Absence of ovulation and fertility

Inability to ovulate or anovulation is a common cause of infertility caused by hormonal imbalance. Women with no ovulation have irregular periods and abnormal uterine bleeding.

It occurs in 25% of patients who present infertility problems and it can be the result of premature ovarian failure, polycystic ovary syndrome, aging, low ovarian reserve, endocrine disorders, hormone imbalance, tumors or cysts, thyroid problems and an unhealthy lifestyle, experts say.

A woman who does not ovulate must consult a doctor so you can do a complete study and thus be able to diagnose why you are not ovulating.

Then you will receive treatment specific and specialist medicine reproductive health will be able to give you options that can help you have a child, says the medical director of IVI Panama, Saúl Barrera.

For example, one of the tests for diagnose anovulation, there are markers of ovarian reserve; USG number of antral follicles and AMH.

If the ovarian reserve is correct, experts do something else hormone tests complementary measures to rule out other endocrine disorders such as thyroid, prolactin and insulin changes, he explains.

This also requires that the patient may know the general signs of ovulationtrack your periods and observe changes in your vaginal discharge during your cycle, even more so if you’re looking to get pregnant.

When anovulation is mild, your doctor will advise you to follow healthy habits, such as eating a balanced diet, exercising, maintaining an ideal weight, not using tobacco or alcohol, and controlling anxiety and stress.

In cases where the cause is a problem with the thyroid gland or polycystic ovaries, the specialist will will treat to achieve ovulatory cycles regularly, and will also stimulate the growth of follicles to obtain eggs. After that, and in more difficult cases, the specialist will recommend one of the methods of assisted fertilization adapted to your case.

The patient can opt for artificial insemination, in vitro fertilization or, if necessary, the use of egg donation.