If you have clusters of pearl-sized cysts or follicles, you might have a condition called polycystic ovary syndrome — a leading cause of infertility in women.
Your ovaries contain eggs, which are present in the ovaries from a woman’s development as a fetus. These eggs get released each month during the ovulation phase of your menstrual cycle. The eggs are in tiny sacs called follicles that fill up with fluid as the eggs mature. Normally, the follicles break open to release the matured eggs, sending them to the womb for fertilization.
Women with polycystic ovarian syndrome do not make all of the hormones needed for the eggs to fully mature. The follicles grow and build up fluid, but the eggs do not get released. Ovulation does not occur, and the follicles remain dormant..
If this happens, your body might fail to make the hormone progesterone, which is needed to keep your cycle regular.