Menstrual Cycle Without Ovulation: Causes and Ways to Restore Ovulation

Hello! Today, we'll talk about an important topic for women's health — anovulatory menstrual cycles, or menstrual cycles without ovulation. I am Anastasia, an obstetrician-gynecologist-endocrinologist, and I will help you understand this issue.

What is an Anovulatory Menstrual Cycle?

An anovulatory menstrual cycle is a cycle in which ovulation does not occur. This means the egg does not leave the ovary, the corpus luteum does not develop, and the hormonal balance is disrupted. In this situation, the follicle, which should have matured, does not continue to develop, leading to the absence of ovulation.

Causes of Anovulation

There are several reasons why ovulation may not occur:

• Intensive physical activity — excessive physical activity can disrupt hormonal balance.
• Stress — severe stress can affect the endocrine system.
• Rapid weight loss or gain — fluctuations in body weight can cause cycle irregularities.
• Critically low body weight — this can also be a reason for the absence of ovulation.

In some cases, it is enough to normalize physical activity, reduce stress levels, and stabilize weight for ovulation to restore itself without treatment.

Hormonal Issues and Anovulation

Sometimes anovulatory cycles may be linked to hormonal disturbances, such as:

• Polycystic ovary syndrome (PCOS) — one of the most common conditions that can lead to the absence of ovulation.
• Thyroid dysfunction — thyroid problems can also interfere with ovulation.
• Insulin resistance — a condition where the body's tissues become less responsive to insulin, potentially leading to cycle disturbances.
• Hyperandrogenism — elevated levels of male hormones can impact ovulation.

When Should You See a Gynecologist?

If you notice menstrual cycle irregularities or encounter anovulatory cycles, I strongly recommend visiting an obstetrician-gynecologist. Timely diagnosis will help identify the causes of the disturbance and enable appropriate treatment to restore your normal cycle.

Conclusion

Anovulatory menstrual cycles are a common issue that many women face. It is important to understand that ovulation can be restored, and the cycle normalized, with proper diagnosis and treatment. If you have issues with ovulation, don't delay visiting your doctor.

Thank you for your attention! If you have any questions, come to my office — I will be happy to answer all your questions.