diagnosis guide
If you’ve just received a medical diagnosis, or you’re concerned that something in your present or past health history might be jeopardizing your fertility, check here for quick info on common medical conditions and how they can affect conception and pregnancy.
Directory Content
Ovulatory Disorders
What It Is
A condition in which a woman ovulates irregularly, or stops ovulating completely.
Who Gets It
Between 20 and 40 percent of woman with fertility problems have an ovulatory disorder. Conditions such as ovarian cysts, hormone imbalances, thyroid and insulin problems, eating disorders, and pituitary gland or other endocrine disorders can cause a woman to stop ovulating. So can lifestyle factors, such as severe stress, excessive exercise, fad diets, or extreme weight loss. In some cases, the cause remains a mystery.
Symptoms
Usually, women who are not ovulating normally stop having periods or their periods are irregular and infrequent. In women who continue to have regular periods, difficulty conceiving is the only sign there is a problem.
How It's Diagnosed/Detected
Because so many different things can affect ovulation, your doctor will likely perform a full medical workup, including a discussion of your complete medical and menstrual history, a physical examination, and blood tests to measure hormone, thyroid, and insulin levels.
How It Affects Fertility (And Pregnancy)
When ovulation stops, no egg is released to be potentially fertilized, so pregnancy cannot occur. Infrequent ovulation also makes achieving pregnancy more difficult.
Treatment
If the cause of an ovulation disorder is eating, stress, or exercise related, the doctor may recommend psychological or nutritional counseling. If hormone, thyroid, insulin, or other endocrine imbalances are to blame, medications usually can correct the problem. Women with an unexplained disorder are usually prescribed fertility drugs to promote ovulation.
Pregnancy Prognosis
At least 75 percent of women who receive proper treatment for an ovulation disorder will be able to get pregnant.
