A 32-year-old couple has been trying to conceive for 18 months. The female partner has irregular cycles (every 35-60 days) and a BMI of 24 kg/m². Day ...

Question

A 32-year-old couple has been trying to conceive for 18 months. The female partner has irregular cycles (every 35-60 days) and a BMI of 24 kg/m². Day 2 bloods show: LH 12 IU/L, FSH 4 IU/L (LH:FSH ratio 3:1), testosterone mildly elevated, and AMH 42 pmol/L (high). What is the most likely cause of her subfertility?

Accepted Answer

Anovulation secondary to polycystic ovary syndrome

Answer

Premature ovarian insufficiency

Answer

Hypothalamic amenorrhoea

Answer

Hyperprolactinaemia

Answer

Tubal factor infertility

uk-drcog MCQ (SBA): PCOS - Biochemical Profile in Subfertility