Human Reproduction: Case 1, Question 4  
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Case 1
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Question 4 of 5

After documenting hyperprolactinemia not associated with a pituitary adenoma ( MRI was negative) the patient asks why this disorder results in anovulation and infertility. You respond: Hyperprolactinemia may result in anovulation and infertility through all the following mechanisms except:

A reduction in granulosa cell number and FSH binding
Inhibition of granulosa cell 17 beta estradiol production by interfering with FSH action
Inadequate luteinization and reduced progesterone
The suppressive effects of prolactin on GnRH pulsatile release
Creation of polycystic ovarian syndrome

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