not technically infertile yet, but 8 months of unprotected intercourse without pregnancy. Physical exam completely normal. LH, FSH, TSH, prolactin all normal. Questions: 1) Assume that 4 more months go by like this, without pregnancy, so that we're talking about real infertility. Assume further that semen analysis is normal. (Hasn't been done yet.) Would this be enough to diagnose anovulation as the cause, or would you proceed with other investigations such as hysterosalpingogram? 2) When the patient asks "*Why* do I not ovulate?", what would be your explanation? What is the physiological defect repsonsible? ---------------------------------------------------------------------------
--------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota
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