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You are here : home > Sex Education > The Female periodic cycle > Ovulation and Menstruation Problems

Ovulation and Menstruation Problems

What are the various ovulation problems

There are five main categories of ovulation problems:

  1. Oligomenorrhoea (very erratic periods): There is a defect in the feedback of estrogen from the ovary to the brain. In spite of this, levels of F.S.H., L.H. and estrogen are normal, but there is usually a menstrual disorder with either oligomenorrhoea or secondary amenorrhoea. 
  2. Amenorrhoea (never have a period or periods have stopped): The pituitary gland fails to produce F.S.H. and L.H. This, in turn, affects the ovaries, which fail to produce estrogen. Amenorrhoea is usually the representing symptom. 
  3. Menopause-like condition: The ovaries fail to respond or may be resistant to F.S.H. As is the case in menopause, the F.S.H. levels are very high and the estrogen level very low.
  4. Polycystic Ovary Disease: This is a condition where there are multiple tiny cysts in the ovaries. The L.H. level is characteristically high with normal F.S.H. and estrogen levels. There is often oligomenorrhoea or amenorrhoea. 
  5. Hyperprolactinaemia: The level of the hormone prolactin is very high while the levels of F.S.H. and estrogen are lowered. This condition is known as hyperprolactinaemia. There is either oligomenorrhoea or amenorrhoea. Discharge from the nipples is also a symptom of this condition as this is the hormone responsible for milk production. 


If you have amenorrhoea, your specialist may recommend a test 
called the Progesterone Challenge Test before the commencement of the  "fertility drug" treatment. This involves taking progesterone tablets for five days. If the ovaries are producing estrogen, a withdrawal menstrual bleed should occur after progesterone tablets have been stopped.
 

Are ovulation problems reversible

With the exception of ovarian failure for which there is no treatment, all the other causes of ovulation disorders are treatable. If an ovulatory disorder lies at the root of your infertility, you can expect that with the appropriate treatment, the chances of your having a baby will be elevated almost to the levels enjoyed by the fertile population.
 

Is ovulatory disorder a major cause of infertility

At least 20% of the women attending an Infertility Clinic will have a problem relating to ovulation.

Your menstrual history may indicate the likelihood of an ovulatory disorder for example: 

  1. You may never have had a period, a condition called primary amenorrhoea; 
  2. Periods which were once present have now stopped altogether (known as secondary amenorrhoea);
  3. Your cycle is so erratic. E.g. periods occurring every 1-4 months, that even if you are ovulating, ovulation is completely unpredictable (known as oligomenorrhoea).
Sometimes a woman's B.B.T. Chart, day-21 progesterone assay or endometrial biopsy may show that despite the fact that she has an apparently normal and regular cycle, definite problems exist. Either she is not ovulating (anovulatory cycles), or the luteal phase of the cycle is too short, perhaps combined with lowered progesterone levels from the corpus luteum after ovulation. (Inadequate luteal phase). 
 

Which drugs are used for the treatment of infertility

Many drugs are used in the treatment of infertility. The main drugs discussed here are Clomiphene, Human Chorionic Gonadotrophin (H.C.G.), Bromocriptine, Human Menopausal Gonadotrophin (hMG), Urofollitrophin (Pure F.S.H.) and Gonadotrophin Releasing Hormone (GnRH or LHRH).
 

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Recent comments (35 comments)
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Comment: 
Name: reena
Country: India

Load of water and good amount of exercise can help.Women with pcos could try green teas,and adira slimming shape wear during exercises.Consume less sugar.
 
Name: rekha
Country: India

how is amenorrhoea treated? is it possible to have normal and regular periods after treatment?
 
Name: Savvy
Country: India

how to regularize the periods in case of irregular periods? ovulatory disorder can be a major cause of infertility so it needs to be treated before planning for a baby.
 
Name: Trisha
Country: India

i always had irregular periods, now i am planning to have a baby. Will I be able to conceive? which is the best time for conceiving?
 
Name: kam
Country: India

Pls. tel how can we bring down the FSH level to normal range?
 
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Country: United States

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Name: sappic erotica
Country: United States

my life's been generally bland today. i just don't have anything to say recently. i guess it doesn't bother me. basically nothing seems worth doing, but i don't care. sapphic more or less nothing seems important. it's not important. shrug. whatever. i've just been hanging out doing nothing, but eh. i can't be bothered with anything lately.
 
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Name: jaspreet
Country: India

i am married, my age is 27yrs, i dont have any child, my husband did not plan yet. now after treatment my left ovarian cyst resolved but still suffering periodic problem very less bleed all 3 days.
 
Name: nneka
Country: Nigeria

i do have breast and abdominal pains during my period is it normal
 
Name: Act
Country: Sri Lanka

i do hav the periodic problem for last 6 months , before that i got it regularly, noe its not like that, if i consult a doc
 
Name: MAHALAKSHMI
Country: India

i have poly cystic problem heavy &overweight?
 
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Name: MarkTheDaemon
Country: United States

i can't be bothered with anything lately. such is life. basically nothing seems worth thinking about. i've just been staying at home not getting anything done. i haven't been up to anything today, but oh well. i haven't gotten much done lately.
 
Name: Spambot
Country: United States

i can't be bothered with anything lately, but that's how it is. nothing seems important, but what can i say? shrug.
 
Name: kutrough
Country: United States

my life's been basically bland recently. i can't be bothered with anything recently. pretty much nothing seems important. i've basically been doing nothing worth mentioning.
 
Name: misscarige
Country: United Kingdom

i had a misscarige 5 years ago i dident go to the doctors eny body have the same problem and got prognent
 
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Name: Tech.Khaleed issah Abdallah.DIT
Country: Tanzania

i have got one taq in my mind about why an african women have got a problem during their period time,most of themhteir cycles are not going propery.now i've amillion of questions in my head,but for another way ithink in how girls of age about 14-25 got this?
 
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