Why the ovary does not work reason

Restoring ovarian function

• Wasted ovarian syndrome
• Drugs

Infertility in women can be caused by various diseases of the reproductive system.

Very often, conception does not occur due to malfunctions of the most important female organ - the ovaries. One of the diseases that is a prerequisite for female infertility is exhausted ovarian syndrome.

To understand whether the ovaries can restore their functions, it is necessary to understand the essence of the disease.

Concept of exhausted ovarian syndrome

“Exhausted ovarian syndrome” (ESS) is a pathological complex of various symptoms, which includes: infertility and secondary amenorrhea, vascular disorders in women under the age of 40 who previously had a normal reproductive system.

This syndrome is often called “premature menopause”, “premature menopause”, which is not entirely true. After an in-depth study of this disease, V.P. Smetnik proposed his name - “exhausted ovarian syndrome.”

The definition of this disease is that normally formed ovaries cease to perform their function much earlier than menopause (up to approximately 49 years of age).

Causes of development of exhausted ovarian syndrome

• Chromosomal abnormalities;
• Pathologies of the central nervous system;
• Congenital ovarian damage;
• Acquired damage to the ovaries, which is caused by previous diseases: influenza viruses, rubella, streptococcal inflammation;
• Infectious diseases, stress and others.

Symptoms of exhausted ovaries

Symptoms of this disease most often begin to develop at the age of 35-38 years.

The hormonal function of the ovaries suffers, and this causes all the ensuing consequences and corresponding symptoms.

The main symptom is the absence of menstruation. This fact is preceded by a change in the amount of menstrual flow (their decrease) and irregularity of the menstrual cycle.

Other symptoms may include:

• Hot flashes to the head and torso, severe sweating, various irritations of the skin on the chest and neck and their redness;
• Dryness and discomfort in the genitals;
• Decreased attraction to a partner;
• Unreasonable irritability, mood changes very often, depressive states are possible;
• Decreased performance, fatigue, memory impairment.

Diagnosis of exhausted ovarian syndrome

The diagnosis of this syndrome can be made based on:

• The patient's complaints, such as: cessation of menstruation, hot flashes, depression and others;
• Diseases that the patient had previously, operations and injuries, heredity;
• Analysis of the menstrual cycle;
• Analysis of gynecological diseases suffered by a woman, surgery on the reproductive organs, the course of pregnancies and childbirth in the previous time;
• Ultrasound results: the condition of the uterus and determination of the reduction in the size of the ovaries, the presence or absence of follicles, a decrease (if any) in the thickness of the endometrium;
• Laparoscopy data: condition and size of the ovaries, the presence of follicles in them;
• Results of the test for sex hormones: a decrease in the level of progesterone and estrogen and an increase in the pituitary hormone.

Treatment

Attempts to become pregnant in patients who have been diagnosed with this condition are rarely successful.

However, in some isolated cases, hormonal therapy is used, which may help restore normal ovarian function and induce ovulation.

The severe depletion of the follicular apparatus, which occurs with this syndrome, leads to the conclusion that stimulation of the depleted ovaries is inappropriate. Then how to restore ovarian function and is it possible to get pregnant after normalizing ovarian function?

Such patients can give birth to a child using the IVF procedure using a donor egg.

To restore ovarian function, hormone replacement therapy is used until the onset of natural menopause. This allows you to prevent disorders and diseases of the urogenital system, as well as metabolic disorders in chronic estrogen deficiency. During treatment, natural estrogens are used, to which gestagens are added.

When using cyclic hormone therapy, a condition similar to menstruation occurs. The patient’s body condition improves significantly: hot flashes and sweating decrease, and her emotional state stabilizes. This treatment helps maintain ovarian function, prevents early aging of the body and is an excellent prevention of atherosclerosis and osteoporosis.

Prevention

To prevent the occurrence of SIJ, it is necessary:

• Eat right and avoid long-term debilitating diets;
• Treat any viral infections promptly;
• If possible, avoid exposure to radioactive and chemical substances;
• Take any medications only under the constant supervision of the attending physician;
• Check anti-Mullerian hormone levels;
• Do not use ovarian stimulation without serious indications;
• Visit your gynecologist every six months for a routine examination.

Following these simple rules will help reduce the risk of developing exhausted ovarian syndrome and become a happy mother in the future.

Drugs

In case of early menopause, it is very important to support fading ovarian function in time to avoid the development of severe symptoms and consequences of estrogen deficiency.

Currently, drugs to maintain ovarian function are represented by a wide range of both official medicines and alternative traditional medicine.

Each specialist will tell you how and with what medications to restore the reproductive function of the ovaries.

As a first line of therapy, women very often choose drugs to restore ovarian function, such as multivitamin complexes, and this is not surprising.

Various vitamins, along with regular exercise and a healthy diet, can help relieve some of the symptoms of estrogen deficiency and improve overall health. The most commonly recommended vitamins are B vitamins. B3 lowers cholesterol; B6 in combination with B9 and B12 reduces the risk of cardiovascular disease.

Vitamin C (ascorbic acid), vitamin D and vitamin E are also widely used. Vitamin supplements provide nutrients that a woman does not receive through diet.

No less popular among doctors’ prescriptions are tablets for ovarian function based on extracts from the tissues of the genital organs of cattle. On our market, these drugs are represented by the most widely known drugs such as Ovariamin and Ovarium compositum. Their popularity is due to their multidirectional action, namely:

• have an estrogen-like effect on the body;
• normalize the menstrual cycle;
• accelerate metabolic processes in the ovaries;
• improve blood circulation and lymph flow in the pelvic organs;
• help normalize sleep and mood.

There are also a large number of women who are trying to restore ovarian function using folk remedies. Natural ways to improve ovarian function include:

1. Balanced diet

When trying to balance your hormones and reduce the symptoms of ovarian dysfunction, your diet should include plenty of essential minerals and healthy fats. Keep in mind that you may need fewer calories to maintain your weight. With muscle mass decreasing and your metabolism slowing, it's more important than ever to limit your intake of processed foods.

2. Take these supplements • Black cohosh (80 mg 1-2 times a day improves sleep quality, hormonal imbalances. • Ginseng (600-1200 mg per day) along with the Eleutherococcus plant, restores libido and ovarian function, used to increase energy and sexual arousal.• Red clover may help prevent bone loss and reduce the risk of heart complications.• St. John's wort may help stabilize your mood, reduce inflammation, improve sleep.
   • Maca root (1000-2000 mg per day) as an adaptogenic herb reduces the effect of stress on the body by reducing cortisol levels.
3. Exercise regularly

It can help increase energy, reduce fatigue, anxiety, and discourage weight gain while improving libido and mood.

: Ovarian exhaustion

Source: https://sindrom-istoschennyh-yaichnikov.ru/stimulyacziya-istoshhennyix-yaichnikov.html

Ovaries do not work: symptoms, causes, treatment

If the functioning of the reproductive organs is disrupted, then a woman cannot conceive and bear a child. To normalize reproductive function, you need to undergo treatment and find out the true reason why the ovaries do not work.

How does the malfunction of the appendages manifest itself?

Lazy ovaries cause a lot of problems. Patients suffering from infertility often have hormonal imbalances, which cause cycle disruptions.

Signs of normal functioning of the reproductive system:

• duration of menstruation from 4 to 10 days,
• interval between cycles 21-35 days,
• total blood loss during one menstruation is no more than 150 ml.

Ovarian dysfunction is often caused by hormonal problems and is manifested by a lack of ovulation and, as a consequence, infertility. A woman experiences irregular periods and bleeding between cycles. Menstrual flow is scanty.

Reasons why ovarian function is disrupted in women

Improper functioning of the appendages is noted as a result of:

• hormonal abnormalities, including PCOS,
• inflammatory processes,
• the presence of cystic formations, polyps, endometriosis,
• the use of certain medications,
• underweight
• diabetes, obesity (diseases provoke hormonal imbalance, which is reflected in the functioning of the ovaries),
• negative factors: changes in climatic zones, exposure to radiation, etc.,
• miscarriage or abortion,
• improper insertion of the intrauterine device.

Symptoms that the ovaries are not working well

The main cause of dysfunction of paired organs is a disruption in the production of sex hormones, provoked by deviations in the functioning of the hypothalamic-pituitary system. In this case, anovulation and luteal phase deficiency are observed, caused by excessive amounts of estrogen and progesterone deficiency.

Signs that the ovaries are not working include:

• irregular, scanty or heavy menstruation,
• bleeding between cycles
• miscarriage,
• infertility,
• dull and cramping pain in the lower abdomen, lower back (before menstruation, during it and during ovulation),
• pronounced PMS, accompanied by emotional problems,
• the interval between menstruation is less than 21 or more than 35 days, blood loss per cycle is more than 150 ml, bleeding lasting from 7 days,
• amenorrhea.

Diagnosis of pathology

To identify a malfunction of the ovaries, you need to contact a gynecologist. If he suspects hormonal causes of deviations, he will definitely refer you to a gynecologist-endocrinologist.

Diagnostic measures include:

• examination on a gynecological chair,
• anamnesis collection,
• exclusion of chronic reproductive diseases,
• Ultrasound of the pelvic region, thyroid and adrenal glands,
• examination of a vaginal smear for microflora,
• test for sexually transmitted diseases,
• determination of the concentration of sex hormones,
• radiography of the skull, CT and MRI of the brain,
• EEG to detect abnormalities
• hysteroscopy with cervical biopsy,
• curettage of the canal and cavity of the reproductive organ for histological examination of endometrial tissue.

Treatment of lazy ovaries

If there is no menstruation, then a detailed diagnosis is carried out, after which treatment is carried out. Therapy should be aimed at eliminating the root cause of deviations and combating concomitant diseases (diabetes mellitus, cystic formations, tumors, etc.). Additionally, vitamin and mineral complexes, massage, and physiotherapeutic procedures are prescribed.

If a woman suffers from obesity, then she is recommended to follow a diet and change her usual lifestyle. If you are underweight, measures are taken to normalize your weight. This allows you to restore ovulation and normal characteristics of the menstrual cycle. Then, when dysfunction of the appendages is caused by hormonal imbalance, a more serious approach is required.

So, with PCOS, if the patient does not plan a pregnancy, oral contraceptives are prescribed to even out the menstrual cycle and eliminate the symptoms of hormonal imbalance. For amenorrhea, the use of Duphaston is recommended. After a course of the drug, withdrawal bleeding begins, which is regarded as another period.

If PCOS is accompanied by an increase in blood sugar, then Metformin is used. With this treatment, hormonal levels are normalized, which allows the woman to conceive a child. At the discretion of the gynecologist, hormonal stimulation of ovulation or surgical intervention (laparoscopy) is performed.

The functioning of the ovaries is impaired for various reasons and can occur even against the background of intense and prolonged stress. Sometimes, to normalize the functioning of the reproductive system, it is enough to eliminate negative factors.

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Source: https://kazandoctor.ru/ginekologiya/zabolevaniya/narushenie-raboty-yaichnikov-u-zhenshhin

Symptoms

In order for the mobility of the uterus to be impaired, it must move away from the center of the pelvis. Moreover, the symptoms are similar to those of many gynecological diseases.

First of all, it is necessary to mention the unpleasant sensations that inevitably appear when the uterus is displaced. Similar sensations arise due to dryness and irritation of the mucous membrane. In order to understand how the position of the uterus and dry mucous membranes are related.

Source: ginekola.ru

What happens when the uterus moves? She begins to put pressure on the bladder, the position of which also changes. Its back wall is forced to lower. Because of this, intestinal permeability is impaired. Constipation begins.

There is a prolapse of the anterior wall of the rectum. Incorrect position of the uterus can cause the development of hemorrhoids. Also, women suffering from impaired uterine mobility are diagnosed with anal sphincter insufficiency.

Problems with the uterus lead to disruption of the functioning of all pelvic organs. Of the organs of the reproductive system, the ovaries are the first to suffer from improper positioning of the uterus, which disrupts the menstrual cycle. All these changes lead to the fact that a woman is unable to conceive a child for a long time.

Premature ovarian failure (ovarian wasting syndrome): what to do?

Larisa Andreevna Marchenko, Doctor of Medicine, Professor, Leading Researcher of the Federal State Budgetary Institution "National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov."

Here you can get acquainted with the opinion of Professor L.A. Marchenko, presented at the XII International Congress on Reproductive Medicine in Moscow.

In the modern world, women often postpone having a child “until better times.” First you need to make a career, earn money, buy an apartment. There are many examples when a woman gives birth to her first child after 40 years. But sometimes it happens that by this age a natural pregnancy can no longer occur. This happens due to premature ovarian failure.

Why is this happening?

Premature ovarian failure syndrome occurs on average in no more than 3% of women. Even before birth, a girl has a certain number (about 400 thousand) of primordial follicles in her body.

Before the onset of puberty, they quietly “sleep”, biding their time. During puberty, a woman begins to gradually enter reproductive age, and her hormonal levels change. The level of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) increases.

Under their influence, primordial follicles (from 5 to 15 vesicles per menstrual cycle), located inside the ovary, begin to grow. One of them, having reached maturity, releases an egg. Ovulation occurs and the woman gets her chance to get pregnant.

This story repeats itself every month for 35–37 years. This is the average reproductive age.

When functioning, the follicular apparatus of the ovary produces female sex hormones - estrogens. They are responsible for female sexual characteristics. After ovulation, the membrane of the vesicle turns into the corpus luteum and synthesizes progesterone, the pregnancy hormone.

Since the number of follicles is limited, sooner or later they run out. And then the climax comes. Sometimes this happens earlier than we would like. It is difficult to name the exact causes of this pathology. This is often due to heredity.

Other factors may also influence:

• diseases,
• operations,
• injuries,
• poisoning,
• exposure to strong drugs.

Ovarian exhaustion: how does it happen?

Manifestations of menopause, including early menopause, are very unpleasant. First of all, this is expressed in menstrual irregularities. Since declining ovaries noticeably reduce estrogen production, changes in hormonal levels affect overall well-being and appearance. The psycho-emotional state changes.

A woman may become irritable, nervous, tearful, prone to anxiety and depression. Outbursts of anger may occur. In some cases, diseases associated with metabolic disorders develop. Age-related changes begin to appear more clearly. The skin becomes less elastic, hair and nails become dull and brittle. Itching and dryness appear in the vagina.

Well-known signs of menopause are hot flashes and sweating.

Diagnosis of this condition usually includes:

• hormonal blood test (levels of FSH and LH, estrogen and progesterone, prostaglandin E2),
• Ultrasound (uterus, endometrium, ovaries)
• laparoscopic intervention (gonadal biopsy).

Expert opinion:

To detect premature ovarian failure early, the 2021 UK clinical guidelines say that attention should be paid to reducing Anti-Mullerian hormone (AMH) levels.

Research has shown that it drops about four years before follicle-stimulating hormone (FSH) levels rise. This means that by paying attention to AMH, we have the opportunity to detect incomplete pathology.

After all, in young women it often happens that FSH levels remain at normal levels, but AMH already shows low levels.

Ovarian wasting syndrome: treatment

Treatment usually involves taking a drug (containing estrogen and progesterone) to help maintain normal hormonal levels.

However, to answer the question of a patient with ovarian depletion, “How to treat this disease?” The doctor will not be able to immediately - choosing the right drug is possible only after laboratory blood tests.

Such treatment will normalize well-being and reduce the adverse manifestations of early menopause. However, the most serious problem that may bother women with this disease is the inability to become pregnant.

Unfortunately, the decline of ovarian function makes natural conception impossible. But this does not mean that you have to give up pregnancy. Modern methods make it possible to carry out the IVF procedure using a donor egg.

Sleeping (pcos) in gynecology: what it is, symptoms, treatment

PCOS (PCOS) in gynecology stands for and is translated as polycystic ovary syndrome. Women with PCOS have problems with hormonal balance and metabolism, which can affect their overall health and appearance. PCOS is also a common cause of infertility due to lack of ovulation - the egg does not develop or release properly.

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Sleeping symptoms

PCOS is characterized by a variety of symptoms, including menstrual irregularities or absence of periods, bleeding and pelvic pain, acne, increased facial and body hair growth, ovarian cysts, and (sometimes) metabolic problems related to insulin sensitivity and regulation. blood sugar. It is the most common endocrine disorder among women. Polycystic ovary syndrome affects approximately 5–10% of women aged 18–44 years (including public figures), that is, approximately 1 in 10 women of childbearing age.

Although PCOS, as the name suggests, is characterized by the presence of ovarian cysts, this symptom alone does not make a diagnosis. Cysts are a consequence of a disruption in the endocrine system, and not its cause. In addition, some women diagnosed with PCOS do not find cysts at all during ultrasound.

How is PCOS diagnosed?

There is no single test to diagnose PCOS. Typically, your doctor will do the following to rule out other causes of your symptoms:

The endocrinologist measures blood pressure, body mass index (BMI) and waist size, and examines the skin to look for excess hair, acne or pigmentation. Your doctor may order additional thyroid function tests to rule out this disorder.

If PCOS is suspected, the gynecologist should examine the girl to identify signs such as an enlarged clitoris or enlarged ovaries.

The presence of cysts on the ovaries and the condition of the endometrium are checked.

Blood tests for PCOS check the levels of androgen hormones, thyroid hormones, and other sex hormones. Your doctor may also order cholesterol checks and tests to screen for diabetes.

CAUSES OF SLEEP

The exact cause of polycystic ovary syndrome is unknown. Most doctors believe that genetics and factors such as:

All women have small amounts of male hormones, but in PCOS the amount of androgens is usually increased. This interferes with the development of the egg and also causes excess hair growth and acne.

With insulin resistance, the body's cells cannot respond normally to the hormone insulin. As a result, its level in the blood becomes higher than normal.

Many women with PCOS have insulin resistance, especially if they are overweight or obese, have unhealthy eating habits, lack of physical activity, and have a family history of diabetes.

Over time, insulin resistance can lead to type 2 diabetes.

In most cases, PCOS is primarily a metabolic disorder similar to type 2 diabetes, in which the body becomes resistant to the effects of the hormone insulin. This disorder is also associated with brain problems and immune problems, especially in women who do not receive any treatment.

Currently, when PCOS is suspected, women are first measured for insulin and subsequently treated or prevented type 2 diabetes.

How to make the ovaries work, medicines and traditional medicine recipes

In the female reproductive system, a special place is given to the ovaries. It is in them that the maturation of eggs and the production of female sex hormones occur. They regulate the menstrual cycle and ovulation. Their well-functioning and correct work ensures a woman’s ability to conceive and give birth to a child.

But sometimes disturbances in the functioning of the ovaries occur; they refuse to function properly, which is fraught with the development of a number of diseases, including infertility. For what reasons does ovarian dysfunction occur, how to make the ovaries work independently, what treatment methods exist, is it possible to use folk remedies to help in this situation, this will be discussed in our article.

Causes of ovarian dysfunction

The reasons why the ovaries may refuse to “work” are quite numerous and depend on the influence of many factors. Let's look at the most common causes of ovarian dysfunction.

Inflammatory or infectious diseases of the reproductive system

These include diseases of the ovaries, uterus and its appendages. Diseases in advanced or chronic form are especially dangerous.

Endocrine system disorders

Problems with the thyroid gland, adrenal dysfunction, diabetes mellitus of various stages, all this leads to hormonal imbalance, and as a consequence to improper functioning of the ovaries.

Interrupted pregnancy (abortion, miscarriage)

The greatest danger for ovarian dysfunction and infertility is abortion during the first pregnancy.

Uses of medicines

Some drugs can cause ovarian failure, especially their uncontrolled use.

Previous surgeries

This applies especially to operations on the female genital organs.

Misuse of contraceptives

This concerns not only the use of hormonal drugs, but also the incorrect installation of the uterine device.

Impact on the nervous system

Stress, overexertion, nervous exhaustion, depressive states are factors that can cause ovarian imbalance.

Bad habits

For example, smoking affects hormonal levels and affects the normal development and growth of eggs.

Change of habitat

For example, a sharp change in climatic conditions can cause disruption of the ovaries.

As we can see, there are quite a few factors that cause the ovaries to stop working. Their influence leads to partial or complete functional loss of performance of an organ, the ovary, which is so important for every woman.

Treatment methods for ovarian dysfunction. Drug treatment

How to make the ovaries work? Where should you start? Let's figure it out together.

First of all, if you are afraid that there has been a malfunction in the functioning of your ovaries, then you should immediately seek help from a gynecologist. To establish or confirm a diagnosis, you will also need to undergo certain tests (for example, blood tests for hormones) and undergo special procedures (for example, ultrasound examination) to identify the causes of dysfunction.

Depending on the factors, as well as the degree of functional impairment, the following treatment methods can be distinguished:

• drug treatment;
• drug-free treatment;
• surgical intervention.

Non-drug treatment involves, first of all, changing your diet. To normalize the functioning of the ovaries, you need to include in your daily diet foods rich in vitamins A, B and C. Refuse “unnatural” foods containing various food additives, dyes, and also limit the consumption of alcoholic beverages.

Surgery is used extremely rarely and only when other treatment methods have not brought positive results. Consists of surgical removal of the affected part of the ovary. Used as a last resort.

Drug treatment includes a comprehensive solution to the problem.

It can be divided into the following stages:

• elimination of the immediate causes of ovarian dysfunction;
• treatment of symptoms requiring urgent intervention (for example, blood loss);
• normalizing hormonal levels.

The use of a medicinal method is particularly effective for restoring the function of conception and treating infertility in women. So how do you get your ovaries working to get pregnant?

In this case, drug intervention consists of stimulating the ovaries with various medications, such drugs include:

• Clostilbegit;
• Puregon;
• Decayed;
• Ovitrel et al.

Important! Drug treatment is used only after a doctor’s prescription and under his strict supervision.

Folk remedies for restoring ovarian function

Treatment of ovarian dysfunction with medications is sometimes associated with side effects from medications. How to make the ovaries work using folk remedies? This question often arises in the process of solving a problem using alternative methods.

Traditional medicine in this case can share effective and time-tested recipes, here are some of them:

1. Decoction of plantain seeds. It is made at the rate of 1 teaspoon per half glass of water. Infuse for 3-4 hours, take three times a day.
2. Decoction of linden and sage flowers. Brew in equal proportions. Take up to 3 times a day.
3. A decoction or syrup made from rose petals has also proven to be an effective remedy. The syrup is supplied at the pharmacy and used according to the instructions.

There will also be a positive result from the use of aloe leaves. To do this, cut leaves are placed in the refrigerator for at least five days to ferment. Then they are crushed and mixed in equal proportions with honey and butter. Use 1 tbsp twice a day. spoon.

In addition to oral use, douching with various decoctions is used in complex therapy. Decoctions of yarrow, sweet clover leaves and blueberries are suitable for this.

The main thing is that when treating a violation of the functional functioning of the ovary with folk remedies, one must take into account the fact that it is designed for a long period.

Choosing one recipe or another should be purely individual, since plants can provoke allergic reactions.

Before treatment with unconventional methods, it is better to consult a doctor.

How to make the ovaries work during menopause

Everyone knows that during menopause the ovaries change to a different mode of operation. Due to the characteristics of the body, menopause in a woman can begin at an early age, not typical for menopause. So how to make the ovaries work during menopause? Where should you start to prolong the functioning of this organ?

Firstly, your lifestyle should be normalized. You need to start with your diet, including foods that promote the production of the hormone estrogen. These are legumes, as well as vegetables rich in vitamin A and B. Limit the consumption of salty, fatty, fried foods. Provide reasonable physical activity and good rest.

Secondly, you cannot do without taking estrogen-containing hormonal drugs such as Estrofem, Ovestin, Femoston, Divi Gel and others. It is dangerous to prescribe these drugs to yourself! Uncontrolled use can lead to undesirable consequences and even the formation of a tumor.

Thirdly, you can try using plant-based estrogen preparations. For example, Remens, Mastodinon, Klimadinon, etc. This group of drugs can somewhat slow down the menopausal processes.

The same folk remedies can also restore the functioning of the ovaries during menopause.

The main thing to remember is that taking care of yourself and your health can prevent malfunctions of such important reproductive organs as the ovaries.

Now let’s watch a video on how to normalize hormonal levels and make the ovaries work:

Source: https://VekZhivu.com/article/2667-kak-zastavit-yaichniki-rabotat-lekarstva-i-retsepty-narodnoi-meditsiny

The order of ovulation is a secret of nature

When pregnancy is “delayed” and does not occur for a long time, women raise many questions that they had not previously thought about. For example, can only one ovary ovulate? Or how to understand which ovary ovulates in a certain cycle? Interest in such questions often arises when one of the tubes is obstructed, missing, or it takes a long time to conceive a child.

To understand the frequency of ovarian function, it is first advisable to say a few words about ovulation. The release of an egg ready for fertilization from the dominant follicle (Graafian vesicle) approximately in the middle of the female cycle is called ovulation. The process is short-term and takes only a few seconds and is repeated every month.

Is there an ovulation order?

There is an opinion that the ovaries should ovulate alternately - in one cycle the left one, in the other - the right one. But sonologists (those who conduct ultrasound examinations) refute this theory.

To be precise, there is a category of women whose ovaries ovulate in turn. But this is not dogma. There is a fairly broad category of girls in whom ovulation from cycle to cycle occurs in one of the ovaries.

And only occasionally does the second perform its assigned function - providing a germ cell for fertilization.

Difficulties in getting pregnant arise when the fallopian tube is in working order on one side, and ovulation occurs for a long time on the opposite side. Although scientists have recorded a case of pregnancy and childbirth in a woman with one fallopian tube and a single ovary. Moreover, the functioning tube was on the opposite side of the ovary.

Why does only one work?

Before ovulation, due to the influence of hormones, not just one egg, but about 10 or more, receives a stimulus for development. And the development of oocytes occurs in two ovaries at once. But in the process, a dominant follicle appears - a kind of leader, which will produce an egg.

If ovulation (often or constantly) occurs in one ovary, this does not mean that the ovary on the opposite side is not working. Why does one ovary ovulate and the other not? Science at this stage has not found an explanation. Let's hope that's it for now.

The only answer from doctors to this question is that the process is spontaneous and is not subject to any systematization. Secret of nature...

If one ovary really works, then regularly recurring symptoms may appear: constant pain on one side, increasing during menstruation, bloating, an increase in the size of the ovary (confirmed by ultrasound). The manifestations are due to the active work of the organ, compensating for the “silence” of the neighbor.

Solutions

How to force the desired ovary to ovulate? In order for a dominant follicle to form in the desired ovary, there are three options for action. We list them from simple to complex:

1. Wait for the egg to be released from the desired side. This can take a long time and requires constant monitoring and folliculometry (monitoring the dynamics of follicle growth) using an ultrasound machine.
2. Carry out drug stimulation of the ovaries.
3. Use ART techniques, for example, IVF.

But all of the listed ways to solve the problem are far from 100% successful. Long-term monitoring and observation does not guarantee the onset of pregnancy during ovulation on the right side immediately. Tracking may require several cycles. And given the rarity of ovulation on the necessary side, the chances of getting pregnant are reduced.

Drug stimulation also does not always ensure the functioning of both ovaries. Although this is better than doing nothing at all.

Before stimulation begins, it is necessary to evaluate the ovarian reserve (blood for anti-Mullerian hormone), take a test for estradiol and FSH, study the husband’s spermogram (in order to exclude male factors of infertility) and recheck the patency of the tube.

After stimulation, both ovaries often ovulate. This could be your chance to get pregnant naturally.

Adherents of alternative medicine can use stimulation with folk remedies. Since ancient times, herbs available to everyone have been used for these purposes: sage, knotweed, rose petals, etc.

"Unusual Cycles". What do you need to know?

There are cycles that are not quite ordinary, but they are variants of the norm.

These include:

With a double release of mature eggs, both ovaries ovulate (a gamete has matured in each) or one, but two dominant follicles have matured in it. Conceiving in cycles with double ovulation often results in twin pregnancies.

The absence of ovulation may be normal if it occurs no more than 1-2 times a year. In this case, the menstrual cycle is not disrupted, menstruation occurs as usual.

Ovarian hypofunction (lazy ovaries) – causes, treatment

• Functions
• Causes
• Symptoms
• Diagnostics
• Treatment

Ovarian hypofunction is a group of pathological conditions that are manifested by weakened functionality of these organs. You need to understand that hypofunction is not a clinical diagnosis, but the result of the progression of various pathologies both in the ovaries and in the organs that control their function.

Functions

The ovaries are paired female sex glands and perform the following functions:

• Generative. It consists of ensuring the maturation of female germ cells, that is, maintaining the ability to conceive.
• Vegetative. It consists in the formation of the female phenotype, that is, in ensuring the correct development of secondary characteristics of the female sex.
• Hormonal. It consists of the cyclic production of progesterone and estrogen under the control of the hypothalamic-pituitary system.

In the body of a healthy woman of reproductive age, an egg matures monthly. During this process, the egg is located in the follicle.

The maturing follicle has a stimulating effect on estrogen production.

The complete development of the egg in the first phase of the cycle is ensured by FSH - follicle-stimulating hormone, which is produced in the pituitary gland.

During the ovulatory period, a mature egg is released from the follicle, and the corpus luteum is formed in its place.

From this moment, within two weeks, it produces progesterone, which is necessary for the correct course of pregnancy if conception occurs. If fertilization of the egg does not occur, then the destruction of the corpus luteum occurs.

In the next cycle it is formed again. The second half of the cycle is under the control of LH - luteinizing hormone.

Simultaneously with the cyclic processes in the ovaries, the endometrium grows in the uterus in the first phase of the cycle, and is rejected in the second. With hormonal imbalances, pathological changes also affect the endometrium. Therefore, for any symptoms of dysfunction in the reproductive system, its health is assessed comprehensively.

The nature of the menstrual cycle is a criterion for assessing the correct functioning of the ovaries. The presence of ovulation and a two-phase cycle indicate the proper functioning of these organs.

Causes

Hypofunctionality of the ovaries can accompany many diseases of the reproductive system, associated both with changes in the tissue of these organs itself, and with disorders in the central part of the endocrine system. Hypofunction can be primary or secondary.

Primary hypofunction is associated with disturbances in the processes of intrauterine development of the female body. Congenital underdevelopment of the ovaries may be a consequence of the mother's history of measles or rubella. It is also possible due to hormonal imbalance in the mother’s body, due to hereditary diseases in the expectant mother and due to psycho-emotional disorders she has suffered.

Secondary hypofunction can be triggered by factors listed below:

• A sharp decrease in body weight as a result of the progression of somatic pathologies or due to anorexia nervosa.
• Poor nutrition, which does not contain enough vitamins and fats.
• Infectious and inflammatory diseases of the ovaries (oophoritis, adnexitis).
• Pathologies of the pituitary gland and/or hypothalamus, provoked by traumatic brain injury, psycho-emotional disorders, and cancer of the brain.
• Diseases of the endocrine system affecting the thyroid gland and adrenal glands.
• Oncopathologies and polycystic ovary syndrome.
• Ovarian wasting syndrome.
• Uncontrolled long-term use of oral contraceptives.

Thus, ovarian hypofunction is a polyetiological condition, therefore, when it is identified, a comprehensive diagnosis is required to determine the exact cause and the appropriate method of correction.

Symptoms

Clinically, hypofunction is manifested by a disrupted menstrual cycle, reverse development of secondary sex characteristics, as well as infertility. In the case of primary hypofunction, the organs of the reproductive system remain underdeveloped. It is worth noting that the decrease in ovarian function during menopause is physiological.

The basis of the pathogenesis of hypofunction is hypoestrogenism - reduced production of estrogen. The clinical consequences of this condition are presented in the table.

The nature of clinical symptoms depends on the degree of hypofunction:

• Easy. The size of the uterus is normal or slightly reduced, the endometrium is formed correctly, but is not developed enough. Satisfactory development of secondary sexual characteristics. Irregular (less often than acceptable) and scanty menstrual bleeding, in some cases - amenorrhea.
• Average. Amenorrhea, underdevelopment of the external genitalia and mammary glands. The size of the ovaries and uterus is significantly smaller than the age norm.
• Heavy. It is quite rare. It is characterized by underdevelopment of the genital organs, the absence of secondary characteristics of sex, and primary amenorrhea.

Hypofunctional states that developed after the normal course of puberty are characterized by mild clinical symptoms. Hypofunction in this case manifests itself as cycle disorders: menstrual bleeding becomes short and scanty, and the interval between them gradually increases.

Without therapeutic correction, atrophic changes in the endometrium, amenorrhea, a decrease in the size of the ovaries and uterus develop, and psychoemotional disorders are also observed.

Diagnostics

Examination of a patient with manifestations of ovarian hypofunction should include:

• examination (assessment of physique, determination of the development of the genital organs and secondary sexual characteristics and the compliance of these parameters with age standards);
• ultrasound examination of the pelvic organs;
• laboratory studies of hormonal status.

Some additional diagnostic procedures may also be required depending on the characteristics of the clinical case. Only after identifying the provoking pathology and the degree of its severity can the doctor prescribe a course of therapeutic correction.