Can you get pregnant if the follicle has not ruptured?

We know that a woman's chance of getting pregnant is highest during her ovulation period. Simply put, ovulation is the release of an egg in a woman's body. After the egg matures, it will be released from the follicle. If any abnormality occurs, such as the follicle does not rupture, ovulation will not occur normally. This is a problem that all women will encounter, and the most concerning thing is the impact on fertility. So, is it possible to get pregnant if the follicle does not rupture? Let’s take a look below.

Generally speaking, the chances of getting pregnant if you have sex four or five days before or after ovulation are very high, but if the follicle does not rupture, the chances of getting pregnant are very small.

What if the follicle does not rupture?

Women of normal childbearing age ovulate once a month, usually about two weeks before the next menstrual period. However, many women cannot get pregnant because their ovarian follicles do not rupture. There are many reasons why women’s ovarian follicles do not rupture. The following is a detailed introduction to the reasons why women’s ovarian follicles do not rupture.

Experts say that unruptured follicle syndrome is also called luteinized follicle or luteinized unruptured follicle syndrome. It refers to the failure of mature ovarian follicles to rupture due to various reasons, making it impossible for the eggs to be discharged. Without eggs, conception is of course impossible.

Too much mental stress: The psychological shadow of infertility puts women in a state of tension and stress, which increases serum prolactin. In the long run, the psychological burden gradually forms huge mental pressure, resulting in high prolactin and no ovulation.

Hormone imbalance: An imbalance in the ratio of estrogen and androgen in follicular fluid may cause follicle atresia. It is now clear that in patients with amenorrhea and lactation, anovulation is caused by hyperprolactinemia, which confirms that prolactin has a certain important effect on ovulation.

Other hormonal effects: The level of prostaglandins and the action of proteinases in female follicles are also very important. If their levels are insufficient, it may also cause anovulation.

The failure of a woman's ovarian follicle to rupture is clinically known as unruptured follicle syndrome, also known as luteinized follicle or luteinized unruptured follicle syndrome. If the egg cannot be expelled, women cannot become pregnant. Therefore, female friends should promptly discover and treat the condition when they find that the ovarian follicle has not ruptured.

A normal follicle will form a corpus luteum and secrete estrogen and progesterone only after ovulation. However, in patients with unruptured follicle syndrome, the egg becomes luteinized and secretes estrogen and progesterone before it is released. Therefore, general examination methods often cannot confirm the absence of ovulation, but may mistakenly believe that ovulation has occurred. This has also resulted in many patients with unruptured follicle syndrome not being diagnosed in a timely manner.

What to do if the follicle does not rupture

To treat the disease of unruptured ovarian follicles, first of all, its diagnosis must exclude various factors causing infertility, directly observe under laparoscopy or take peritoneal fluid to measure hormone levels, or use B-type ultrasound to observe follicular development and ovulation. At the same time, its treatment is also relatively difficult. Currently, the method of inducing ovulation with human menopausal gonadotropin and chorionic gonadotropin has achieved certain therapeutic effects. Moreover, since this disease is also related to mental factors, the patient's mental treatment cannot be ignored. The current common treatment methods mainly include the following aspects:

1. Use B-ultrasound to monitor ovulation. After taking ovulation-inducing drugs or during the natural cycle, it is best to use B-ultrasound to detect ovulation. At the same time, ultrasound monitoring can also clearly observe the thickness and morphology of the endometrium, which has a certain role in predicting pregnancy.

2. Ovulation induction treatment. There are many types of ovulation-inducing drugs, which produce their effects through different mechanisms. These drugs should be used with caution and under the guidance of an endocrinologist. If used improperly, not only will they fail to achieve the therapeutic effect, they may sometimes lead to multiple pregnancies, miscarriages, and even ovarian hyperstimulation syndrome.

3. Take the ovulation injection. For patients who have dominant follicles but cannot ovulate naturally, HCG can be injected intramuscularly when the follicles reach dominant position to promote ovulation, and then intercourse can be performed under the guidance of a doctor.