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1

• Hormonal problems
• Polycystic Ovary Syndrome (PCOS)
• Heterogenous endocrine pathology of unknown
  cause, characterised by chronic anovulation,
  amenorrhoea, hyperandrogenism (hirsutism),
  infertility and recurrent miscarriage without
  specific underlying diseases of adrenal or
  pituitary glands
• Imbalance of LHFSH-ratio
• ? FSH levels / ? LH levels
• ?? E2 secretion pattern ?
• ? testosterone (50-150 )

2

• Hormonal problems
• Polycystic Ovary Syndrome, cont.
• Impaired LHFSH ratio
• Continuous partial development of follicles
• Numerous follicular ovarian cysts, lined up like
  pearls on a chain (up to 6 mm in diameter) seen
  with ultrasound equipment
• Affected ovaries commonly double in size,
  surrounded with a smooth white capsule

3
IUI Intrauterine insemination
4
Key stages of the IVF cycle
5
Oocyte aspiration
6
ICSI
7
The long protocol