What if I have menstruation but no follicles?

Menstruation is a very normal physiological manifestation in women. Girls who enter puberty will have menstruation every month. There will be many symptoms when menstruation occurs, including the discharge of follicles. However, it also has some abnormal manifestations, such as menstruation without follicles. So what is the reason for menstruation without follicles?

Follicular development and ovulation are regulated by the hypothalamus-pituitary-ovarian gonadal axis, so any abnormality in the gonadal axis can cause ovulation disorders. The main reasons for non-ovulation during normal menstruation are as follows:

Without ovulation, there will be no corpus luteum formation, and there will be no normal secretion of progesterone. Some women have regular uterine bleeding, but it is not true menstruation, but anovulatory menstruation. Without ovulation, there will be no corpus luteum formation, and there will be no normal secretion of progesterone, which will lead to female infertility.

The peak of estrogen secretion cannot be reached, resulting in the ovaries being unable to ovulate.

Because the corpus luteum secretes a large amount of progesterone and estrogen, which in turn inhibits the hypothalamus, causing the luteinizing hormone and follicle-stimulating hormone to decrease, the corpus luteum to atrophy, and the secretion of progesterone and estrogen to decrease. The endometrium cannot get the support of estrogen and progesterone, so necrosis, shedding, and bleeding will occur, and menstruation will occur.

If you have menstruation without ovulation, you can use a combination of Chinese and Western medicine for treatment. According to the special physiological phenomena of the female menstrual cycle, medication can be used in stages, using the combined effects of Chinese and Western medicines to regulate the body's endocrine system, promote the development and maturation of follicles, and achieve the purpose of fertility.