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Concern

  Evaluating Your Fertility
  Understanding Fertility
  Maximise Your Fertility
  Infertility: An Introduction
  Infertility in Females
  Impact of Age
  Ovulatory
  Classification of Disorders
  Clinical Features of Disorders
  Possible Causes of Disorders
  Lack of Ovulation
  Irregular Ovulation
  Polycystic Ovary Disease
  Inadequate Luteal Phase
  Prolactin Disorders
  Anatomical
  Chromosomal Disorders
  Other Causes (Idiopathic)
  Infertility in Males
  Implications of Infertility
  Questions to Ask Your Doctor
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Ovulatory

Failure of ovulation is the single most common cause of infertility in females. Over 40% of women who are infertile have an ovulatory problem. The normal ovarian cycle is so complex that even small deviations may disrupt the cycle and prevent ovulation. However, with modern treatment there is a very good chance that pregnancy will eventually be achieved in these women. 

Before considering the reasons for dysfunction or failure of ovulation, it is important to review the physiology of the normal ovarian cycle. 

The normal cycle is under the control of the anterior pituitary hormones, FSH (follicle stimulating hormone) and LH (luteinising hormone). The secretion of these hormones is influenced by GnRH (gonadotropin-releasing hormone) from the hypothalamus, and by circulating levels of oestrogen and progesterone. 

A summary of the main stages of the ovarian cycle is shown below and is discussed in detail in Understanding Infertility. 



Ovulatory disorders are most often caused by deficiency in one of the controlling hormones. However, problems can also arise if the ovaries themselves are resistant to normal levels of hormones. In addition, absent, damaged or diseased ovaries will prevent ovulation.

The issue of Ovulatory disorders is broad and complex, so we’ve broken it down into some key areas for you: 



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