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anovulation

How do you know if you have anovulation?

How do you know if you have anovulation?

  1. Irregular menstruation.
  2. Excessive or light menstruation.
  3. Lack of menstruation.
  4. Lack of cervical mucus.
  5. Irregular basal body temperature (BBT)

anovulation

anovulation Correct ovulation requires complex coordination at different levels of the reproductive system: the central pituitary-hypothalamus axis, hormones and signs of reflux, and the local response in the ovary. Therefore, not ovulating may be the result of injury to each of these mechanisms, and at all levels. About 40% of women with infertility are affected, and about 15% of the causes of infertility are related to ovulation disorders.

Anovulation treatment

anovulation In some cases, the position can be restored by losing weight , which is an important component of treatment. Treatment for women who do not plan to become pregnant includes weight loss (sometimes 5% of the weight is sufficient), medication (with or without the addition of anti-male hormone therapy), or inducing menstruation in women who refuse to take the pills. As mentioned above, even in the younger generation, it is important not to reach the position of non-menstruation, in order to reduce the risk of developing cancer of the endometrial wall, which is constantly growing in the absence of menstruation (menstruation).

First, treatment with clomiphene citrate tablets (with or without intrauterine insemination) is given. About 75% of women respond to doses of 50-200 mg on days 5-9 of the menstrual cycle, and they ovulate with a pregnancy rate of 30%-50%. If treatment fails, and insulin resistance is demonstrated, drug therapy may be added to reduce insulin resistanceSuch as metformin. If drug therapy fails and pregnancy has not been achieved after 6 cycles of oral therapy, treatment with an injection of gonadotropin, with or without the addition of a GnRh analogue, can be given. Because of the increased risk of overstimulation of the ovaries and conceiving of twins, it is important to treat with small doses and then gradually increase them. The percentage of cycles with ovulation in this way reaches 50%-80%, with a pregnancy rate of 20%-30%. If you do not ovulate or become pregnant after 6 cycles of treatment, then in vitro fertilization (IVF) i.e. IVF can be performed.

In recent years, many research papers have been published on treatment with insulin-stimulating drugs such as metformin. In addition to weight loss, (research) these drugs may lead to normal menstrual regulation, treatment success with clomiphene citrate, and thyroid-stimulating injections. Gonadotropin, and even successful implantation or in vitro fertilization (IVF).

An additional approach is laparoscopic burning of the ovary. It was found that there is a clinical and biochemical improvement after this type of treatment, and an improvement in the rate of normal pregnancy and pregnancy after treatment with drugs.

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