Ovulatory Dysfunction Infertility
IHR has extensive experience in treating women with all forms of ovulatory dysfunction.
Ovulation, which is the release of an egg from the ovary, must happen in order to achieve pregnancy. If ovulation is irregular, but not completely absent, this is called oligovulation. Anovulation means lack of ovulation, or absent ovulation. Both anovulation and oligovulation are kinds of ovulatory dysfunction. The IHR experts work closely with couples undergoing the many different types of assisted fertility treatments available. We are renowned for our specialized knowledge and high infertility success rates even in difficult cases. IHR's expertise in ovulatory dysfunction lies in our willingness and ability to individualize our approach to best suit each and every one of our patients. If you have any questions as you review the material on ovulatory dysfunction, please contact us for a FREE Ovulatory Dysfunction E-Mail Consultation.
Ovulatory Dysfunction is the single-most frequent cause of female infertility and denotes a problem with the monthly release of an egg (ovulation). When a woman is anovulatory, she can't get pregnant because there is no egg to be fertilized. If a woman has irregular ovulation, she has fewer chances to conceive, since she ovulates less frequently. Plus, it seems that late ovulation doesn't produce the best quality eggs, which may also make fertilization less likely.
Also, it's important to remember that irregular ovulation means the hormones in the woman's body aren't quite right. These hormonal irregularities can sometimes lead to other issues, like lack of fertile cervical mucus, thinner or over thickening of the endometrium (where the fertilized egg needs to implant), abnormally low levels of progesterone, and a shorter luteal phase.
Anovulation and ovulatory dysfunction can be caused by a number of factors. The most common cause of ovulatory dysfunction is polycystic ovarian syndrome, PCOS. Other potential causes of irregular or absent ovulation is obesity, too low body weight, extreme exercise, hyperprolactinemia, premature ovarian failure, advanced maternal age, thyroid dysfunction, stress.
IHR has extensive experience in testing for ovulatory issues. We will reach a specific diagnosis of your condition after learning more about you by carrying out a physical examination and conducting a careful review of your medical records. To ensure we gather as much information as is necessary, other tests may sometimes be helpful, including: FSH Blood Level, Progesterone Blood Level, Ultrasound, Endometrial Biopsy.
If you are not ovulating, your infertility specialist may prescribe a medication to stimulate your ovulation. If the treatment plan is to take medication to ovulate, your infertility specialist will want to monitor you carefully to see if and when you are ovulating. Monitoring usually involves: Ultrasound and Blood Tests.
IHR Ovulatory Dysfunction Treatment will depend on the cause of the anovulation. Some cases of anovulation can be treated by lifestyle change or diet. If low body weight or extreme exercise is the cause of anovulation, gaining weight or lessening your exercise routine may be enough to restart ovulation. If you are overweight, losing even 10% of your current weight may be enough to restart ovulation.
The most common treatment for anovulation is fertility drugs. Usually, Clomid is the first fertility drug tried. Clomid can trigger ovulation in 80% of anovulatory women, and help about 45% get pregnant within six months of treatment. If Clomid doesn't work, there are many other drugs worth trying.
For women with PCOS, insulin sensitizing drugs like Metformin may help a woman start ovulating again. Usually, six months of treatment is required before you'll know if the Metformin will work. If Metformin alone doesn't help, using fertility drugs in combination has been shown to increase the chance of success in women who didn't ovulate on fertility drugs alone.
If the cause of anovulation is premature ovarian failure, or low ovarian reserves, then we have specific treatment programs which we will suggest including our advanced age program, egg donor program, and embryo adoption program.
IHR has treatments for a variety of conditions, including ovulatory dysfunctions, endometriosis, immunological infertility and many others. Perhaps less known is our work with individuals and couples who are considering assisted reproduction, but who are uncertain of their next step. We encourage anyone, before they make a decision, to consult with us. Currently, we are offering a FREE Ovulatory Dysfunction E-Mail Consultation.