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Anovulatory cycle: causes, symptoms, diagnosis and treatment

Anovulatory cycle

Anovulatory cycle – one of the most common causes of infertility.

Anovulatory is the menstrual cycle, in which there is no ovulation (the release of a mature egg into the abdominal cavity) and the development of the so-called yellow body, a special temporary gland, the functioning of which is necessary for the onset of pregnancy. In this case, the woman has anovulatory uterine bleeding, very similar to the usual menstruation.

But the difference, of course, is.

What is menstruation, and what processes occur in the body of a woman?

The normal menstrual cycle is two-phase.

  • In the first phase, the ovum ripens in the main, dominant, ovarian follicle;
  • In the second phase, ovulation occurs: the follicle breaks, the egg leaves the abdominal cavity, then the uterus follows the fallopian tube. In place of the ruptured follicle, the yellow body begins to develop – a temporary gland that produces the hormone progesterone necessary for a woman to become pregnant.

If fertilization occurs and the egg is attached to the uterine wall, the yellow body functions until the placenta is formed, releasing the necessary hormones. If not – the yellow body gradually degrades, and after 14-16 days after ovulation menstruation begins.

During the second phase of the ovulatory menstrual cycle, the mucous membrane of the uterus (endometrium) grows rapidly, preparing for the implantation of a fertilized egg. The rejection of the overgrown endometrium is the menstrual bleeding.

In contrast to the normal menstrual cycle, the anovulatory mother cycle – single-phase.

The egg does not reach the stage of maturation, the follicle does not break, the yellow body does not form. The dominant follicle in the ovary first increases, and then, at some point, the process of regression (atresia) begins.

During the growth of the follicle, the hormone estrogen is released into the body of the woman; they stimulate the growth of the uterine mucosa. Atresia of the follicle is accompanied by a decrease in the production of this hormone and the breakdown of the endometrium, which is accompanied by bleeding, similar to menstrual bleeding.

The anovulatory cycle practically does not differ in duration from the normal 24-30-day ovulatory cycle. Bleeding can be both very scarce and short, and vice versa – very abundant.

Doctors distinguish two types of anovulatory cycles:


  • Stop uterine bleeding (if it was the reason for calling a doctor). The most effective method is scraping the uterine cavity;
  • Restoration of the menstrual cycle. Treatment with sex hormones is indicated;
  • Restoration of ovulation. To do this, medicinal products are prescribed that stimulate ovulation.

In addition to hormonal preparations, vitamins, gynecological massage, physiotherapy, physiotherapy, electrostimulation of the cervix, mud therapy are used.

The absence of ovulation can be caused by a variety of causes. As a preventive measure, doctors are advised to take good care of their health.

And it takes quite a bit for this - a full-fledged diet, a properly arranged alternation of work and rest, acceptable physical activity. Try not to work in harmful industries and avoid stress.

And, of course, you need to regularly check with your doctor for possible inflammatory diseases of the genital organs and necessarily bring the prescribed treatment to the end, without stopping half a road after the first improvements.

But even if you have already been diagnosed with the anovulatory cycle, there is no reason for panic. This is not a verdict.

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