The Tyler Medical Clinic

Assisted Conception - Affordable Infertility Treatments


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Anovulation

Failure or absence of ovulation.  This can happen in two basic situations.  The first is congenital absence of ovaries (a female baby born without ovaries), or failure of proper ovarian function.  If a child is born without ovaries but with a fairly normal uterus, pregnancy can be accomplished in adulthood by ovum/egg/oocyte donation.  Many situations of ovulation failure with fairly normal ovaries being present can be treated by stimulation of ovarian function/ovulation, or treatment of other conditions interfering with proper ovarian function. 

If such therapy fails, pregnancy can be accomplished by ovum/egg/oocyte donation, assuming that the female has a fairly normal uterus.  Ovulation should be strictly defined as the formation and release of a mature egg from the ovary.  The fact that the patient has a menstrual period or produces ovulatory hormones does not prove ovulation.  As it stands nowadays, the only proof of ovulation is a pregnancy.  Pregnancy cannot happen unless the patient ovulates, or if the egg/ovum/oocyte is surgically removed from the ovary through the in vitro fertilization (IVF) process.  A woman can menstruate without ovulation, and can have menstrual periods in more or less regular fashion.  On the other hand, if the woman ovulates she must have menstrual periods or get pregnant.  Various devices being sold over the counter do not prove ovulation, but simply indicate changes in hormones, which usually are caused by the ovulatory process, but can also be released without the woman releasing the egg/ovum/oocyte. 

Luteinized unruptured follicle (LUF), a failure of the follicles to burst and release eggs, happens much more frequently in patients who have difficulties conceiving.  In some of them, it happens occasionally, while in others, practically every cycle.  The question of ovulation needs to be properly answered, and documented as thoroughly as possible.  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Last modified: 07/01/04