Our expert says:
The positive ovulation test as well as confirmatory day 21 progesterone would most likely indicate ovulation having occurred. However in severe cases of PCOS it is possible to have false positive LH detection, simply due to the fact that PCOS sufferers have raised baseline LH levels continuously. Furthermore PCOS patients may also have an increased tendency towards lutenised unruptured follicle syndrome (lufs) which implies no ovulation despite the formation of a corpus luteum and hence elevated progesterone levels as well, in the second half of the cycle. Therefore one would have to trace significant reliance on the ultrasound scan and trusting that this scan was done accurately, I would be inclined to believe that PCOS is quite advanced and needs to be dealt with as a matter of urgency. Aggressive but careful ovulation induction should be considered.
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