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, menstruation is regular. However, it does not work to get pregnant. A woman in this situation is not in a hurry to go to her doctor, because she believes that everything is normal, just until the 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 in conception may lie 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. This is a function of the female body assigned to it by nature itself. A process occurs in the middle of the menstrual cycle. In this case, an egg is released from the ovary, ready for fertilization.
Its maturation occurs under the influence of hormones. This process is controlled by the brain system. After leaving the ovary, the egg enters the fallopian tubes, in which it further encounters the sperm. If fertilization never happened, then it dies after 13–36 hours, and a yellow body forms in its place. It gradually decreases, and as a result, menstruation begins.
Physiological reasons
Why is it that a woman is concerned about the lack of ovulation with regular menstruation? The reasons for this phenomenon are different. But they are usually divided into physiological and pathological. The first factors include the following:
- Puberty. Usually, a girl in the first couple of years after the onset of menstruation cannot get pregnant. She has not yet reached puberty, so the process of ovulation in her body does not occur.
- Pregnancy.
- The period after the birth of the baby.
- Lactation.
- Menopausal period.
- The use of hormonal contraceptives. Even after refusing them for several months, ovulation may not occur.
However, the absence of ovulation for one to two months a year is not considered a pathology. This phenomenon is characteristic of a completely healthy woman of reproductive age.
Pathological causes
These reasons are more common. In such cases, medical attention is usually required. Pathological reasons include:
- A sharp decrease or weight gain. All this contributes to a change in the hormonal background in women and can lead to anovulation.
- Impaired thyroid gland and adrenal gland pathology.
- Pathology of the brain system that controls this process. Various head injuries, tumors, circulatory problems, increased prolactin production can lead to disruption of the central link responsible for ovulation.
- Gynecological diseases. The most common is polycystic ovary. Pregnancy during this ailment is difficult. After all, with this disease, not only the structure of the female genital glands changes, but also their function.
- Great physical activity, especially with low body weight. This is the most common problem among female athletes. Since their lifestyle helps to reduce the production of hormones responsible for the maturation of the egg.
- Inflammation of the internal genital organs of women and various infections. This reason is almost the most common and requires long-term treatment. Late diagnosis of inflammation or infection can lead to the development of a chronic disease.
- Stressful situation. The loss of a loved one, problems at work and in the family, moving - all this can cause prolonged depression, which negatively affects the work of the ovaries.
- The use of drugs that affect hormone production.
The least common cause of lack of ovulation is a malformation of the ovaries. The treatment of pathology is very complicated.
Signs of anovulation
A woman can herself feel the lack 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 a gynecological examination or medical examination. The following signs indicate anovulation with regular menstruation :
- Male facial hair, acne, and obesity. All this is evidence of the absence of ovulation due to polycystic or adrenal gland disease.
- Mastopathy The development of this disease contributes to the violation of the production of sex hormones.
- Change in basal temperature.
- Lack of ovulation can manifest itself in the form of heavy menstrual flow over a long period of time.
- There is uterine bleeding, which can be mistaken for menstruation.
- A woman experiences uncharacteristic sensations before the start of the menstrual cycle.
- Problems conceiving a baby.
Diagnostics. Which women need to be tested?
Detection of any of the above signs in yourself should be regarded as a signal for going to the doctor or the reproductive health center. To make a diagnosis and prescribe the right therapy, the gynecologist will first examine and ask the patient about all the nuances of the flow of her menstrual cycle. He can also measure basal temperature.
If necessary, the girl will be tested. It is done similarly to a pregnancy test on the date of the alleged ovulation. You can calculate the approximate egg maturation time on your own. To do this, subtract seventeen from the number of days of the menstrual cycle. Testing is necessary every day. The process lasts until ovulation or critical days.
When the 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 ovulation test can also indicate a tumor. In order to find out the reason, the woman is given a referral for a blood test and ultrasound. If there is a likelihood that ovulation is absent from a violation in the work of the central link, then craniography is also prescribed.
Lack of ovulation: treatment
Before solving this problem, you need to accurately determine the cause of its occurrence. After all, the type of treatment will depend on this. Sometimes, in order to restore the ovulation process, a woman simply needs to review her diet. In case of obesity, even a slight weight loss can help normalize this process. With problems with the thyroid gland, hormonal drugs are prescribed.
When three times in the analysis of the blood of elevated prolactin, medications are prescribed that contribute to its reduction. It is also important for a woman to create a comfortable psycho-emotional environment around herself. It should be noted that the fact that earlier pregnancy with polycystic ovary was considered impossible. However, medicine does not stand still. Today, this diagnosis is treatable - the conception of a child becomes possible.
Preparations
If it is not possible to eliminate the cause, various medications are prescribed to stimulate ovulation :
- "Clomiphene." It promotes the production of prolactin.
- Menogon. It is used as an injection for ovarian growth and stimulation of their development.
- Dufaston is a tablet containing synthetic progesterone. The reason for their appointment may be pregnancy, which is under the threat of disruption, lack of ovulation, infertility. This tool is very effective. It has no androgenic side effects.
- "Utrozhestan" - capsules containing natural progesterone. Before using any of these tools, you need to make sure that there really is no way to overcome the cause of the lack of ovulation. After all, any hormonal intervention in the body can have consequences. And they are not always favorable.
Consult a specialist!
For any problems with conceiving a child, the best option is to contact a reproductive health center. These institutions are created to combat infertility. In such a center, you can go through a full examination. Donor eggs and sperm are also stored here. Here in vitro fertilization services are provided, genetic studies, cryopreservation are carried out. Pregnancy with polycystic ovary has become possible, thanks to treatment in such clinics.
Little conclusion
Now you know why women have a lack of ovulation with regular menstruation. The reasons may be different. Of course, infertility is one of the most terrible diagnoses that a representative of the weaker sex can only hear. The lack of ovulation, of course, can become its cause. But, before making this verdict for yourself, you should consult a doctor and fight for the opportunity to be a mother.