Sexual Health
Can women regulate themselves if they don't ovulate? What are the common treatment methods for anovulation
Anovulation is an abnormal condition in the female body, in which the ovaries release eggs irregularly. Because the normal cycle of ovarian follicle maturation is disrupted. There are many reasons for this situation, but in a large proportion, the reasons are still unclear. Usually, patients need to undergo anovulation treatment to help women conceive.
How to treat female anovulation?
1、 Maintain normal weight
Anovulation is usually due to polycystic ovary syndrome, where the ovaries become thicker, including multiple cysts, and androgen effects can be seen in women with insulin resistance. Polycystic ovary syndrome is often associated with infertility. These women often experience obesity or overweight, which helps with insulin resistance. They should recommend losing weight, because even if you lose 5% of your weight, insulin sensitivity will improve significantly, and the levels of Luteinizing hormone and free testosterone will also decrease, both of which will lead to normalization of the ovarian cycle.
On the one hand, women with dietary disorders or severe malnutrition and a body mass index below 20 may need to gain a certain amount of weight before resuming their ovulation cycle. Anovulation should not be treated separately until the weight is at least below normal.
2、 Hyperprolactinemia
A high level hormone called Prolactin can be secreted by the Pituitary gland gland to inhibit ovulation. This may be because there is a kind of Pituitary tumour called microadenoma. Use a drug called Bromocriptine, which starts from 1.25 mg and slowly increases to 2.5 mg in about a month. Other drugs used at this time include cabergoline and Quinolone, whose effects last for a long time and side effects are lighter than Bromocriptine.
3、 Treatment of hypothyroidism
Among many anovulatory women, thyroid function is insufficient. The body tries to compensate by secreting Thyroid-stimulating hormone to stimulate the secretion of Thyroid hormones, but this instead stimulates the production of Prolactin. This leads to inhibition of ovulation. Therefore, any patient with high Prolactin level should be checked for primary hypothyroidism and treated with thyroid hormone at the same dose.
4、 Surgical treatment
Ovarian wedge resection is the first surgical treatment for polycystic ovary syndrome, but it currently replaces laparoscopic ovarian hyperthermia or drilling to reduce the number of androgen secreting tissues in the ovary. It was as successful as Gonadotropin follicle stimulating hormone injection, but the risk of multiple pregnancy and ovarian hyperstimulation syndrome was significantly reduced. However, if too much ovarian matrix is destroyed, women may suffer from premature ovarian failure. Similarly, if the healing is complex, it may lead to the formation of adhesions in the abdominal cavity.