Can anovulation heal itself?

As we all know, women will ovulate every month under normal circumstances. If the egg and sperm combine, sperm-egg fusion will occur immediately. If they do not combine, menstruation will occur. Therefore, ovulation is a prerequisite for pregnancy. Of course, some people need to adjust their irregular menstruation. So, can anovulation be cured?

There are several reasons for anovulation:

1. Ovarian obstruction: The common disease that causes anovulation due to ovarian obstruction is premature ovarian failure. In medicine, patients who reach menopause before the age of 40 are referred to as premature ovarian failure. The patient has normal menstruation in the early stage, but then the menstrual blood volume becomes light until complete amenorrhea occurs. The cause of anovulation due to ovarian obstruction is still unclear. The eggs in the uterus and ovaries of this type of patient have been exhausted, and it is impossible to use ovulation-stimulating drugs to develop the uterus, or even if there are initial eggs, they have no response to gonadotropin. For patients with this type of ovulation disorder, if they want to get pregnant, they must first solve the problem of ovarian dysfunction, otherwise they can only rely on in vitro fertilization to get pregnant.

2. Pituitary problems: Common diseases that cause abnormal ovulation due to pituitary problems include hyperprolactinuria, pituitary prolactinoma and Sheehan syndrome. High prolactin levels can inhibit ovulation. If the growth hormone measurement shows that prolactin is elevated, further examination should be carried out first based on the level of elevation to find out whether there is a pituitary prolactinoma. If amenorrhea and milk secretion are caused by a pituitary tumor, whether surgery or medication should be used should be decided based on the size of the tumor. After treatment, prolactin levels in patients with hyperprolactinuria can return to normal, ovulation is restored, and the pregnancy rate is very high, but they should take medication under the guidance of a doctor. Sheehan's syndrome refers to ischemia or obstruction of the anterior pituitary gland caused by postpartum hemorrhage, leading to cerebral ischemia and necrosis, pituitary dysfunction, resulting in ovulation disorders, and accompanied by thyroid cysts and dysfunction of several endocrine glands such as adrenaline. An effective way to treat this type of ovulatory disorder is to use gonadotropins to induce ovulation.

3. Polycystic ovary syndrome: Polycystic ovary syndrome is also a common abnormality in the ovulation period. The cause of the disease is very complicated and it remains a hot topic in scientific research in the medical community. The clinical symptoms vary. In addition to amenorrhea or irregular menstruation caused by anovulation, clinical symptoms such as hirsutism, obesity, and acne may also occur. The characteristics of their ovaries are that the ovarian volume is enlarged, there are many eggs but they cannot grow to maturity, so therapeutic drugs are needed to promote uterine development and induce ovulation.

4. Hypothalamic-pituitary function problems: Hypothalamic-pituitary function problems cause anovulation because the abnormal input data signals of the hypothalamic-pituitary gland cause a decrease in gonadotropin. Including anxiety, anorexia nervosa, simple weight loss amenorrhea and amenorrhea caused by excessive exercise. Anxiety and stress can also cause endocrine disorders; severe systemic inflammation or malnutrition can also lead to anovulation and amenorrhea. The treatment of this type of ovulatory disorder involves psychiatric therapy and adjustment of lifestyle habits to restore the function of the hypothalamus-pituitary-ovary. Due to its low sex hormone characteristics, gonadotropin treatment can be used to induce ovulation for those who want to conceive.

No matter which of the above causes of anovulation you have, there are ways to treat it. For those with low ovarian height and premature ovarian failure, uterine ovarian regeneration surgery is used to activate the hypothalamus-pituitary gland and repair the ovaries. For ovarian cysts, the hospital uses laparoscopic ovarian cystectomy to achieve the treatment effect with the least damage. For hypothalamic pituitary function problems, a treatment method that closely combines medical treatment and conditioning is used to help patients recover.