Absence of ovulation with regular menstruation: causes, treatment. Center for Reproductive Health

The main mission of any woman on earth is the birth of children. But sometimes it is not so easy to conceive a child. At first glance it seems that everything is fine: the partner is healthy, the monthly go regularly. However, you can not get pregnant. A woman in this situation does not hurry to go to her doctor, because she believes that everything is normal, just until time has come. In fact, everything may not be as smooth as it seems. After all, there is such a problem as the lack of ovulation with regular menstruation. The reasons for the delay of conception can be covered in it.

Ovulation

Why is this happening? How to cope with this problem and conceive a child? In order to answer these questions, it is necessary to understand what ovulation is. It is a function of the female organism, which is entrusted to it by nature itself. There is a process in the middle of the menstrual cycle. At the same time, an egg leaves the ovary, ready for fertilization.

Her maturation occurs under the influence of hormones. This process is controlled by the brain system. Coming out of the ovary, the egg enters the fallopian tubes, in which its further encounter with the spermatozoon occurs. If fertilization has not occurred, then it dies after 13-36 hours, and in its place a yellow body is formed. It gradually decreases, and as a result - menstruation begins.

Physiological causes

Why is it that a woman is worried about lack of ovulation with regular menstruation? The reasons for this phenomenon are different. But they are divided into physiological and pathological. The following factors are among the first:

1. Sexual maturation. Usually the girl in the first couple of years after the onset of menstruation can not become pregnant. She has not reached the stage of puberty, so the process of ovulation in her body does not happen.
2. Pregnancy.
3. The period after the birth of the child.
4. Lactation.
5. Menopausal period.
6. The use of hormonal contraceptives. Even after rejection of them within a few months, ovulation may not occur.

However, the absence of ovulation one to two months a year is not considered a pathology. This phenomenon is typical for a completely healthy woman of reproductive age.

Pathological causes

These reasons are more common. In such cases, medical intervention is usually required. Pathological reasons include:

• Sharp decrease or weight gain. All this contributes to a change in the hormonal background in women and can lead to anovulation.
• Dysfunction of the thyroid gland and pathology of the adrenal glands.
• The pathology of the brain system that controls this process. To disrupt the work of the central link responsible for ovulation, can lead to various head injuries, tumors, circulatory problems, increased production of prolactin.
• Gynecological diseases. The most common is polycystic ovary. Pregnancy during this illness is difficult. After all, with this disease, not only the structure of the female sex glands changes, but also their function.
• Great physical activity, especially with a small body weight. This is the most common problem among athletes. Because their lifestyle contributes to a decrease in the production of hormones responsible for the maturation of the egg.
• Inflammation of the female genitalia and various infections. This reason is almost the most common and requires a long treatment. Late diagnosis of inflammation or infection can lead to the development of a chronic disease.
• Stressful situation. Loss of a loved one, problems at work and in the family, relocation - all this can cause a prolonged depression, negatively affecting the work of the ovaries.
• The use of drugs that affect the production of hormones.

The least common reason for the absence of ovulation is the defect in ovarian development. Treatment of pathology is very complicated.

Signs of anovulation

A woman can itself feel the absence of ovulation with regular menstruation. The reasons for this phenomenon are different. And if they are not physiological, then you can determine the exact only with the help of gynecological examination or medical examination. On the anovulation with regular monthly signs are the following symptoms:

1. Fat hair on the male type, acne and obesity. All this is evidence of the absence of ovulation due to polycystosis or adrenal disease.
2. Mastopathy. The development of this disease contributes to the disruption of the production of sex hormones.
3. Change in basal temperature.
4. The absence of ovulation can be manifested in the form of abundant menstrual discharge for a long period of time.
5. There is a uterine bleeding, which can be mistaken for a month.
6. A woman experiences uncharacteristic feelings for her before the menstrual cycle begins.
7. Problems with conceiving a child.

Diagnostics. What woman needs to conduct a survey?

Detection of any of the above signs should be regarded as a signal for a doctor or a reproductive health center. To diagnose and prescribe the right therapy, the gynecologist will first examine and ask the patient about all the nuances of her menstrual cycle. It can also measure basal temperature.

If necessary, the girl will be tested. It is done similarly to the pregnancy test on the date of supposed ovulation. You can calculate the approximate time of maturation of an egg by yourself. To do this, take seventeen days from the number of menstrual cycle days. Testing is necessary every day. The process lasts until ovulation or critical days.

When a second strip appears on the ovulation test, this indicates that the level of luteinizing hormone has reached the point at which the egg is ready for fertilization. If such a result appeared the first time, then you need to repeat the procedure the next day. Why? Because the second strip on the test for ovulation can also indicate a tumor. In order to find out the cause, a woman is given a referral to a blood test and ultrasound. If there is a probability that ovulation is absent from a disruption in the work of the central link, craniography is also assigned.

Lack of ovulation: treatment

Before solving this problem, you need to accurately determine the cause of its occurrence. After all, this will determine the type of treatment. Sometimes, in order to restore the process of ovulation, a woman simply needs to re-examine her diet. In the case of obesity, even a slight weight loss can help normalize this process. When problems with the thyroid gland are prescribed hormonal drugs.

With a triple detection in the blood analysis of elevated prolactin, medications are prescribed that help reduce it. It is also important for a woman to create around herself a comfortable psycho-emotional situation. It should be noted and the fact that earlier pregnancy with polycystic ovaries was considered impossible. However, medicine does not stand still. To date, this diagnosis is curable - the conception of a child becomes possible.

Preparations

If it is impossible to eliminate the cause, various medications are prescribed to stimulate ovulation :

• "Clomifen". It promotes the production of prolactin.
• "Menogon". It is used as an injection for ovarian growth and stimulation of their development.
• "Dyufaston" - a pill with a content of synthetic progesterone. The reason for their appointment may be pregnancy, which is under threat of collapse, the absence of ovulation, infertility. This tool is very effective. It has no side effects androgenic effects.
• "Utrozhestan" - capsules with the content of natural progesterone. Before applying any of these tools, you need to make sure that there is really no way to overcome the cause of ovulation. After all, any hormonal intervention in the body can have its consequences. And they are not always favorable.

Address to the expert!

With any problems with the conception of a child, the best option is to contact the reproductive health center. These institutions are created to combat infertility. In this center, you can undergo a complete examination. Also here are donated eggs, sperm. There are services of in vitro fertilization, genetic research, cryopreservation. Pregnancy in polycystic ovaries became possible, thanks to treatment in such clinics.

A small conclusion

Now you know why women have no ovulation with regular menstruation. The reasons can be different. Of course, infertility - this is one of the most terrible diagnoses, which only can hear the representative of the weaker sex. Absence of ovulation, of course, can be its cause. But, before you take this verdict yourself, it is worthwhile to see a doctor and fight for the opportunity to be a mother.