Anovulatory Cycles

Anovulatory Cycles is a menstrual cycle in which ovulation fails to occur. This means that you do bleed but do not release an egg or ovulate. If an anovulatory cycle does happen before then anovulation translates into difficulty in conception or infertility, but more than but are most common during adolescence and in the years before menopause. If a woman experiences bleeding between periods for more than 2-3 cycles, she should notify her doctor. Hormonal imbalances, such as those caused by polycystic ovary syndrome (PCOS), can also cause anovulatory menstrual cycles. The disorder may also result from eating disorders, hypothalamic dysfunction, hyperprolactinemia, polycystic ovary syndrome, luteal phase defects, or tumors of the pituitary gland adrenal gland or ovaries.

Anovulatory cycles tend to occur occasionally throughout the childbearing years, but are most common during adolescence and in the years before menopause ("perimenopause"). As there is no progesterone in the anovulatory cycle, bleeding is caused by the inability of estrogen - that needs to be present to stimulate the endometrium in the first place - to support a growing endometrium. Anovulatory bleeding is hence termed estrogen breakthrough bleeding. In other cases, menstruation may be fairly regular (eumenorrhea), or more frequent (intervals < 21 days), or there may be a loss of menstral pattern.

Causes of Anovulatory Cycles

The major causes of Anovulatory Cycles are as follows:

• Anovulatory Cycles are ranging from diet and exercise to complex disruptions in the relationships between tiny glands in the brain that control our most basic functions. Some causes are relatively easy to identify, whereas others are much more difficult.
• The disorder may also result from eating disorders, hypothalamic dysfunction, hyperprolactinemia, polycystic ovary syndrome, luteal phase defects, or tumors of the pituitary gland adrenal gland or ovaries. Other causes of anovulatory cycles are primary ovarian failure, resistant ovary syndrome and autoimmune oophoritis
• Premenopause
• Ovulatory dysfunction
• Cortisol has a direct impact on the hormones estrogen, progesterone, and DHEA. Eating disorders, dieting, drug use, and reliance on stimulants like caffeine and alcohol are also interpreted by the body as kinds of stress.
• Thyroid disorders
• Hyperprolactinemia

Treatment and Cure of Anovulatory cycles

Treatments for anovulatory cycles vary based on the underlying cause of the condition and other factors like age and medical history. For many infertile women with anovulation, treatment with one or another of fertility drugs can be remarkably successful. Some effective treatment methods are as follows:

• Fertility drugs can be remarkably successful in treating Anovulatory Cycles. Oftentimes drugs are given to induce ovulation, including oral medication such as clomiphene or injectable medications.
• In patients who do not want to get pregnant anovulation can be managed with the use of cyclic progesterone or progestin supplementation or use of birth control pills .
• Pergonal bypasses the natural hormone stimulation of the pituitary on the ovary. It applies stimulation directly to the ovary, and then, once a follicle grows to sufficient size, HCG is used as the final step to release the egg.

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