Infertility caused by anovulation

　　The causes of anovulation include:

　　1. Pituitary dysfunction:Pituitary adenoma, Sheehan syndrome, tuberculosis or syphilis granuloma.

　　2. Hypothalamic disorders:It is divided into functional and organic types. The former includes idiopathic hypothalamic amenorrhea, psychogenic amenorrhea, functional hyperprolactinemia, anorexia nervosa; the latter includes hypothalamic tumors, post-encephalitic, post-head injury.

　　3. Ovarian dysfunction:Including primary amenorrhea of the ovary and secondary amenorrhea. The former includes Turner syndrome, etc. The latter includes premature ovarian failure, organic damage to the ovary, such as functional loss after radiation exposure, tumor, inflammation-induced destruction, etc.

　　Anovulation not only causes infertility but also triggers other diseases. Anovulation is a common endocrine disease, and its common symptoms are menstrual disorders or amenorrhea, heavy hair, obesity, etc. Due to long-term anovulation, the endometrium overgrows, and there is no opposing effect of cyclic progesterone, so the risk of developing endometrial cancer or breast cancer is relatively increased.

　　The greatest harm brought to women by dysfunction of ovulation is infertility. Causing infertility is the greatest harm brought to women by dysfunction of ovulation.

　　2. If a woman's ovaries do not ovulate for a long time, the metabolism of sex hormones is disordered, and the endometrium overgrows without the opposing effect of cyclic progesterone, which is prone to endometrial cancer and breast cancer.

　　3. Dysfunction of ovulation can bring a series of menstrual problems to women. Dysfunction of ovulation can also lead to menstrual disorders, amenorrhea, and other menstrual problems in women, and can also lead to symptoms such as hirsutism and obesity.

　　Having a certain understanding of the symptoms and signs accompanying anovulation can help in self-discovery and timely medical consultation.

　　1. Amenorrhea (absence of menstruation);

　　2. Irregular menstrual cycle;

　　3. Oligomenorrhea (reduced frequency of menstruation);

　　4. Obesity;

　　5. Severe weight loss;

　　6. Galactorrhea (milk secretion from the breasts);

　　7. Hirsutism (abnormal or excessive hair growth on the body and face).

　　There are several preventive methods for infertility caused by anovulation:

　　1. Live a regular life

　　Develop the habit of going to bed and getting up early in daily life, smoking and drinking less, which will have a certain impact on both men and women. If smoking during pregnancy, it will also affect fetal development, and avoid consuming too many high-calorie foods in diet.

　　2. Pay attention to diet

　　Caffeinated beverages such as coffee, strong tea, cola, etc., although there is no consistent conclusion on their impact on infertility, it is generally recommended not to consume them in excessive amounts.

　　3. Pay attention to changes in the menstrual cycle

　　The normal cycle is about 25-35 days, and the vagina will have a little secretion when approaching ovulation. If the menstrual period is always delayed, even once every few months, or always not on time, it is advisable to seek medical attention early.

　　4. Control weight

　　Obesity or excessive thinness can interfere with the coordination of the endocrine system. Controlling weight helps to prevent and treat ovulatory disorders.

　　Under normal circumstances, the establishment of a normal ovulatory cycle is based on the normal secretion of hormones from the hypothalamus to the pituitary to the ovary. Sometimes emotional control or disordered metabolism can cause endocrine disorders, resulting in abnormal function of the gonadotropic axis, leading to ovulatory disorders, which in turn affects female fertility.

　　First step,Investigate reproductive organ diseases, investigate for infertility caused by diseases such as vaginal, cervical, uterine, fallopian tube, ovary, and pelvic diseases. Check whether the size and position of the uterus are normal, whether there is infection. Whether the uterus, fallopian tubes, and ovaries have masses, tenderness, the mobility of the adnexa, whether the fallopian tubes are patent, and whether the development of the uterus, fallopian tubes, and vagina is normal, and whether there are malformations, etc.

　　Second step,Investigate endocrine and other functional diseases, understand the ovulation status, and measure serum estrogen and progesterone levels at different times of the menstrual cycle to understand the ovarian function; measure the basic metabolic function to understand thyroid function; conduct adrenal function tests and serum prolactin measurements, etc., to understand the presence of anti-sperm antibodies, etc.

　　Third step,Investigate systemic diseases, understand whether obesity, thyroid dysfunction (ovary dysfunction, autoimmune disease, metabolic disorders), diabetes, and psychological factors affect female fertility.

　　1. Reduce the intake of sweets:Excessive sugar can cause women to be emotionally unstable and anxious.

　　2. Reduce the intake of salt:Excessive salt is not conducive to the excretion of body water, affecting the normal ovulation of the ovary, causing menstrual disorders.

　　3. Reduce the intake of cold, spicy, and irritating foods:Avoid menstrual disorders caused by qi stagnation and blood stasis, cold dampness congealing. Such as: Sichuan pepper, black pepper, curry, etc.

　　4. Avoid acidic foods during menstruation, such as:Rice vinegar, pickled vegetables, umeboshi, loquat, lemon acid, etc.

　　5. Reduce the consumption of carbonated drinks:Such beverages affect calcium absorption and reduce digestive ability of the gastrointestinal tract.

　　6. Reduce the intake of animal fats:High intake of animal fats can easily lead to obesity and increase the incidence of ovarian cysts.

　　7. Consume more vegetable oils:Vegetable oils are rich in natural vitamin E, amino acids, and minerals.

　　8. Consume more fibrous foods:Fiber foods can help clear excessive estrogen in the body, reduce the risk of tumors caused by excessive estrogen, promote gastric motility, and reduce constipation. For example: vegetables, legumes, barley, buckwheat, etc.

　　9, Eat more dates:Dried red dates are rich in protein, fat, and vitamins, and have the effect of invigorating Qi and nourishing blood.

　　10, Drink some milk in moderation:Milk not only contains a large amount of calcium but also contains potassium and vitamin B2, which has the effect of alleviating depression and synthesizing collagen.

　　11, Drink moderate amounts of wine:Wine contains resveratrol, which effectively supplements estrogen and can effectively prevent the occurrence of tumors. (Wine seeds and skins are rich in resveratrol.)

　　12, Eat more legumes:Supplement natural plant hormones, regulate the balance of hormones in the body in both directions, and effectively improve endocrine disorders.

　　Keep a balanced diet and try to eat more meals with fewer servings.

　　For the treatment of infertility caused by anovulation, a two-step method can be adopted. During the follicular phase, adopt the method of nourishing kidney essence and benefiting blood and Yin to make Yin essence full and promote follicle development. Before ovulation, on the basis of replenishing kidney essence, add substances that help Yang and activate blood to promote the transformation of Yin and Yang, follicle rupture, and normal ovulation.

　　This method is performed under the monitoring of vaginal ultrasound with a high success rate. The first step starts from the 6th day of the menstrual cycle and takes continuous oral administration of the follicle-promoting decoction for 6 doses, one dose per day. The composition of the medicine includes 30 grams of prepared Rehmannia, 15 grams of Chinese yam, 15 grams of Chinese wolfberry, 20 grams of Angelica sinensis, 10 grams of white peony, 15 grams of Chinese yam, 20 grams of Cuscuta chinensis, 15 grams of Epimedii, 10 grams of chicken gizzards. The second step starts from the 12th day of the menstrual cycle and takes the follicle-breaking decoction for 6 doses, one dose per day. The composition of the follicle-breaking decoction includes 30 grams of prepared Rehmannia, 15 grams of Chinese yam, 15 grams of Chinese wolfberry, 30 grams of Angelica sinensis, 30 grams of Cuscuta chinensis, 30 grams of Epimedii, 15 grams of cassia bark, 30 grams of red peony, 10 grams of peach kernel, 30 grams of Uncaria rhynchophylla, 15 grams of chicken gizzards. If there are symptoms such as breast tenderness and irritability before menstruation, add 15 grams of Bupleurum chinense and 15 grams of prepared Cyperus rotundus. If there are symptoms such as dry mouth and fever in the palms of the hands and soles of the feet, add 15 grams of Moutan bark. If the follicles are mature but difficult to rupture or the follicles continue to grow with a diameter greater than 31mm or more, add 15 grams of Manis pentadactyla.