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BOOK TITLE: Principles and Practice of Assisted Reproductive Technology
Anovulation is one large spectrum in reproductive endocrinology. Anovulation presents itself with various clinical manifestations that include amenorrhea, infertility, hirsutism, and menstrual irregularities. Anovulation is defined as a state where there is no release of oocyte due to failure of rupture of a mature follicle. This is the working definition of anovulation accepted at present. Ovum release involves many steps and any blockage during one of these stages could lead to anovulation. Classifications of anovulation, etiopathogenesis of anovulation, diagnosis of anovulation, and treatment of anovulation are covered in this chapter. Anovulatory infertility is a condition with several underlying causes. This can be systematically evaluated by proper history, physical examination, and basic investigations along with hormonal status. Treatment of anovulation is done according to the cause.