gynecology and obstetrics
Ovulatory Dysfunction
Key Points
The most common cause of ovulatory dysfunction in premenopausal women is PCOS; other causes include hypothalamic and pituitary dysfunction. Diagnose ovulatory dysfunction based on menstrual history, results of pelvic ultrasonography, and/or measurement of serumprogesteroneand urinary pregnanediol glucuronide. Induce ovulation in most women, usually withclomiphenecitrate orletrozole. 