Ovulation is the process through which a mature egg is released from the ovary during each menstrual cycle. For pregnancy to occur naturally, ovulation needs to happen regularly so that an egg is available to meet sperm.
When ovulation happens infrequently or not at all, known as oligo-ovulation or anovulation, conception can become more challenging. But, the reassuring news is that many ovulatory disorders can be understood and treated once the underlying cause is identified.
The specialists at Child Fertility in KSA provide world-class diagnosis and personalised care. We help you understand your cycle and address underlying causes so you can make choices that feel right for your body and goals.
Ovulation disorders happen when the ovulation process is disrupted or irregular. There are many possible reasons for ovulation disorders, and while some are temporary, others benefit from treatment. Factors that can influence ovulation include hormonal conditions, significant changes in body weight, intense physical exercise, stress, or certain medical conditions.
In many cases, ovulatory disorders are linked to underlying hormonal signals within the body.
To help healthcare providers better understand and classify ovulatory disorders, the International Federation of Gynecology and Obstetrics (FIGO) groups them into four main types:
Hypothalamic
Issues that start in the hypothalamus, the part of the brain that signals the start of ovulation.
Pituitary
Problems in the pituitary gland, which sends hormonal signals to the ovaries.
Ovarian
Conditions within the ovaries themselves that affect their ability to release eggs.
PMOS (POLYENDOCRINE METABOLIC OVARIAN SYNDROME)
A common hormonal condition, previously known as polycystic ovary syndrome (PCOS), that disrupts ovulation.
Many ovulation disorders can be subtle, but some signs may indicate an underlying problem:
Diagnosis usually begins with a thorough review of your menstrual history, symptoms, and medical background. Tests may include:
If ovulation does not occur regularly, the opportunity for sperm and egg to meet becomes less predictable. This can reduce the chances of pregnancy in any given month.
However, ovulatory disorders are one of the most treatable causes of infertility, and many women are able to become pregnant successfully once ovulation is supported or restored.
At Child Fertility, we focus on identifying the underlying cause and tailoring treatments to restore regular ovulation.
Treatment for ovulatory disorders is personalised and depends on your individual situation, overall health, and fertility goals. Your care plan may vary depending on whether you are trying to conceive or are focused on managing symptoms.
Supporting ovulation for conception
If you are trying to become pregnant, your specialist may discuss options to encourage regular ovulation. This often involves medicines that help the ovaries release eggs consistently, increasing your chances of conception. This process, known as ovulation induction, can include oral medications, or injectable hormones in some cases.
Addressing specific causes
In some cases, an ovulatory disorder may be linked to an underlying health issue, such as a thyroid imbalance or pituitary condition, or side effects from certain medicines. Treating these conditions directly - for example, correcting thyroid function, or adjusting medicines can often restore ovulation.
Tailored approach for PMOS
For women with PMOS, treatment may include lifestyle adjustments, ovulation-inducing medication or other fertility treatments, depending on individual circumstances and fertility goals.
If ovulation induction alone is not successful, further fertility treatments such as intrauterine insemination (IUI) or in vitro fertilisation (IVF) may be considered. The most appropriate option depends on age, overall fertility health and how long you have been trying to conceive.
Ovulation problems can be caused by hormonal imbalances, thyroid disorders, pituitary gland issues, stress, significant changes in weight, intense exercise, certain medications, or conditions like Polyendocrine Metabolic Ovarian Syndrome (PMOS), previously known as Polycystic Ovary Syndrome (PCOS).
Regular ovulation is key for natural conception. If ovulation is irregular or absent, the chances of pregnancy in any given month are lower. However, many women with ovulation disorders can still conceive naturally or with fertility treatments.
Signs of ovulation can include a slight increase in basal body temperature, changes in cervical mucus, or mild ovulation pain. Blood tests, ultrasound scans, and ovulation kits can provide more accurate confirmation.
Yes, ovulation can often be restored by addressing the underlying cause. Treatments may include medications to stimulate the ovaries, correcting hormonal imbalances, or lifestyle adjustments.
Not always. While PMOS commonly affects ovulation, some women with PMOS still ovulate regularly. Fertility support and targeted treatments can help restore ovulation when needed.
If you are experiencing irregular periods or struggling with ovulation, we can help. Our team at Child Fertility is ready to offer guidance and personalised care tailored to women across Saudi Arabia.
