Ovulatory Disorders
Ovulatory dysfunction can manifest itself as the absence of menses (anovulation) or irregular, sometimes infrequent, menses. Anovulation is a condition in which eggs are not developed properly, or are not released from the egg sacs, or follicles, of the ovaries. Women who suffer from anovulation may not menstruate for several months or may continue to menstruate regularly even though they are not ovulating. The cause of anovulation is often unknown. However, in some cases the disorder can be traced back to an eating disorder, hormonal imbalance, excessive exercise, thyroid dysfunction, insulin resistance or other medical disorders.
The physicians at Aakash will examine your medical history and test results thoroughly before making an ovulatory disorder diagnosis. Based on the diagnosis, your physician will work with you to determine the treatment plan that will be most effective for your situation. When possible, the underlying cause of the ovulatory disorder is treated; when no cause is found, ovulation-inducing medications are prescribed as treatment.
Ovulation disorders, infrequent or absent ovulation (anovulation), typically result in infrequent periods (oligomenorrhea). The results are
Fewer opportunities to conceive
Difficulty detecting a woman’s fertile periods
Eggs not breaking through the follicle
Eggs being released off-sync with other factors crucial to fertilization or implantation
Some Typical Causes Of Ovulation Disorders
Hypothalamus dysfunction
Hyperprolactinemia
Polycystic ovarian syndrome
Luteal phase defect
Tumors of the pituitary or adrenal glands or ovaries
Less Typical Causes Of Ovulation Disorders
Primary ovarian failure (POF)
Resistant ovary syndrome
Autoimmune oophoritis
Diagnosis
In general, assessment for ovulation disorders may begin with the following lab tests:
Serum FSH
Serum LH
Serum Prolactin
Serum Testosterone
Free androgen index
And May Also Include:
CAT scan or MRI scan of pituitary and hypothalamus
Endometrial biopsy
Ovarian biopsy
More specific antibody tests (antithyroid, adrenal, islet-cell, gastric parietal cell)
Treatment
Use of ovulation-inducing fertility medications
Use of other drugs more specific to the diagnosed cause
Nutritional adjustment
Stress reduction
Surgery (in the case of tumors)
Ovulatory disorders are one of the leading causes of infertility.
Anovulation (no ovulation) is a disorder in which eggs do not develop properly, or are not released from the follicles of the ovaries.
Oligo-ovulation (ol-I-go-ov-u-LA-shun) is a disorder in which ovulation doesn’t occur on a regular basis, and your menstrual cycle may be longer than the normal cycle of 21 to 35 days.