Why Is There No Ovulation? Causes and Diagnostic Methods for Lack of Ovulation

Hello! Today, we will talk about the reasons for lack of ovulation. Ovulation is the process of the egg's release from the follicle, controlled by two important hormones: LH (luteinizing hormone) and FSH (follicle-stimulating hormone). These are produced in the pituitary gland. A deficiency in these hormones can be one of the reasons for the absence of ovulation.

Causes of Lack of Ovulation

There are several reasons why ovulation may not occur. Let’s explore the main ones:

1. Gonadotropin Deficiency

This condition occurs when there is insufficient production of LH and FSH hormones, which leads to the absence of ovulation. The causes can be both congenital and acquired:

  • Congenital conditions, such as disorders in the pituitary gland's function.
  • Acquired factors, including rapid weight loss, stress, anorexia, or psychogenic amenorrhea.

2. Ovarian Insufficiency

Ovarian insufficiency can be caused by various factors, including:

  • Age — as a woman ages, her ovarian reserve decreases.
  • Previous surgeries on the ovaries, which can lead to a reduced ovarian reserve.
  • Chemotherapy — it can affect the function of the ovaries and reduce ovarian reserve.

3. Polycystic Ovary Syndrome (PCOS)

PCOS is a complex condition that can cause the absence of ovulation. The diagnosis is made based on several criteria, including:

  • Irregular menstrual cycles or their absence.
  • Hyperandrogenism — signs such as excessive hair growth in a male pattern.
  • Ultrasound findings — multi-follicular structure of the ovaries.

4. Endocrine Disorders

Endocrine disorders, such as hyperprolactinemia and thyroid diseases (hypothyroidism and hyperthyroidism), can also lead to a lack of ovulation.

How to Diagnose the Causes of Lack of Ovulation?

For a correct diagnosis and identification of the causes of ovulation absence, you need to:

  • Visit a gynecologist for consultation and examination.
  • Undergo an ultrasound of the pelvic organs.
  • Take hormone tests to identify any endocrine system disorders.

How to Treat Lack of Ovulation?

After the examination and identification of the cause, the doctor will prescribe the necessary treatment. In some cases, ovulation may restore itself after a course of treatment. If this doesn’t happen, ovulation stimulation might be required. It’s essential that treatment is carried out under a doctor's supervision, as self-treatment can be dangerous.

Conclusion

Lack of ovulation is a serious issue that requires a professional approach to diagnosis and treatment. If you're experiencing this problem, consult a doctor to determine the cause and choose the appropriate treatment.

I hope this information was helpful. Thank you for your attention!

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