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title: "Anovulation (Cycles Without Ovulation) in Curitiba — Femi Saúde"
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Clínica Femi Saúde — Home
Clínica Femi Saúde — Home
Individualized Clinical Treatment
# Anovulation (Cycles Without Ovulation)
When the ovary doesn't release an egg
Consulta
Acompanhamento periódico
## What it is
Anovulation is the absence of ovulation: the ovary doesn't mature or release an egg during the cycle, and the period, when it comes, is irregular or unpredictable. It's one of the most common causes of difficulty conceiving and of disorganized bleeding. It can be occasional, as in the first years after the first period and during the transition to menopause, or persistent, when there's hormonal imbalance, polyendocrine metabolic ovarian syndrome (SOMP), thyroid or prolactin changes, stress, and significant weight changes. Besides its impact on fertility, cycles without ovulation leave the endometrium exposed to estrogen without the protection of progesterone. The gynecology team at Femi Saúde investigates the cause and treats it according to each woman's goals.
## Most common symptoms
- Irregular, spaced-out or absent periods
- Intervals longer than 35 days between cycles
- Unpredictable bleeding, sometimes light, sometimes heavy
- Difficulty conceiving naturally
- Absence of ovulation signs, such as clear, stretchy mucus
- Acne, excess hair or hair loss in SOMP
## Causes and risk factors
- Polyendocrine metabolic ovarian syndrome (SOMP)
- Thyroid changes and elevated prolactin
- Significant weight loss or gain and excessive exercise
- Physical or emotional stress
- The first years after menarche and the transition to menopause
- Low ovarian reserve and premature ovarian failure
## How it is diagnosed
The gynecologist reviews the menstrual history, weight, medication use, signs of excess androgens, and how long the patient has been trying to conceive. Progesterone measured in the second half of the cycle confirms whether ovulation occurred. Blood tests measure FSH, LH, estradiol, prolactin, thyroid hormones, androgens, and metabolic markers such as blood glucose and insulin. Transvaginal ultrasound evaluates the ovaries, the number of follicles, and endometrial thickness, and may be repeated on specific days of the cycle to track the growth of the dominant follicle. Cycle and basal body temperature charts help round out the assessment.
## How we treat it at Femi Saúde
Treatment depends on the cause and on whether pregnancy is desired. When there's a thyroid or prolactin abnormality, correcting it usually restores ovulation. In SOMP, lifestyle changes and metabolic medications are part of the plan. For those who don't want to conceive right now, the gynecology team at Femi Saúde may prescribe cyclic progestogens or hormonal contraceptives, which regulate bleeding and protect the endometrium. For those trying to conceive, ovulation induction with oral or injectable medications is monitored with serial ultrasounds, with referral to assisted reproduction when needed. Follow-up is individualized and reviewed according to the response.
## When to see a gynecologist
See your gynecologist if your periods come at intervals longer than 35 days, if they've been absent for three months or more without pregnancy, if bleeding is unpredictable, or if you're having difficulty conceiving. Acne, increased hair growth, and weight gain associated with an irregular cycle also deserve evaluation. Schedule an appointment to investigate ovulation and determine treatment.
## What we offer
1
Investigation of the cause of irregular cycles
2
Regulation of the menstrual cycle
3
Ovulation induction for women trying to conceive
4
Long-term endometrial protection
5
Ongoing hormonal and metabolic follow-up
## Gynecology specialists
[Dra. Melissa Amoroso
Gynecologist](https://femisaude.com.br/en/doctors/dra-melissa-amoroso) [Dra. Vanessa Amoroso
Gynecologist and Mastologist](https://femisaude.com.br/en/doctors/dra-vanessa-amoroso) [Dra. Aline Matos
Gynecologist](https://femisaude.com.br/en/doctors/dra-aline-matos) [Dra. Andrea Novellino
Gynecologist](https://femisaude.com.br/en/doctors/dra-andrea-novellino) [Dra. Fabiane Sloboda
Gynecologist](https://femisaude.com.br/en/doctors/dra-fabiane-sloboda) [Dr. Igor Chiminacio
Gynecologist](https://femisaude.com.br/en/doctors/dr-igor-chiminacio) [Dra. Isadora Goetten
Gynecologist and Obstetrician](https://femisaude.com.br/en/doctors/dra-isadora-goetten) [Dra. Sabrina Oliveira
Gynecologist](https://femisaude.com.br/en/doctors/dra-sabrina-oliveira)
## Gynecology treatments at Femi Saúde
[CO2 Laser Rejuvenation and Lubrication
Skin Improvement and Lubrication](https://femisaude.com.br/en/treatment/laser-co2-rejuvenescimento-lubrificacao) [Implanon® — Hormonal Contraceptive Implant
Freedom and safety in a small implant](https://femisaude.com.br/en/treatment/implanon) [Menopause and Perimenopause
Care and hormone therapy when indicated](https://femisaude.com.br/en/treatment/menopausa-climaterio) [Family Planning
Preparing for a healthy pregnancy](https://femisaude.com.br/en/treatment/planejamento-pre-concepcional) [IUD — Intrauterine Device
Preventing pregnancy effectively](https://femisaude.com.br/en/treatment/diu) [Pap Smear
Cervical cancer screening](https://femisaude.com.br/en/treatment/papanicolau)
[See all Gynecology treatments ](https://femisaude.com.br/en/specialties/ginecologia)
## Ready to schedule?
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[Schedule via WhatsApp]()
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