Ovulation Disorder Treatment

Ovulation Disorders

While ovulation disorders are not life-threatening, they can affect the social and emotional well-being of a woman, especially when she has a desire to conceive. Most of the conditions that affect ovulation are invisible, and therefore not talked about often enough for people to be aware of them.

Find out about the different types of ovulation disorders and the treatments available in Singapore.

What is Ovulation?

Ovulation is a critical process in the female reproductive cycle. It involves the release of an egg from one of the ovaries, typically occurring once every menstrual cycle. This egg then travels down the fallopian tube, where it may meet sperm and result in fertilisation. Ovulation is controlled by a delicate balance of hormones, and any disruption in this balance can lead to ovulation disorders, consequently affecting chances of conception.

Common Conditions Disrupting Ovulation

Several medical conditions can disrupt the crucial process of ovulation, directly impacting a woman’s fertility. Having insight into these conditions is helpful in our bid to treat them. A few of the more common conditions include:

Polycystic Ovary Syndrome (PCOS)

One of the most common conditions is Polycystic Ovary Syndrome (PCOS). Affecting a significant portion of the female population in Singapore, PCOS is characterised by hormonal imbalances that interfere with the regular ovulation cycle. Women with PCOS often experience irregular menstrual cycles. Sometimes, ovulation may not occur at all. Symptoms that accompany this disorder are acne, weight gain, and excess hair growth.

Primary Ovarian Insufficiency (POI)

Primary Ovarian Insufficiency (POI), previously known as premature ovarian failure, affects women before the age of 40. POI tends to be defined by decreased or absent ovarian function. Women who have POI may experience irregular or absent periods and often face challenges in conceiving naturally.

Thyroid Disorders

Both hypo- and hyperthyroidism, can also disrupt ovulation. The thyroid gland plays a pivotal role in regulating the body’s metabolic processes, and its dysfunction can lead to menstrual irregularities and ovulation issues.

Signs and Symptoms of
Irregular Ovulation

Recognising the signs and symptoms of irregular ovulation is crucial for early intervention. The key warning signal is an irregular or absent menstrual cycle, which may be a clear indicator of an ovulation disorder. Women may also experience other symptoms like sudden weight gain, acne, hair loss, or excessive hair growth in unusual areas.

Irregular Bleeding

Pelvic Pain

Pain during Intercourse

Causes of Ovulation Disorders

Ovulation disorders can stem from various causes. Hormonal imbalances, often seen in conditions like PCOS, are a primary cause. Lifestyle factors, such as stress, excessive exercise, or being underweight or overweight, can also influence ovulation.

Environmental factors and exposure to certain chemicals can also disrupt hormonal balance. Genetic predispositions can play a role too, with some women inheriting a tendency for conditions like POI.

Treatment Options for Ovulatory Dysfunction

The treatment of ovulation disorders varies based on the underlying cause and the individual needs of the patient.

For conditions like PCOS, treatment often focuses on lifestyle changes as a first step. This includes weight management through diet and exercise, which can significantly improve the regularity of menstrual cycles and enhance ovulation.

Medications are another cornerstone in the treatment of ovulation disorders. Clomiphene citrate, for instance, is commonly prescribed to stimulate ovulation. It works by encouraging the pituitary gland to release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which can initiate ovulation. Metformin, typically used for type 2 diabetes, has also been effective in treating PCOS by improving insulin resistance, which in turn can help with ovulation.

For more severe cases, injectable hormones that directly stimulate the ovaries to produce eggs can be used. While highly effective, these treatments require careful monitoring as they increase the risk of multiple pregnancies and ovarian hyperstimulation syndrome.

Another option to consider is In vitro fertilisation (IVF), particularly for women who have not responded to other treatments. IVF involves stimulating the ovaries to produce multiple eggs, which are then retrieved and fertilised in a lab. The resulting embryos are then transferred to the uterus, bypassing many of the challenges associated with ovulation disorders.

Infertility and Ovulation Disorder Treatment in Singapore

When it comes to treating infertility, and the various conditions that can cause it, it’s crucial to work closely with a doctor you can trust. They can determine the best treatment plan for your unique situation.

At W Gynae, we specialise in delivering personalised women’s healthcare at every stage of your life, and aim to provide you with the care you deserve.

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Frequently Asked Questions

The first step usually involves a thorough medical evaluation by a doctor. This tends to include getting a detailed medical history, physical examination, and tests like blood work to check hormone levels and ultrasounds to examine the ovaries.

It is possible for fertility drugs to have side effects like mood swings, headaches, and in rare cases, ovarian hyperstimulation syndrome (OHSS). IVF and other assisted reproductive technologies have risks like multiple pregnancies and increased chance of ectopic pregnancy. Consulting an experienced doctor can reduce such risks. They will assess your health profile to provide a detailed assessment of what you need to consider before treatment.

The time it takes to see results varies on the individual and the treatment method. Some women may respond quickly to oral medications within one to three cycles, Others may require longer or more advanced treatments like IVF. It’s important to maintain open communication with your doctor, and have realistic expectations.