Abstract

Key content Anovulation contributes to infertility in up to one‐quarter of couples attending infertility clinics. Polycystic ovary syndrome accounts for almost 90% of cases of anovulatory infertility. Careful monitoring is needed to minimise the complications of ovulation induction treatment such as multiple pregnancy and ovarian hyperstimulation syndrome. Lifestyle has a very significant impact on ovarian function. Learning objectives To be able to identify causes of anovulation. To understand appropriate patient selection and to be able to address lifestyle issues and individualise treatment. To recognise the significance of ovulation and cumulative conception rates. Ethical issues Should fertility treatment be offered to overweight and obese women? Counselling should be made available for couples undergoing fertility treatments, including ovulation induction.

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