Why do women not ovulate?

Ovulation is a very important thing for every woman. If a woman does not ovulate, it will seriously affect her future fertility and will also affect a person's physical and mental health. Nowadays, the incidence of anovulation in infertility can be as high as 25% to 30%, which is also a common endocrine disease. Therefore, women who do not ovulate must receive reasonable treatment, so that the chances of normal ovulation and pregnancy will be very high. Below is a comprehensive understanding of the reasons why women do not ovulate.

Reasons why women do not ovulate

(1) Turner syndrome and simple gonadal dysgenesis chromosomal abnormalities

The main clinical manifestation of all cases is primary amenorrhea, with increased gonadotropin and decreased estrogen. Pregnancy can be achieved through in vitro fertilization and embryo transfer using eggs donated by others.

(2) Premature ovarian failure and ovarian resistance syndrome

Hypergonadotropic amenorrhea due to ovarian failure that occurs before the age of 40 is called premature ovarian failure, which accounts for about 20% to 28% of primary amenorrhea and 4% to 20% of secondary amenorrhea. Women with primary amenorrhea or secondary amenorrhea before the age of 30 have elevated levels of endogenous gonadotropin and normal follicles in their ovaries, but are low-responsive to high-dose exogenous gonadotropin stimulation. This is called ovarian insensitivity syndrome or ovarian antagonism syndrome. The causes of both diseases are still unclear, and both present with amenorrhea and anovulation.

(3) Polycystic ovary syndrome

It is often manifested as amenorrhea or infrequent menstruation, long-term anovulation, excessive androgen, and no cyclical fluctuations in estrogen. It is currently a major cause of anovulatory infertility.

(4) Unruptured luteinization syndrome

In a normal menstrual cycle or a drug-induced ovulation cycle, an ovarian follicle develops into a dominant follicle, but the dominant follicle does not disappear or continues to grow 48 hours after the LH peak during ovulation, and exists for several days. The granulosa cells have become luteinized, but the follicle has not ruptured. The basal body temperature (BBT), cervical viscosity and endometrial changes in LUFS are similar to normal ovulation, giving the illusion of ovulation. It is one of the causes of infertility and one of the reasons why the pregnancy rate of clomiphene-induced ovulation is low. Literature reports that the incidence of LUFS is between 31.8% and 2.9%, which is significantly higher than the 10% in the natural cycle. B-ultrasound monitoring shows that the follicles do not rupture or increase in size, and light spots appear in the follicles, which usually disappear before the next menstruation. If laparoscopy is performed, the ovulation orifice cannot be seen.

The dangers of not ovulating

1. Ovulatory dysfunction may lead to the occurrence of female cancer. If a woman's ovaries do not ovulate for a long time, sex hormone metabolism will be disordered, and the endometrium will overproliferate without the counteracting effect of cyclical progesterone, she is prone to endometrial cancer and breast cancer.

2. The biggest harm that ovulation dysfunction brings to women is infertility. Because childbearing is a woman's natural duty, it would be a terrible blow if a woman could not have children. Therefore, causing female infertility is the biggest harm that ovulation dysfunction brings to women.

3. Ovulation dysfunction can cause a series of menstrual problems for women. Ovulatory dysfunction can also lead to a series of menstrual problems in women, such as menstrual disorders and amenorrhea, and can also cause symptoms such as hirsutism and obesity in women.

Although there are many reasons why women do not ovulate, you must see a doctor in time and pay special attention to your diet. Although there is no consensus on the effects of cola and other foods on infertility, you should generally not consume them in excess. In addition, smoking and drinking will affect fertility for both men and women. Women who do not ovulate should also pay attention to avoiding consuming too much high-calorie food in their diet.