Ovulation is the output of a mature egg, whichis capable of fertilization, from the ovarian follicle into the abdominal cavity. This process is a stage of the menstrual cycle, during which a woman can become pregnant. Therefore, it is very important for a woman who plans a pregnancy to be able to correctly set the timing of ovulation, in order to increase the chances of fertilization. Normally, ovulation in women occurs every 21-35 days, depending on the cycle. However, it happens that the woman of childbearing age has anovulation (that is, there is no ovulation). If there is no ovulation, then the woman can not become pregnant. This situation should be very worried about a woman who wants to conceive a child, because ovulation is the signal of the body to readiness to fertilize. Why not ovulate what to do in this case - you will learn from this article. Ovulation may be absent for a variety of reasons. They can be divided into 2 groups: physiological and pathological causes. We will discuss them in more detail later.
Absence of ovulation is the norm
It is necessary to understand that in certain situationsAnovulation is normal, which means there is no cause for concern. Let's consider in more detail the situation when you should not worry about the lack of ovulation and do not beat the alarm in vain:
- pregnancy: during pregnancy and in the first months after childbirth, women do not have ovulation;
- breastfeeding: here the important point is that if you are breastfeeding your baby by the clock, including at night, ovulation may not occur for a while;
- in very young girls, whose menstrual cycle is not yet settled (usually this is between 12 and 14 years of age, although this process is unique for each girl);
- ovulation may be absent in young girls within 1-2 cycles, in women over 30 the number of cycles without ovulation increases to 3-4, and with age only worsens;
- menopause: during menopause, that is, with the termination of menstruation of ovulation, too, stop (as a rule, it falls to the age of 45 years);
- reception of oral contraceptives: Normally, in this case, too, ovulation should not occur, although there are cases when a woman taking pills becomes pregnant.
In all these situations, the absenceovulation is the norm. It passes, as a rule, either with time (as in the case of pregnancy and feeding), or with the elimination of factors that cause anovulation (oral contraceptives). The only exception is anovulation during menopause. With this, nothing can be done, because this is an age-related change in the body. However, there are physiological and pathological reasons for the absence of ovulation. Then this is already the reason for seriously worrying about the lack of pregnancy.
Physiological causes of ovulation
Various physiological problems can becomecause of anovulation. As a rule, if you determine the cause that caused the absence of ovulation, and eliminate it, then the problem can be solved by itself. But you do not need to count on it. It is best to see a doctor, so that he directs you to the tests and correctly selects the treatment. Some possible reasons you can define yourself. However, in any case, this remains the task of the doctor. So, what are the physiological causes of anovulation occur in women most often:
- Problems with weight: and both excess and lack of weight can cause violations of the menstrual cycle itself and, consequently, ovulation. Especially fraught with weight loss, because in order to ensure a normal menstrual cycle, the body needs 18% of fat from the total body weight. If this rate is lower, the reproductive system will be much more difficult to work correctly;
- A serious illness that is not even associated with the genital area: if you get sick before ovulation, it can affect that it does not come in this cycle or just linger and come later;
- Stress, emotions: these factors greatly delay ovulation, as they make the menstrual cycles longer as a whole. The stronger the stress, the longer the cycle. Thus, stress can and at all become the reason of the termination of monthly and, accordingly, ovulation too;
- Change of climate or situation (at work, school);
- Physical exercise;
- Stopping hormonal medication: while the regularity of the menstrual cycle itself is violated, and with it - the ovulation. As a rule, with time it passes by itself. How quickly, depends on the dosage of the drug that the woman was taking, and on her general physical condition. If a woman has a lack of weight or has previously had an irregular cycle, then she will recover after a longer period of time (but will still be irregular) than a woman who has the opposite picture for health reasons;
- Sport: many athletes or amateurs who are exhausting themselves with training can significantly disrupt the menstrual cycle, up to the complete disappearance of menstruation. In this case, naturally, there will be no ovulation. This applies mainly to professional athletes: swimmers, runners and dancers. As a rule, amateurs do not exhaust their organism so much, but still be careful and do not exhaust yourself with training.
As a rule, the physiological causes of anovulationit is enough simply to resolve and thereby restore the function of the organism. After analyzing your lifestyle, you can make an assumption about what can be the reason for the absence of ovulation in you. However, this does not mean that you can do without a gynecologist's advice. In any case, if you suspect or are absolutely sure that there is a certain violation, do not delay the visit to the doctor. As with any other disease, the earlier the pathology is discovered and treated, the easier it is to achieve positive dynamics and solve the problem. Much more problems are created by pathological changes in the body, which affected the menstrual cycle and, consequently, ovulation. We will talk about this below.
Pathological causes of ovulation
When, in fact, a woman begins to suspect,that she does not have ovulation? When after 1-2 years of active sexual life without protection, pregnancy does not occur. This is the reason that the woman starts to sound the alarm. First of all, in such a situation, you need to contact the endocrinologist and gynecologist, who prescribe special tests, as a result of which the true cause of anovulation is revealed. Then appropriate treatment is prescribed. Remember: the earlier you contact a doctor, the earlier he will be able to identify the cause of anovulation and the more likely that you will solve the problem. Accordingly, the sooner you can get pregnant. The most common causes are, as a rule, the following:
- dysfunction of the hypothalamic-pituitary-ovariansystems are the most common cause of anovulation. But this is not actually the cause, because any dysfunction is a consequence of something, so if the doctor finds dysfunction, you need to look for the cause even deeper;
- pathological changes in the thyroid gland;
- polycystic ovarian syndrome;
- pathological changes in the uterus;
- impaired pituitary gland function;
- low estrogen: pathology can be caused by the presence of prolactin in the body (with breastfeeding), and in case of weight problems (because fat plays a role in the production of this hormone), and have other reasons that the doctor will reveal as a result of the tests;
- inflammatory processes, hypothermia: this is very often the cause of the dysfunction, of which we spoke at the very beginning. Therefore, it is always easier to prevent problems than to solve them later - take care of your health.
What if ovulation does not occur?
As you can see, all the problems listed in the articlecan detect only a doctor. And for this it is necessary not only to examine the gynecologist and consult an endocrinologist: the doctor will prescribe to you various tests (standard - blood and urine, as well as ultrasound and others), on the basis of which he can diagnose preventing the desired pregnancy and prescribe adequate treatment. A very important point concerns self-medication. On the Internet and other sources, there is a lot of material about how to adjust the menstrual cycle and cause ovulation with the help of various methods (starting from drugs and ending with folk remedies). Indeed, there are a lot of ways to "return" ovulation, but to choose an adequate treatment taking into account the individual characteristics of your body and the cause that led to a problem that will be effective in your case is the doctor's sole task. Otherwise, you can either try unsuccessfully to solve the problem, while losing valuable time, or make it worse. Therefore, if any pathologies occur, it is better not to joke about your health, but to consult a specialist.