Temporary disruptions can be triggered by excessive physical exertion, strict diets, and stress. In such cases, the egg can not mature due to the increased level of stress hormone prolactin.
It is necessary to reduce the load, adjust nutrition and stop nervous, as everything normalizes. Another reason for anovulatory cycles is overweight.
If too much adipose tissue accumulates, it begins to affect the ratio of hormones in the body. Sharp weight loss and a weight of less than 47 kg can also be a cause of disturbed egg maturation in the ovaries. Ovulation is restored as soon as weight returns to normal.
However, for the lack of ovulation, there are more serious reasons. First of all, we are talking about hormonal disruptions (thyroid gland disorders, polycystic ovary syndrome, hyperandrogenism) and sexually transmitted infections (ureaplasmosis, candidiasis, mycoplasmosis).
First you need to figure out whether there is cause for concern. If the menstrual cycle lasts from 24 to 30 days and menstruation always comes on time, most likely, the woman has no problems with ovulation.
If the cycle fails (it shortens or, on the contrary, lengthens dramatically), and menstruation becomes more scarce, one may suspect that the ovaries have declared a “strike”.
However, it is often difficult to recognize anovulation without special studies: menstrual periods without ovulation are possible without any external manifestations and do not cause inconvenience to a woman. Dispel doubts will help the gynecologist. A good specialist will first ask the woman in detail about her lifestyle in order to exclude purely physiological causes (stress, excessive sports enthusiasm, etc.).
To clarify the same diagnosis will need to pass a blood test for hormones. On days 2–5 of the cycle, the content of follicle-stimulating hormone (FSH for short), luteinizing hormone (LH), estradiol, prolactin, as well as the level of thyroid hormones, adrenal glands and a number of male sex hormones will be checked.
Then, folliculometry is performed on the 10–14th day of the cycle — an ultrasound diagnosis that allows you to see whether the dominant follicle matures or not and whether a yellow body forms in its place. In the second phase of the cycle from the 18th to the 23rd day, a blood test is assigned to the level of progesterone – a hormone responsible for thickening the endometrium (uterine lining).
The less progesterone, the worse the uterus is ready for pregnancy.
You can check for ovulation at home with the help of pharmacy rapid tests that measure the level of the hormone LH in the urine. However, interpreting the result is not so easy.
For example, in polycystic ovary syndrome, LH levels are constantly elevated, so tests will be uninformative.
If you have only had your period without ovulation once, your condition does not require treatment. But if the anovulation is repeated, it is necessary to consult a doctor, even if the woman does not plan a pregnancy: the lack of ovulation is fraught with the development of endometrial hyperplasia.
Due to the wrong hormonal commands, it grows excessively, which can lead to its pretumor state. In order to debug a cycle, the exact diagnosis first appears, and then appropriate treatment is prescribed.
Women planning pregnancy are prescribed hormonal drugs to stimulate ovulation and support the second phase of the cycle.
If a woman, who has monthly without ovulation, is planning a pregnancy, it is better to immediately contact a gynecologist-reproductive specialist. This will allow not to lose precious time, for 1–2 months to make an accurate diagnosis and start treatment.
Special attention requires anovulation in the postpartum period. Normally, if a woman does not breastfeed her baby, the first periods come 2-2.5 months after childbirth.
However, most often they occur without ovulation. That is, the follicle matures, and the release of the egg does not occur.
As a rule, the ovulatory cycle is normalized by the second or third month after childbirth.
But during breastfeeding, the first periods should be expected no earlier than 5 months after the birth of the baby. The reason for this is the hormone prolactin, which is responsible for the “production” of breast milk, and it also suppresses the production of hormones that cause ovulation. Thus, menstrual periods without ovulation during lactation are not cause for alarm.
Depending on many factors, the first menstruation during breastfeeding may occur 5 months after birth, and 1.5 years later (if you continue to breastfeed), or immediately upon completion of breastfeeding, when the body stops producing prolactin in large doses.
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