Infertility due to polycystic ovary syndrome

Sri Suryo Adiyanti, Suzanna Immanuel

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Polycystic ovary syndrome (PCOS) is commonly observed in women of reproductive age. This syndrome presents with symptoms such as amenorrhea, hirsutism, and obesity. Impairment of feedback between the hypothalamus-pituitary axis and ovary increases the secretion of estrogen, decreasing the secretion of follicle-stimulating hormone (FSH). Herein, we report the case of a 29-year-old married women who sought fertility consultation at our intuition. The following laboratory results were obtained: an elevated luteinizing hormone (LH) level during the follicular stage (22.390 mIU/mL) and an FSH/LH ratio of 4.6 (elevated >2.5). Such findings are indicative of PCOS. Moreover, the patient presented with amenorrhea and irregular menstruation. Her last menstrual period was 1.5 years back. The patient has been experiencing primary infertility for 3 years. Ultrasonography revealed the following results: retroflexion on the cavum uteri, uterus of normal size, endometrial thickness of 11 mm, and polycystic ovaries.

Original languageEnglish
Title of host publicationObstetric and Gynecology Case Report
PublisherNova Science Publishers, Inc.
Number of pages9
ISBN (Electronic)9781536167122
ISBN (Print)9781536167115
Publication statusPublished - 1 Jan 2020


  • Estrogen
  • Infertility
  • Insulin resistance
  • Obesity
  • Polycystic ovary syndrome


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