When you are diagnosed with Anovulation it means you do not produce a mature egg monthly to be fertilised (ovulate) Women that are diagnosed with this often have a longer or shorter menstrual cycle or missing periods for months or even a few years. The most common cause of this is PCOS or Polycystic Ovarian Syndrome. There are other factors that could also contribute or cause this including, stress, excessive exercise, obesity, birth control, hormone imbalance, thyroid or high testosterone levels and even Premature Ovarian Failure. Even women that ovulate regularly can at some point experience Anovulation once or twice a year. This unfortunately cannot result in a positive pregnancy as No Egg = No Baby. You would then need to seek medical assistance help you ovulate.
Anovulation is diagnosed with bloodworks as well as ultrasound. Your Doctor would recommend you do a ultrasound on day 11 – day 13 to see if you have ovulated. Your blood results will test your hormone levels such as thyroid, progesterone, and prolactin as well as FSH levels.
Treatment will depend on your diagnosis. If you are diagnosed with PCOS, you’ll probably start with clomiphene citrate (Clomid / Femera (a.k.a. Letrozole and/or Metformin (Glucophage) Your Doctor would normally prescribe Metformin if you are insulin resistant and PCOS is treated with a combination of both. The combination of the two is said to result in higher ovulation rates. Your diagnosis would be adjusted according to your results after every cycle. If your cause of Anovulation is POF, your doctor would recommend a more aggressive treatment including IVF – In-Vitro Fertilization or even donor eggs.
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