Anovulatory infertility should prompt investigation and treatment of endocrinopathies. With monitoring, ovulation induction using oral or injectable medications results in good pregnancy rates and has a low risk of multiple pregnancies. Oligomenorrhoea or amenorrhoea are hallmark signs of anovulation. Identifying and correcting underlying endocrine disorders are the first steps in treating anovulation, before initiating targeted ovulation induction therapies. Referral of the patient to a fertility specialist is recommended for ovulation induction with gonadotropins or if other fertility factors exist.
Modern Medicine – Issue 5 2019