Synonyms for anovulation or Related words with anovulation
Examples of "anovulation"
Previously, metformin was recommended treatment for
Disorders of ovulation include oligoovulation and
is a common cause of gynecological hemorrhage. Under the influence of estrogen the endometrium (uterine lining) is stimulated and eventually such lining will be shed off (estrogen breakthrough bleeding). The
chapter discusses its multiple possible causes. Longstanding
can also lead to endometrial hyperplasia and facilitate the development of endometrial cancer.
It is in fact possible to restore ovulation using appropriate medication, and ovulation is successfully restored in approximately 90% of cases. The first step is the diagnosis of
. The identification of
is not easy; contrary to what is commonly believed, women undergoing
still have (more or less) regular periods. In general, patients only notice that there is a problem once they have started trying to conceive.
A physician needs to investigate the cause of
. Common causes are:
Disorders of ovulation are classified as menstrual disorders and include oligoovulation and
Temperature charting is a useful way of providing early clues about
, and can help gynaecologists in their diagnosis.
Not all women with PCOS have difficulty becoming pregnant. For those who do,
is a common cause. The mechanism of this
is uncertain, but there is evidence of arrested antral follicle development, which, in turn, may be caused by abnormal interaction of insulin and luteinizing hormone (LH) on granulosa cells.
is when the ovaries do not release an oocyte during a menstrual cycle. Therefore, ovulation does not take place. However, a woman who does not ovulate at each menstrual cycle is not necessarily going through menopause. Chronic
is a common cause of infertility.
For most women, alteration of menstrual periods is the principal indication of chronic
. Ovulatory menstrual periods tend to be regular and predictable in terms of cycle length, duration and heaviness of bleeding, and other symptoms. Ovulatory periods are often accompanied by midcycle symptoms such as mittelschmerz or premenstrual symptoms. In contrast,
usually manifests itself as irregularity of menstrual periods, that is, unpredictable variability of intervals, duration, or bleeding.
can also cause cessation of periods (secondary amenorrhea) or excessive bleeding (dysfunctional uterine bleeding). Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory.
The World Health Organization criteria for classification of
include the determination of oligomenorrhea (menstrual cycle >35 days) or amenorrea (menstrual cycle > 6 months) in combination with concentration of prolactin, follicle stimulating hormone (FSH) and estradiol (E2). The patients are classified as WHO1 (15%) - hypo-gonadotropic, hypo-estrogenic, WHO2 (80%) - normo-gonadotropic, normo-estrogenic, and WHO3 (5%) - hyper-gonadotropic, hypo-estrogenic. The vast majority of
patients belong to the WHO2 group and demonstrate very heterogeneous symptoms ranging from
, obesity, biochemical or clinical hyperandrogenism and insulin resistance.
In patients who do not want to get pregnant
can be managed with the use of cyclic progesterone or progestin supplementation or use of hormonal contraception.
PCOS usually causes infertility associated with
, and therefore, the presence of ovulation indicates absence of infertility, though it does not rule out infertility by other causes.
or oligovulation is secondary to another disease, the treatment for the underlying disease can be regarded as ovulation induction, by indirectly resulting in ovulation.
The treatment of
is termed ovulation induction and is usually quite efficient. The main treatments are clomifene citrate and gonadotropins.
Virilization in a woman can manifest as clitoral enlargement, increased muscle strength, acne, hirsutism, frontal hair thinning, deepening of the voice, and menstrual disruption due to
FSH is used commonly in infertility therapy, mainly for ovarian hyperstimulation as part of IVF. In some cases, it is used for reversal of
Ovulation induction in the sense of reversing
or oligoovulation is indicated for women who do not ovulate on their own regularly, such as those with Polycystic ovary syndrome (PCOS). The medication which is most commonly used to treat
is clomifene citrate (or clomid), which is a selective estrogen receptor modulator (SERM) that increases production of gonadotropins by inhibiting negative feedback from estrogen on the hypothalamus.
In addition to the alteration of menstrual periods and infertility, chronic
can cause or exacerbate other long term problems, such as hyperandrogenism or osteopenia. It plays a central role in the multiple imbalances and dysfunctions of polycystic ovary syndrome.
But normal problems at other times can also cause scanty blood flow.
due to a low thyroid hormone level, high prolactin level, high insulin level, high androgen level and problems with other hormone can also cause scanty periods.
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