What Is Anovulation?

Anovulation is a menstrual cycle in which the ovaries do not release an egg. It is a common cause of irregular or missed periods and of difficulty getting pregnant.

What causes anovulation?

Anovulation is often linked to hormonal imbalance. A common cause is PCOS, which the NHS now also calls polyendocrine metabolic ovarian syndrome (PMOS). Thyroid problems, high levels of the hormone prolactin, being under or over a healthy weight, intense exercise and stress can also play a part.

Some cycles without ovulation are normal, especially in the first years after periods start and in the years before menopause.

What are the signs of anovulation?

Irregular periods are the most common sign. Some people have very long cycles, very light or very heavy bleeding, or no periods at all. Others notice nothing until they try to conceive and find it takes longer than expected.

How is anovulation diagnosed and treated?

A doctor usually starts with questions about your cycle, then may suggest blood tests to check hormone levels and an ultrasound scan of the ovaries. Tracking your periods for a few months can help the appointment.

Treatment depends on the cause and on whether you want to get pregnant. Options can include lifestyle changes, treating a thyroid or prolactin problem, or medicines that help the ovaries release an egg, such as Clomid. A GP or fertility specialist can explain which options fit your situation.

Sources: NHS, ACOG, MedlinePlus.

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