Anovulatory problems are the ones we deal with the majority of times. The patient is having either irregular anovulation or irregular ovulation, or is totally anovulatory. And then anatomical problems in the reproductive years are usually fairly few and far between, although we do see a fair number of patients that The reasons many patients have the anovulatory type of bleeding, the endocrine problems we see with thyroid, pituitary. Drugs such as many of the psychiatric drugs will create problems, related back to endocrine. Many of the psychiatric drugs will raise the prolactin and cause problems.
Stress can cause changes in it.
We all know about nutritional problems, especially in the bulimic patients that create menstrual problems such as amenorrhea, total amenorrhea and Thyroid problems we see both in the hyper and hypo thyroid. If the patient has any other symptoms of either, such as hyperthyroid - if she s one of those patients that can get all her housework done and have time to go shopping and all the rest of that, then I get suspicious. They may be a little hyperthyroid, and if they are not gaining weight slowly over the decades, and you should. So if she is not into that group and Adrenal problems, hyperplasia and tumors, are things we see. Patients who have anovulatory cycling, doing laboratory testing for this is very easy.