What’s the matter with ovaries not ovulating?

Ovarian anovulation may be caused by polycystic ovary syndrome, hyperprolactinemia, premature ovarian failure, thyroid dysfunction, excessive mental stress, etc. Ovarian anovulation can be treated by adjusting lifestyle, drug treatment, ovulation induction treatment, surgical treatment, assisted reproductive technology, etc.

1. Polycystic ovary syndrome

Polycystic ovary syndrome may be related to genetics, insulin resistance and other factors, and usually manifests as symptoms such as irregular menstrual cycles and increased body hair. Patients can use dydrogesterone tablets, spironolactone tablets, metformin hydrochloride tablets and other drugs under the guidance of a doctor to adjust hormone levels and improve insulin resistance. You need to control your weight and maintain a balanced diet on a daily basis.

2. Hyperprolactinemia

Hyperprolactinemia may be related to pituitary tumors, drug side effects and other factors, and usually manifests as symptoms such as lactation and decreased menstrual flow. Patients can use bromocriptine mesylate tablets, vitamin B6 tablets, cabergoline tablets and other drugs to reduce prolactin levels as directed by their doctor. If a pituitary tumor is present, it must be removed surgically.

3. Premature ovarian failure

Premature ovarian failure may be related to chromosomal abnormalities, autoimmune diseases and other factors, and usually manifests as hot flashes, night sweats, vaginal dryness and other symptoms. Patients need to use estradiol valerate tablets, progesterone capsules, Kuntai capsules and other hormone replacement drugs under the guidance of a doctor. Daily intake of calcium and vitamin D should be increased.

4. Abnormal thyroid function

Hypothyroidism or hyperthyroidism may interfere with gonadotropin secretion, often manifesting as symptoms such as chills or heat intolerance, and weight fluctuations. Patients need to use drugs such as levothyroxine sodium tablets or methimazole tablets as directed by their doctor to regulate thyroid function. Monitor TSH levels regularly and avoid diets high in iodine.

5. Excessive mental pressure

Long-term anxiety or excessive fatigue may inhibit hypothalamic function, often manifesting as symptoms such as insomnia and mood swings. It is recommended to relieve stress through psychological counseling, mindfulness training, etc., and if necessary, use Wuling Capsules, Zaoren Anshen Capsules and other Chinese patent medicines for short-term conditioning. Maintaining a regular schedule and moderate exercise can help restore ovulation.

For women with ovarian anovulation, it is recommended to record changes in basal body temperature and menstrual cycles and avoid excessive dieting or strenuous exercise. You can add foods rich in phytoestrogens such as soy products and nuts to your diet, and maintain aerobic exercise at least three times a week. If regular ovulation does not resume for more than 6 months, you need to seek medical attention promptly for ultrasound monitoring and six sex hormone tests, and select a targeted treatment plan based on the cause.