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Anovulatory Endometrium with Persistent Follicle
D efinition —Alterations in the endometrium due to lack of ovulation and estrogenic effects of a persistent follicle.
Clinical Features
Epidemiology
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Most commonly seen at or around menopause with failed ovulation and persistent follicle.
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Common in polycystic ovarian syndrome (PCOS).
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Abnormal uterine bleeding in the fourth or fifth decade is the most common presenting sign.
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Can be mimicked by excessive estrogen administration post menopause.
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