Infertility in female –

Many infertile women have irregular cycles and they know that the reason for their infertility is related to their irregular cycles. However, many are quite confused as to the relationship.  Some naively believe that if the cycles are regularized, their fertility will also automatically improve ! This is why they waste months taking birth control pills, without trying to address the underlying problem !!

The most common cause for irregular cycle is PCOD – Polycystic Ovarian Disease. Then again, it could be that the Anovulation is due to poor ovarian reserve – a condition called the Oopause.

Unfortunately, many gynecologists blindly diagnose every patients with irregular cycles as having PCOD , without bothering to rule out other possibilities !

Let’s get back to the basics, for better understanding –

What is Anovulation ?

Women who ovulate regularly get regular periods. The reason a woman’s periods are irregular is because she does not ovulate. This is called anovulation.

While it is true that the commonest cause of anovulation is PCOD, it’s equally true that this is not the only cause. A good doctor will do a careful workup to evaluate ovarian reserve, in order to determine the reason for the anovulation.

Thus, in some women the reason for the anovulation is poor ovarian reserve – a condition called the oopause. However, if this is mis-diagnosed as PCOD, precious time is wasted and the patient never gets a chance to get the right treatment !

If you have irregular cycles, please insist your doctor do the below mentioned simple medical tests.

  1. Blood tests for the following reproductive hormones – FSH (Follicle-Stimulating Hormone); LH (Luteinising Hormone); PRL (Prolactin); AMH (Anti-Mullerian Hormone) and TSH (Thyroid Stimulating Hormone) on Day 3 of your cycle, (to check the quality of your eggs).
  2. A vaginal ultrasound scan on Day 3, which should check for ovarian volume and antral follicle count. Patients with PCOD typically have a high LH:FSH ratio; a high AMH level; large ovaries; and increased ovarian stroma with many small antral follicles.

If you are not sure how to interpret your reports, please send me your medical details by filling in the free second opinion form,  and I’ll be happy to help !

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