Irregular or absent menstrual cycles in PCOS

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Too often I consult with young women whose menses have become erratic or have stopped all together. For some, the lack of cycles has them worried about their general state of health, while others are concerned about infertility. Erratic or absent ovulation leads to menstrual irregularities. Anovulation can be confirmed by checking for progesterone levels that remain consistently low. Alternatively, this can be evaluated with static basal body temperatures. Erratic cycles should be followed with…