NAPLEX Contraception And Infertility Practice Test

Infertility in PCOS is driven by irregular ovulation, elevated androgens, and a polycystic-appearing ovaries pattern. Oligo/anovulation means eggs aren’t released regularly, so conception opportunities are infrequent. Hyperandrogenism reflects excess androgens that disrupt normal follicle development and the hormonal balance that governs ovulation, further reducing ovulatory cycles. The ultrasound finding of multiple small follicles—polycystic ovaries—shows arrested follicle maturation, supporting why ovulation is unreliable. This combination is characteristic of PCOS and directly explains fertility challenges. In contrast, regular ovulation or normal androgen levels wouldn’t fit PCOS infertility, and hypogonadism, uterine anomalies, or ovarian failure point to different infertility causes.