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An ovulatory cycle occurs when a woman has a cycle in which she does not ovulate. Since the mature egg is not released, it cannot be fertilized. Ovulation is part of the menstrual cycle in which the ovary releases an egg in a process called oogenesis (the production of a mature female cell). During an anovulatory menstrual cycle, ovulation itself does not occur, but menstruation may or may not occur normally.
Ovulation-free cycle, which is not cause for concern, may occur in the first years of puberty or after childbirth, which should be normalized in due time. Anovulation is perfectly normal in pre-pubescent girls and postmenopausal women.
It is possible to restore ovulation by taking appropriate medications. This has a positive effect in about 90% of women. However, the most important thing is to diagnose the problem correctly. Most women with anovulationand has fairly regular periods, in which there is no need for spotting spotting at all. Women usually see this trouble when they try to get pregnant in vain.
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The causes of the anovulatory cycle
No ovulation it is not a disease in itself, but a symptom of various disorders in the female body. Among the causes an ovulatory cycle endocrine disorders related to thyroid diseases, overproduction of androgens leading to a decrease in the level of female sex hormones, diseases and disorders of ovarian function such as polycystic ovary syndrome (PCOS), anorexia or significant weight loss, changes in the ovaries in the form of tumors, cysts and fibroids, long-term use of contraception, the effect of certain antihistamines, antiemetics or psychotropic drugs.
Moreover, on anovulatory cycle are affected by changes in the hypothalamus and pituitary gland, the role of which is the production of hormones that stimulate the maturation of eggs. They can be caused by factors such as hyperprolactinemia, exposure to stress, various neuroses and depression, diseases of the pituitary gland (hypothyroidism, inflammation, tumors).
Symptoms of the anovulatory cycle
Lack of ovulationand due to the fact that the Graaf’s follicle does not rupture and thus the egg is not released, it is impossible to get pregnant. To the symptoms an ovulatory cycle this includes the irregularity of the cycles, the absence of elevated temperatures characteristic of ovulation and the absence of other symptoms associated with ovulation, such as pain in the lower abdomen.
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It is also important that during an ovulatory cycle You may experience abnormal and very scanty periods in the form of spotting or a timely (sometimes delayed) and normal period. Menstruation during an ovulatory cycle it is also very abundant or stops altogether. In addition, it happens that anovulatory cycles are shorter or longer than the average cycle of 28 days. The mucus is thick, sticky and white (or cloudy) and does not turn clear, wet or stretchy. Chronic anovulatory cycle it can also lead to problems with hypertension, lipid metabolism disorders, insulin resistance, hyperinsulinemia and type II diabetes.
The normal menstrual cycle has four consecutive stages of menstruation, follicular, ovulation, and luteal. In an ovulatory cycle there are only the first two stages. Profuse bleeding that may occur during an ovulatory cycle, carries the risk of anemia, osteopenia, and in later age even osteoporosis, so its regular appearance should be consulted with a gynecologist.
Ovulation test and anovulatory cycles
If you are having difficulty conceiving, an ovulation test may be performed. Its role is to measure urinary luteinizing hormone (LH). The concentration of this hormone influences the release of the egg from a ruptured Graaf follicle. The highest concentration of LH occurs just before ovulation. We do the test a few days before the expected ovulation. It is also used to track your fertile days and when your fertility is at its peak.
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How to treat an anovulatory cycle?
It is important to diagnosing the problem and finding out the cause of this condition by performing a series of tests to determine the level of hormones. Treatment to regulate an endocrine disruption should be tailored to the individual patient’s needs because of the underlying causes lack of ovulation are varied. An endocrinologist will write out a referral for appropriate tests. In pharmacotherapy it is used hormonal treatment (for example with PCOS). In some cases, it is also necessary to perform a surgical procedure in the form of laparoscopy due to the presence of organic changes in the woman’s reproductive organs.