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Clinical features of Ovulatory Disorders
In general, there are few specific signs and
symptoms of ovulatory disorders. The problem is usually first
identified when a young woman complains of absent, irregular or
infrequent menstrual cycles, or visits her doctor complaining of
inability to conceive. On examination or questioning, the menstrual
disorder is sometimes found to be associated with other signs or
symptoms, usually indicating an endocrine disorder.
Signs and symptoms associated with ovulatory disorders:- Amenorrhoea (lack of menstruation)
- Irregular menstrual cycles
- Oligomenorrhoea (infrequent
menstruation)
- Obesity
- Excessive weight loss
- Galactorrhoea (milk secretion from the
breasts)
- Hirsutism (abnormal or excessive hair growth
on the body and face)
- Acne
Ovulatory disorders can include anovulation (lack
of ovulation), oligo-ovulation (infrequent ovulation) and luteal
phase defects (inadequate corpus luteum function). Ovulatory
disorders can result from a number of underlying causes, including
systemic diseases or disruption of the
hypothalamic-pituitary-ovarian axis that regulates normal
ovulation. Below is a list of the most common underlying causes,
although a minority of cases remain unexplained even after full
investigation.
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