The phenomenon of lack of ovulation has its own medical name. The diagnosis that can be heard from a doctor in this case is anovulation.

When a woman does not ovulate, she is unable to become pregnant. Since the egg does not leave the ovary, the sperm cannot fertilize it. If a woman does not ovulate regularly, this can cause infertility. This means that the issue of diagnosing and treating this pathology must be taken seriously. To do this, you need to find out the reasons why there is no ovulation and figure out what to do next.

If a woman wants to get pregnant, then the lack of ovulation can be unpleasantly disappointing. Of course, it is impossible to calculate whether there is ovulation at home with 100% accuracy. You can only guess by the discharge, sensations, check with a test. But the test can determine this process in the body by almost 99%, so there is reason to think about it. This reaction is quite understandable, because the problem can indeed lead to dire consequences. But don’t panic right away, you need to find out the reasons.

There are two reasons why ovulation is absent:

1. Physiological.
2. Pathological.

Physiological ones include following reasons why there is no ovulation:

• pregnancy;
• postpartum period;
• preclimatic period;
• reception OK.

If the release of the egg does not occur for one of these reasons, the woman cannot influence this in any way. But physiological reasons do not pose any threat to health.

When ovulation does not occur, it makes sense to check for pregnancy. If it is confirmed, then there is no need to worry, because anovulation is absolutely natural during pregnancy.

The process of releasing the egg also does not occur for some time after childbirth. This is also the norm, especially if the child is breastfed. During lactation, a woman’s body has an increased level of the hormone prolactin, which is responsible for the production breast milk. This hormonal process blocks the release of the egg from the ovary into abdominal cavity.

In the period before the onset of menopause, anovulatory cycles appear more often and with greater regularity. Interestingly, this process begins at approximately the age of 30-35 and lasts until menopause. Women at this age can still afford to give birth to a child, so the chances of conceiving are reduced.

But don’t worry, because the quantity ovulatory cycles increases gradually with age. After 30 years of age, getting pregnant can be a little more difficult than at a younger age, which means you have to put in a little more effort.

Action hormonal contraceptives is aimed precisely at suppressing ovulation. Due to the influence of this type of contraception, the release of the egg does not occur. This is a normal physiological reaction of the body to these drugs.

If physiological causes of anovulation are excluded, you should find out what is wrong and why ovulation does not occur for so long.

The following factors can provoke a lack of ovulation:

• obesity or excessive thinness;
• exercising too intensely;
• hormonal imbalances;
• stress;
• infectious diseases reproductive system;
• inflammatory processes in the pelvic organs;
• diseases of other organs and systems.

Of course, these factors must be eliminated so as not to aggravate the problem. Only experienced doctors can help a woman cope with such a situation.

For quite a long time, a woman may not even realize that she is not ovulating. To identify this problem in a timely manner, you need to be attentive to your body. Some signs will help suspect anovulation:

• well-being in the middle of the menstrual cycle;
• basal temperature;
• duration of the menstrual cycle.

Women who experience characteristic sensations during ovulation (pain, nausea, dizziness, etc.) may notice their absence in one or more cycles. But these are subjective signs that not everyone exhibits.

Those who regularly measure their basal temperature rectally will not be able to miss it unless there is a sharp increase in temperature. This is a fairly reliable sign that ovulation is not occurring.

A change in the duration of the menstrual cycle can also indicate anovulation. At the same time, it can change either towards a longer or shorter cycle. Uneven cycle length can be a symptom of other abnormalities, so it is difficult to judge ovulation by it. By at least, one cycle exactly. It is necessary to observe the duration of at least several cycles in a row.

In order to confirm that a woman is indeed not ovulating, the doctor will definitely recommend at least two types of examination:

• hormone analysis;
• Ultrasound control.

Blood test for various hormones will show the state of the woman’s general hormonal background and help the doctor draw conclusions. So, for example, in the second phase of the cycle there is normally increased level progesterone. If the analysis shows a different result, it means ovulation does not occur.

Ultrasound diagnostics is very informative if anovulation is suspected. With ultrasound you can see:

• how follicles develop;
• Is the size of the ovaries normal?
• is there polycystic ovary syndrome, etc.

To make a more accurate diagnosis, the doctor may ask the patient to undergo these examinations again after a short time.

Regardless of the reason why ovulation does not occur, the situation can be influenced. It is important to remember that having anovulatory cycles 2-3 times a year is normal. Every healthy woman is faced with the fact that she does not ovulate in one of the cycles. And she doesn't even notice it.

But even if a woman encounters this phenomenon often, this is not a reason to consider herself inferior. By using modern diagnostics You can not only accurately identify the problem, but also effectively eradicate it.

The main thing is that you should not try to solve the situation alone and neglect going to the doctor. Not only gynecologists, but also specialists such as

• endocrinologist;
• nutritionist;
• neurologist, etc.

Laboratory tests and prescriptions made by doctors almost always help a woman get rid of diseases and other factors that cause anovulation.

So, what to do if there is no ovulation? That's right, the first thing to do is calm down and make an appointment with a doctor. Then follow his recommendations, and ovulation will not take long.

One of the most frequently asked questions, what representatives of the fair sex who are trying to become mothers ask: “No ovulation. What to do?”

Indeed, if the body, for one reason or another, does not produce a healthy egg suitable for fertilization, then conception, alas, is impossible. At least, naturally without medical intervention.

So, the first rule that will allow you to find the reason and answer the question: “No ovulation. What to do?” This is a complete walkthrough medical examination. And here everything must be taken into account. General state body, as well as what you were sick with before and what problems, especially in gynecology, occurred.

If you have been naturally sexually active for one year, then you may want to think about how to stimulate ovulation.
After you have passed all the tests recommended by your attending physician, you can proceed to the next stage. Having found no deviations in the tests and having passed, you can begin stimulation with medications. Usually the doctor prescribes Clostilbegit - this is a medical hormonal drug, which affects ovulation, or rather, stimulates it.

This treatment is considered not the most expensive, but very effective. As practice shows, after using Clostilbegit, 10-15% of women were able to become mothers from the first cycle. And from the second, third and fourth - another 50%. Agree, they cannot help but inspire hope.

Now let’s look in more detail, if there is no ovulation, what women should do and what they will have to abstain from.

Firstly, the psychological attitude is important. Depression, and especially self-recrimination, has never helped anyone, but on the contrary, psychological pressure only depresses nervous system and weakens the entire body as a whole, indirectly reducing the risk of becoming pregnant. Therefore, no matter how difficult it may be for you, and no matter how hopeless your situation may seem to you, do not be discouraged. There is always a way out, sometimes you just need to be patient and first of all learn to live in harmony with yourself.

The second thing that is important to consider is your lifestyle. Perhaps you don’t move much, spend a lot of time at the computer, or don’t play sports. This also suppresses all functions of the body: the immune system suffers, work deteriorates of cardio-vascular system, and, of course, such a lifestyle negatively affects the female (and male) reproductive system. Therefore, start with yourself, change your lifestyle, your daily routine, move, go for walks fresh air, take morning walks.

The third point is your nutrition and how your body receives essential vitamins and microelements. Your diet should include fresh or steamed vegetables. In addition, take a course of vitamins, it will allow your body to wake up - literally and figuratively.

Many women wonder: yes, I am not ovulating. What can I do to make it happen without resorting to medications?

And here the question arises about whether it is possible, necessary and how to stimulate ovulation using folk remedies. And most importantly, how effective is this method? traditional treatment? And how safe is it for female body?

It is believed that the ideal herbs that have a beneficial effect on hog queen, sage and Fortunately, these herbs help against many diseases, so they can be easily purchased at any pharmacy. First, it is believed that it is necessary to drink a course of sage (this is done in the first half of the cycle). And then, starting from the second half of the cycle, it is useful to drink tinctures from boron uterus mixed with red brush herb.

But, of course, in any case it is worth consulting with your doctor, because contraindications are possible here too.

IN modern world Lack of ovulation is not a rare occurrence. So women suffer in search of the reason why ovulation does not occur. Ovulation is the release of an egg from the ovary. U healthy woman there is regular monthly cycle in the period from 25 to 36 days. Every month, one egg is released from a follicle (a fluid-filled cavity containing an egg) in the ovary.

Lack of ovulation

The absence of ovulation is called anovulation. Rare ovulation is called oligoovulation. These concepts are types of ovulatory dysfunction. Dysfunction leads to infertility.

Many women who experience anovulation have normal cycles. A disruption of the menstrual cycle, when the egg does not leave the ovary, is called an anovulatory cycle.

The presence of anovulation in a woman disrupts her reproductive function. A woman does not become pregnant because her egg is not mature and fertilization simply cannot occur.

Problems with conception also arise when a woman has inconsistent ovulation. This means that she has anovulatory cycles. The success of conception is also influenced by the quality of the egg.

Changes in normal ovulation occur due to hormonal imbalance in the female body. As a result hormonal disorder problems arise such as an increase or decrease in the endometrium, low progesterone levels, and insufficiency of cervical fluid.

Symptoms of pathology

Symptoms of anovulation include a decrease in signs of the premenstrual state, too much menstrual flow, oligomenorrhea (absence of menstruation for more than 40 days), amenorrhea (impairment, disorder of the menstrual cycle - absence of menstruation for more than 6 months), irregular body temperature, slight tension of the mammary glands after ovulation, increased excitability in the middle of the cycle, increased libido.

Why doesn't ovulation occur?

This does not happen due to a number of certain factors.

Adolescence. As you know, teenage girls begin their first periods at the age of 12. They are not indicators of the onset of ovulation. At this age, the monthly cycle is just becoming established. Its irregularity is caused by unstable estrogen levels. This hormone is fully strengthened only after a few years. Only then hormonal system can be called mature. IN adolescence ovulation does not occur due to an unstable monthly cycle.

Exercise, excessive physical activity. These factors may cause a long delay or complete absence ovulation. Intense physical activity suppresses the production of hormones associated with ovulation.

Stop taking hormones. This absence factor is explained by the restoration of the natural monthly cycle. Some women's bodies undergo adjustments quickly, while for others it can take several months.

Change climatic zones. This is a severe test for the female body. Many women experience an increase in their monthly cycles as ovulation is delayed. Other women miss both ovulation and menstruation.

Pregnancy. During this period, women do not have periods at all. Once a woman becomes pregnant, she already loses the ability to become pregnant again. This is due to the lack of ovulation until the very moment the baby is born.

Lactation. When a mother breastfeeds her baby around the clock, the hormones responsible for ovulation are suppressed. This is explained by a strong drop in estrogen levels due to an increase in prolactin, a hormone that promotes the production of breast milk.

Menopause. This is the name given to the period in a woman’s life when she stops menstruating and ovulating. The period begins after 50 years. In the years leading up to menopause, the monthly cycle changes. The length of cycles is reduced due to frequent ovulations. This is followed by lengthening of cycles due to a decrease in the frequency of ovulation. Gradually, the monthly cycle disappears completely.

Weight gain/loss. In order for a woman to have a monthly cycle with normal ovulation, the body must contain 18-20% fat in relation to body weight. It is fat that influences the accumulation of the hormone estrogen and the conversion of androgen into a type of estrogen, which are involved in the process of ovulation. Underweight women who suffer from loss of appetite nervous soil, often complain about . They don't have enough sufficient quantity estrogen for the full maturation and release of the egg. Overweight women have excess fats. They provoke too much estrogen production. An excess of the hormone destroys the natural functions of ovulation.

Disease. Almost any disease affects the monthly cycle. The effect depends on which phase of the cycle the disease overtook the woman. If she gets sick before ovulation, it will be very delayed or not at all.

Stress, emotional disorders, depression. They have a negative effect on the monthly cycle and delay the ovulation process. Strong and constant negative emotions can provoke an absolute lack of ovulation.

Other reasons for absence:

• a common disease is polycystic ovary syndrome;
• dysfunction thyroid gland;
• eating disorders, in particular anorexia and bulimia;
• various disorders of ovarian activity;
• infantilism of the genital organs;
• infectious diseases of the female genital organs.

Treatment of the disease

An accurate diagnosis is established based on a survey of the patient, examination, blood tests for hormones, and ultrasound of the pelvic organs.

Treatment methods are directly related to the reasons that provoked anovulation. For hormonal adjustments from medicines The attending physician can prescribe Pergonal, Duphaston, Tamoxirin. Hormonal medications stimulate the pituitary gland and the production of a hormone involved in follicle development.

Gynecological massage, physiotherapy, and acupuncture are also used in the treatment of the disease. If the cause is concomitant diseases, it is necessary effective treatment these diseases.

If the reasons for the lack of ovulation are related to weight, it is necessary to adjust it: thin women- gain weight, gain weight, or, on the contrary, lose weight overweight. It is necessary to reduce physical activity for women who actively engage in sports and physical education. Recovery normal process During ovulation, you should try to get away from stressful and tense situations, not be nervous, and show calm and equanimity. Relaxation and auto-training methods will help with this.

From folk recipes You can take decoctions of linden, sage, aloe juice, rose petals, plantain seeds, and Adam's root.

Any type of treatment, whether medicinal or folk, must be carried out on the recommendation of a gynecologist.

Drawing conclusions and receiving treatment on your own is strictly prohibited in order to avoid problems and consequences.

Disease prevention

To reduce the risk of causes affecting the lack of ovulation, it is necessary to undergo twice a year gynecological examinations, keep hormone levels under control. If there is inflammation or diseases of the pelvic organs, it is necessary to carry out timely and high-quality treatment. It is necessary to constantly check and maintain normal condition thyroid gland, eat right, maintain healthy image life.

Five out of ten women who consult a gynecologist with the problem of lack of pregnancy are found to lack ovulation. This natural process is controlled by hormonal levels and normally occurs at least 10 times a year. Various internal and external factors influence negative impact, disrupting the balance of hormones.

What to do if there is no ovulation is a subjective question. It is impossible to answer it unambiguously. It is possible to restore the regular release of an egg from the ovary only after a full examination, identification of the causes that caused the problem, and their elimination. Medical statistics show that 7 out of 10 patients who had anovulatory cycles were able to get rid of their problem with the help of conservative or surgical techniques treatment.

The term ovulation comes from the Latin word meaning “testicle.” It describes the process when a female gamete, mature and ready for fertilization, leaves the follicle. The work of this system is regulated by hormonal levels, which are stable in a healthy woman.

The process of gamete maturation begins immediately after completion menstrual bleeding. The production of estrogen stimulates the growth of several follicles, among which one (more rarely, two or more) stands out by the middle of the cycle. When the so-called sac containing the egg is ready to open, the pituitary gland produces luteinizing hormone. Thanks to him, the gamete enters the abdominal cavity, and then descends fallopian tubes. On its way, the egg meets the male sperm, resulting in fertilization. If fusion does not occur, but after 10-14 days it begins new cycle with the next menstruation.

If you don't ovulate, you won't be able to get pregnant. This hypothesis was confirmed many years ago. However modern techniques assisted reproductive technologies have made the impossible possible. It is possible to get pregnant if there is no ovulation, but you will have to subject your body to hormonal, medicinal or surgical correction, and if there is no result, use donor material.

Symptoms and diagnosis of anovulation

The absence of ovulation may not manifest itself in any way for a long time. Until a woman wants to get pregnant, nothing will bother her. With the same success, a representative of the fairer sex can acutely feel the signs of lack of ovulation, which are expressed in:

• irregularities of the menstrual cycle (except physiological reasons anovulation);
• rare and scanty periods, which become smaller each time and disappear (this happens with chronic long-term anovulation);
• uterine bleeding (caused by excessive growth of the endometrium over a long period and the sudden onset of menstruation);
• external changes (with polycystic ovary syndrome, there is an increase in body weight, excessive hair growth and the appearance of acne);
• painful sensations in the mammary glands (with increased prolactin).

For women, the most important sign that it is necessary to see a gynecologist is the absence of pregnancy. This symptom is one of the first on the basis of which anovulation is diagnosed.

Symptoms of lack of ovulation are immediately noticed by the gynecologist. When visiting a doctor, the patient talks about her complaints. Based initial consultation the doctor cannot diagnose accurate diagnosis and say with confidence that ovulation does not occur. To establish this fact, it is necessary to conduct an examination.

The first and most accessible diagnostic procedure is ultrasound. The study shows the condition of the gonads (presence of tumors, cysts, distorted size, absence of a dominant follicle). It is acceptable to classify the detected pathologies as one cycle. If the picture repeats itself next month, then there is no doubt: there is no ovulation.

The second step in diagnosis is a hormone analysis. On certain days of the menstrual cycle, a woman is prescribed to donate blood to determine the levels of FSH, LH, progesterone and estradiol. If sex hormones are normal, then TSH, testosterone, and prolactin are additionally examined.

An easy and reliable way to diagnose anovulation is to measure basal temperature. Manipulation is carried out using the rectal method daily, immediately after waking up. The indicators are entered into a table that builds a curve. Normally, it has low values ​​in the first phase of the cycle and high values ​​in the second. Between these periods there is a drop (one-day decrease) in values, indicating maximum LH production. uneven, with the presence of spikes and decreases in indicators.

Every representative of the fairer sex should know what anovulation is and how to understand that the egg does not leave the ovary. Irregular periods are a reason to contact a gynecologist and undergo a diagnosis.

Why doesn't the follicle burst?

There are many reasons for the lack of ovulation. All influencing factors are divided into physiological and requiring drug treatment, internal and external. Pathological causes absence of ovulation are as follows:

• polycystic ovary syndrome (appears during maturation follicular cyst, and the egg cannot leave the place of its growth due to the dense ovarian capsule);
• congenital malformations of the gonads (such pathologies that cause anovulation are rarely identified, but they are practically incurable);
• infectious and inflammatory diseases (may have acute or chronic course, the latter form is much more difficult to get rid of);
• endocrine disorders (pathologies of the thyroid gland and adrenal glands).

As a result diagnostic measures You can get various information that indirectly tells about the causes of anovulation:

• (follicles do not burst due to low level LH, they remain in the ovary until and after menstruation);
• cyst ( dominant follicle reaches too large sizes, due to which it cannot release the egg; when its volume is more than 22 mm, they speak of functional cyst, which takes place over several cycles);
• luteinization of a non-ovulating follicle (premature production of LH stops the development of the ungrown follicle, as a result the egg does not come out, and a corpus luteum forms in its place);
• non-developing follicles (the follicle did not burst due to the fact that it simply could not grow; the cause of this process is usually a lack of first-phase hormones).

Unruptured follicle syndrome, when maturation occurs but does not open, is diagnosed in women due to chronic fatigue, stress, lack of sleep, poor nutrition, abuse alcoholic drinks and because of others external factors. Luteinization of the follicle in these cases may or may not occur.

Presence in the ovary does not guarantee ovulation. It is possible to determine whether the egg has been released by the accompanying indirect symptoms.

Why there is no ovulation with regular periods

Lack of ovulation during regular menstruation can be observed due to physiological factors:

• a sharp change in body weight, overweight or underweight (the body does not have enough resources to produce an egg, so there is an anovulatory cycle every time);
• period of puberty (ovulation may be absent in girls in puberty within two years from the onset of menstrual function);
• postpartum period (lack of ovulation during regular periods occurs during breastfeeding);
• stopping taking hormonal contraceptives (ovulation after discontinuation of OCs is restored within 1-6 months).

Anovulation with regular menstruation is allowed no more than twice a year. If in the remaining months the dominant follicle matures and the egg leaves the place of its formation, then the woman is healthy. Data for 1-2 periods per year may be slightly shorter or longer. Menstruation after anovulatory cycle there is no need to restore, the natural work of the reproductive system starts on its own.

Symptoms of having periods but not ovulation are: irregular cycles, short or prolonged bleeding. It happens that in one month there is heavy menstruation with deterioration of health, and scanty discharge, which disappears in 2-3 days, appears in the next cycle.

Is it possible to get pregnant without ovulation?

Absolute absence of ovulation leads to infertility. A woman can become pregnant when the egg and sperm meet and fuse together. The resulting set of cells continues to divide, descends the uterus and is fixed there for the remaining 9 months. When the gamete does not mature or does not leave the ovary, we are talking about female infertility associated with lack of ovulation. Conception under such circumstances cannot take place even with great desire. Certain postures, days, and even unconventional treatment methods will not help.

Anovulation in women under 30-35 years old occurs 1-2 times a year. The older a representative of the fairer sex is, the more cycles she experiences without releasing an egg. This process is natural and ultimately leads to menopause. If a young woman does not ovulate for several cycles, it is necessary to be examined and look for the cause. Otherwise, it will be much more difficult to solve the problem later. You can get pregnant if there is no ovulation, only with the help of assisted reproductive technologies using a donor egg.

No ovulation: what to do

Treatment of anovulation comes down to finding the cause that provokes this state, and its elimination. Often, it is enough for a woman to reconsider her rhythm of life, and pregnancy immediately occurs. Here's what you can do yourself:

• normalize nutrition (statistics show that changing the diet and reducing body weight by only 10% in case of obesity allows the body to independently restore ovulatory function);
• eliminate psycho-emotional disorders (stress negatively affects a woman’s health, depletes the body and can even cause infertility);
• normalize sleep (for proper functioning of the body and sufficient secretion of sex hormones, you need to sleep at least 7 hours a day);
• give up bad habits(alcohol, tobacco and drugs disrupt the functioning of interdependent systems of the body, and also increase the likelihood of maturation of a defective egg);
• move more (for normal blood circulation in the pelvis, a woman needs movement, she should walk more, walk, swim, do gymnastics or bike rides).

If the above methods do not help, and chronic anovulation persists, then it is necessary to discuss the issue of treatment with a doctor. The discovered normogonadotropic anovulatory infertility indicates that the cause must be sought within the body. This condition can be provoked by diseases of the glands (genital, thyroid, adrenal glands), disturbances in the functioning of the pituitary-hypothalamic system, early menopause and ovarian depletion.

Treatment of concomitant diseases

To get pregnant and restore ovulation, it is necessary to conduct a full examination and find out what malfunctions there are in the body’s functioning. All human systems are inextricably linked. Pathologies of some organs can provoke deviations in others. In case of disturbances in the functioning of the thyroid gland, thyroid hormones are prescribed. Diseases associated with the hematopoietic and circulatory system can also become an obstacle to ovulation. Infections of the genital area are eliminated with antibiotic therapy.

7 out of 10 patients who got rid of diseases that provoke anovulation were able to restore their fertility and conceive a child.

Cycle recovery

The reason that the egg does not come out of the ovary may be polycystic disease. The pathology is accompanied by the formation of a dense capsule on the gonad, as a result of which the maturing follicles turn into cysts, and a cycle disruption occurs. Treatment of polycystic ovary syndrome is complex: first, surgery is performed, and then maintenance therapy is prescribed. In half of the patients, ovulation is restored independently in the first cycle after surgery.

Ovulation disorders often involve the use of hormonal drugs. For a period of 3 to 6 months, the patient is prescribed oral contraceptives, which allow the gonads to “rest.” After stopping therapy, in 3 out of 10 cases, withdrawal syndrome occurs when the rested ovaries mature and release an egg. If there is no ovulation even after such manipulations, then the doctor changes the tactics.

Ovulation stimulation

If the follicle does not burst, it must be stimulated. The ovaries are started using various drugs(they are prescribed by the doctor): , Menogon, Puregon. Before ovulation, you may need an HCG injection. The second phase is supported with the help of products with progesterone: Duphaston, Iprozhin, Utrozhestan. When stimulation is carried out, pregnancy occurs, as a rule, already in the first or second cycle, if there are no other problems preventing conception. Inducing ovulation with stimulant medications is not enough. It is necessary to carry out ultrasound monitoring throughout the entire cycle and track the time of egg release. The possibility of conception persists for 1-2 days during this period.

In the case of anovulation, treatment with hormones that stimulate the secretion of the sex glands is carried out no more than 3-5 times throughout life. The fact is that these drugs can cause ovarian hyperfunction, as a result of which the glands are depleted. Overstimulation is unpleasant and quite dangerous condition. She demands medicinal correction and bed rest.

The use of assisted reproductive technologies in 95 cases out of 100 involves stimulation, since independent ovulation is absent or cannot be counted on. Folk remedies are also used by women (herbs boron uterus, sage and red brush), but rarely give a positive result.

Reasons for lack of ovulation, symptoms and signs

Ovulatory function for a woman is the meaning inherent in the nature of her existence. Failure of the ovaries to fulfill their assigned function entails. Why is there no ovulation? How to perceive this fact and what should be done? This article is devoted to these issues.

Anovulation is medical term, indicating the absence of release of the egg from the reservoir - the ovarian follicle, in which it matures each cycle.

1. Reasons for lack of ovulation
2. What other symptoms might suggest problems with the ovaries?
3. Survey

Let us immediately note that if there is no ovulation, then this is not always a cause for concern.

In the following conditions, anovulation is normal:

• During pregnancy.
• IN postpartum period in combination with breastfeeding(lactation period). , responsible for supporting lactation, inhibits the functioning of the ovaries.
• After the onset of the first menstruation for 2 years. At this time, the formation of ovarian function occurs, hormonal regulation still imperfect.
• Upon admission oral contraceptives(OK).

The absence of an egg release in women 2-3 times in 12 months is also considered physiological. Therefore, if in one cycle there are no characteristic signs of egg release on an ultrasound or basal temperature chart, this is not a cause for concern. In order to say with confidence that there is no ovulation, ultrasound monitoring of changes in the ovary is necessary for at least 3 cycles. Data from the basal temperature chart and the results of rapid tests are not a reliable criterion for making a diagnosis.

Reasons for lack of ovulation

A common cause of anovulation, in the absence of organic changes in internal organs, is stressful and overwhelming exercise stress. If a woman has been in a disadvantaged situation for a long time psychological state or is subjected to excessive stress, the body itself “turns off” the pregnancy mechanism, since the conditions for its occurrence are extremely unfavorable.

Adipose tissue imbalance

Changes in the body that occur due to weight problems:

• A change in the balance of adipose tissue towards an increase, in other words – obesity. Moreover, obesity is more dangerous male type, When body fat are localized on the stomach, while the legs and arms remain slender. Fine adipose tissue produces female sex hormones, as it is quite active endocrine organ. An increase in fat mass leads to the fact that the synthesis of estrogen is replaced by the production of male sex hormones.

• Exhaustion of the body. There is a concept of critical weight value. It is individual for each woman. When the mass of adipose tissue reaches this value, the body experiences a sharp lack of estrogen, which entails the cessation of menstruation, and ovulation is also absent. In patients with anorexia, eggs do not mature and there is no menstruation.

By correcting excess fat mass, it is possible to restore ovarian function in 60% of women. In women with anorexia, recovery takes a long time and is not always effective.

Dysfunction of endocrine organs

The ovulation process is regulated by almost all hormones secreted by the body. Therefore, failure even in one of the organs endocrine system may cause a lack of ovulation.

First of all, ovarian function is impaired as a result of:

• Diseases. This is typical for those regions and areas where there is a lack of iodine in the soil. Chronic microelement deficiency leads to sluggish functioning of the thyroid gland. Hypofunction of the organ, as well as hyperfunction, in pronounced cases is reflected in the ovaries. This reason for the lack of ovulation is the most common. Doctors, when treating patients with impaired ovulatory function, pay attention primarily to the thyroid gland.
• – excessive production of the hormone prolactin. Occurs more often with microtumors of the pituitary gland, accompanied by discharge from the mammary glands. This condition necessarily requires treatment, as it affects not only the ability to get pregnant, but also to carry the pregnancy to term.
• Increased concentration of male sex hormones in the blood. Normally, the blood plasma contains sexual male and female hormones. Violation of their relationships can be the cause of dysfunction. For example, with hyperproduction of insulin leads to excess synthesis male hormones that disrupt ovulation.

When the body is examined and the above conditions are excluded, the diagnosis continues for other diseases.

Reasons for lack of ovulation that occur less frequently:

• Tumors endocrine glands: proliferation of tissue of the adrenal glands, thyroid gland.
• Depletion of the ovaries, the main symptom of which is the absence of menstruation and the appearance of signs characteristic of menopause: decreased libido, hot flashes, changes in blood pressure.
• Hereditary pathologies.

Cancellation of oral contraceptives (OC)

Taking hormonal medications for warning unwanted pregnancy does not pass without a trace for the female body. Inhibition of the synthesis of one's own gonadotropic hormones“upsets” the mechanisms of egg maturation.

When taking OCs and in the near future after stopping them, there is no ovulation. The hormonal balance in the body is disturbed; to restore ovulatory function, it takes time for the body to “remember” how to synthesize its own hormones. The longer the period of taking tablet contraceptives, the longer it takes to restore ovarian function. In order to approximately calculate the time for ovulation recovery, use the formula:

Each year of taking OK is + 3 months before ovulation resumes

In some cases, OK - they work in reverse. After their cancellation, you can get pregnant in the first cycle. This feature of drug withdrawal syndrome is used by doctors to achieve a desired pregnancy in women if there were any difficulties with this previously.

Why is there no ovulation during regular periods?

Ovarian dysfunction does not always entail changes in the regularity of the menstrual cycle. But most often these changes occur. Characteristic features absence of ovulation during regular menstruation are:

• change in cycle length: lengthening and shortening;
• delayed menstruation;
• long periods, which are characterized by severe course with a large volume of blood loss and pronounced;
• scanty menstrual flow.

If a woman has regular menstrual cycle there are signs of lack of ovulation associated with changes in menstruation and the nature of discharge in critical days, you need to undergo an examination and have your blood tested for hormones. In any case, if there is no ovulation, it is necessary to find out the reason. Because this may indicate not just a “failure” in hormonal background, and about more severe conditions– oncological and hereditary diseases.

The question “how to reliably determine the absence of ovulation?” more interested in girls who are faced with the fact that they cannot get pregnant. The first thing you need to do is go for a consultation with a gynecologist. The doctor will collect anamnesis, ask questions about changes in your condition, cycle duration, the nature of menstrual flow, fluctuations in body weight, the presence concomitant diseases, lifestyle.

Then, 7 days before your expected period, the doctor will suggest taking a blood test for estradiol and. By interpreting the data obtained, we can say with confidence: there is ovulation or not.

An important diagnostic method that helps determine the absence of ovulation is ultrasound of organs located in the pelvis. Repeated examination with an ultrasound machine over a period of 3 months makes it possible to monitor the processes occurring in the ovaries.

Signs of lack of ovulation. How to determine it yourself?

Measuring basal temperature (BT) allows one to suspect the absence of ovulation, but is not reliable method to confirm its absence. In this case, the graph will be single-phase; there is no characteristic rise in temperature after ovulation.

To obtain reliable basal temperature readings, we advise you to adhere to the rules for measuring BT. In order for the doctor to take changes in BT schedules into account, by the time you consult a gynecologist you must have at least 3 of them, that is, measurements must be taken during at least 3 menstrual cycles.

If you have any doubt about the presence of ovulation, you can start by measuring your basal temperature or monitoring ovulation at home (using tests). Or the doctor himself will ask you to do this during the examination period.

What other symptoms of lack of ovulation?

During ovulation, the nature of the discharge changes. During this period they acquire a viscous consistency. They can be compared with egg white. If there are no such changes in the middle of the cycle, then perhaps there is no ovulation.

The ovulatory period is also characterized by positive emotional changes, increased libido, breast swelling, weight gain due to the accumulation of fluid in the body. If there are no such fluctuations, then this may indicate problems with ovulation.

Survey

At the next stage, women to determine the cause hormonal imbalance donate blood to check hormone levels. The analysis is taken on days 2–4 of the cycle. This is important because hormone concentrations vary and different days cycle indicators are different. The results of an analysis taken at the wrong time cannot be interpreted correctly. Accordingly, the analysis will have to be retaken.

Only after finding out the reason why there is no ovulation, the doctor will be able to select a therapeutic correction scheme - treatment, choose necessary medications or prescribe surgical therapy.