How is anovulation treated?

Anovulation means an ovary is not releasing an egg during a cycle. It may show as irregular or absent periods and can make pregnancy harder, but the treatment is not the same for everyone. Assessment may include cycle history, pregnancy testing, blood tests and sometimes ultrasound.

Possible contributors include polycystic ovary syndrome, changes in weight or exercise, low energy availability, thyroid problems and raised prolactin. Treating the contributor may allow ovulation to return without fertility medicine.

If pregnancy is the goal, a clinician may offer ovulation induction with monitoring. Metformin may be considered when insulin resistance or polycystic ovary syndrome is part of the picture. Ovarian drilling is a surgical option for selected people with polycystic ovary syndrome when other approaches have not been suitable.

If pregnancy is not currently planned, treatment may focus on cycle protection, managing symptoms and addressing the underlying condition. Do not take fertility medicines without supervision; monitoring helps reduce avoidable risks and confirms whether ovulation has occurred.

Arrange a review for absent periods, persistently irregular cycles, nipple discharge unrelated to breastfeeding, new headaches or vision changes, or difficulty conceiving. Seek urgent care for severe pelvic pain, fainting or heavy bleeding, especially if pregnancy is possible.

Ask what may be preventing ovulation, which tests are needed, whether treatment is aimed at conception or cycle health, how ovulation will be monitored, and when a fertility referral is appropriate.