As a leading ob-gyn in New York City, Dr. Pilshchik uses state-of-the-art techniques to diagnose causes of anovulation and other types of ovulatory dysfunction so patients can resolve symptoms and enjoy optimal health.
Anovulation is a condition that exists when women don't ovulate regularly or don't ovulate at all. In a normal cycle, an egg (or ovum) is released every 25 to 28 days, except during puberty and around menopause, when egg release cycles can be more variable. Sometimes, illness, medication or even stress can result in brief, temporary irregularities in the ovulation schedule. But for anovulation to be present, the regular ovulation schedule must have been “skipped” for three months or longer. Anovulation is a type of ovulatory dysfunction, meaning it's a medical problem that affects the way the ovaries work. Ovulatory dysfunction is estimated to be responsible for as much as 40 percent of fertility problems in women.
Anovulation can be caused or affected by several different factors, including:
The first step in treating anovulation is having an exam to determine the underlying cause. In some cases, the causes can be determined during a regular office visit. But often, you may need special diagnostic testing such as blood tests, ultrasounds, colposcopy or hysteroscopy to look for underlying conditions that may be causing anovulation. Dr. Pilshchik will be able to determine which types of tests you need to identify the causes of your anovulation during your initial evaluation.
Having irregular periods is the most common symptom associated with anovulation. In some cases, women may stop having periods completely. Other symptoms can be associated with underlying causes, such as excessive hair growth that occurs in women with PCOS. And of course, infertility is another common symptom.