The menstrual cycle involves a delicate dance of hormones in a woman's body. Hormone levels must rise and fall at certain times to achieve ovulation. Ovulation occurs when an ovary releases an egg in preparation for pregnancy.

In some menstrual cycles, an egg does not mature and a woman does not ovulate. This is known as anovulation. Anovulation can cause irregular menstrual cycles or no periods at all.



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Brief overview of anovulation


Certains médicaments, affections et facteurs externes qui expliquent les niveaux d'hormones peuvent provoquer une anovulation.

Parfois, une femme peut avoir un cycle anovulatoire, puis revenir à un cycle régulier. D'autres fois, c'est un problème chronique.

Lorsqu'une anovulation se produit, une femme ne peut pas tomber enceinte. Pour les femmes ménopausées, c'est tout à fait normal.

Les femmes en âge de procréer ne subissent généralement pas d'anovulation à moins que quelque chose n'ait modifié les niveaux hormonaux du corps ou endommagé les ovaires.

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Women who ovulate regularly often see signs that occur with each cycle. They may experience the following:

Increased amounts of cervical mucus

A drop and subsequent rise in resting body temperature in the middle of the menstrual cycle (around days 10-16)

Periods that occur regularly

Women who have very irregular periods or see no signs of ovulation may want to try an over-the-counter ovulation predictor kit. These kits measure hormone levels in a woman's urine to determine when she is ovulating.

A doctor may also be able to test a woman's hormone levels or perform an ultrasound to see the ovaries.




Some birth control methods contain hormones designed to stop ovulation and prevent pregnancy. They can include synthetic forms of the hormones progesterone and estrogen, and some contain only synthetic progesterone.

These types of birth control methods include:

Birth control pill - taken by mouth daily

Birth control patch - applied weekly to a particular part of the body

Vaginal ring - placed inside the vagina once a month

Contraceptive implant - inserted under the skin of the arm, lasting up to 3 years

Intrauterine device (IUD) with hormones - placed inside the uterus for 3-5 years

Contraceptive injection - given by injection in the arm every 12 weeks

These drugs interfere with the ability of the ovaries to grow and release an egg. As a result, the woman will have anovulatory cycles while taking the drug.

It is important to note that some IUDs contain copper rather than hormones. Copper does not cause anovulation; instead, it interferes with a sperm's ability to reach an egg.

Many packages of birth control pills contain 21 active pills and seven placebo pills. A woman taking this type of birth control pill may still have a period during the week she takes the placebo, although it is lighter than a regular period and is not caused by ovulation. Other methods may cause spotting or breakthrough bleeding.

Each birth control method stops ovulation differently. Women should discuss their options with a health care provider to determine the best choice.

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Medication side effects


Some drugs designed for other purposes can still stop ovulation.

They include:

NSAIDs (nonsteroidal anti-inflammatory drugs)

NSAIDs include many over-the-counter pain relievers, such as ibuprofen and naproxen. One study suggested that NSAIDs can cause anovulation after taking them for just 10 days.



Skin creams and other topical products containing hormones

Some products contain estrogen or progesterone designed to fight aging or help with issues such as premenstrual syndrome (PMS). These products can be absorbed by the body, causing anovulation or hormonal imbalances.



Steroids are a type of hormone that can reduce inflammation. They can also interfere with the hormones needed for ovulation.

Cortisone and prednisone are common types of steroids which are prescribed for various diseases, such as allergies, lupus, asthma, etc. Topical steroids are used on the skin to treat inflammation and allergic reactions.

Research has found that half of women who received a steroid vaccine had an irregular menstrual cycle afterwards.

Epilepsy or seizure medications:

These drugs can interfere with ovulation and the menstrual cycle, according to an article in the Journal of Human Reproductive Science.

Some epilepsy medications can also cause birth defects, so people taking these medications should discuss pregnancy plans with their doctor.

Cancer treatments:

Chemotherapy, radiation therapy, and cancer drugs can cause permanent damage to the ovaries.

If a person is trying to get pregnant and has not been successful, they may want to discuss their medications with a doctor. In some cases, the doctor may prescribe alternative medicine or may consider medication to encourage ovulation.


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Treatment and outlook


For many women, anovulation becomes a problem when they want to get pregnant or have irregular menstrual cycles.


Since many different factors influence a woman's hormones and menstrual cycle, there is no single solution for treating anovulation. In many cases, however, the underlying cause of anovulation or the problem affecting hormone levels can be diagnosed and treated. Treatment can lead to pregnancy or more regular menstrual cycles if desired.


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