Anovulatory cycle

Anovulatory cycle (single cycle) - menstruation without ovulation and education yellow body, wherein there are regular, often rhythmic, uterine bleeding.
Anovulatory cycles can occur at perfectly healthy women of childbearing age. As a natural phenomenon they are observed during lactation. If anovulatory cycles take a systematic character, this condition should be considered pathological, because it leads to infertility, and subsequently - to anovulatory bleeding.
Suspected anovulatory cycle can occur if a woman goes for infertility or to complain about the disorder of menstrual periods (often bleeding).
The diagnosis is based on the results of the research rectal temperature, PAP test, a symptom of the pupil and others (see the Menstrual cycle).
Treatment can be appointed only after proper examination by a gynecologist. To appoint and to treat by hormones without the guidance of a doctor is unacceptable. The role of midwives: a woman complaining of disorder of menstrual bleeding (hemorrhage) or infertility should be sent to the doctor.

Anovulatory cycle (from the Greek. negative consoles'an and lat. ovum - the egg) - single phase menstrual cycles without ovulation and education yellow body, wherein there are regular, often rhythmic uterine bleeding. Mature follicle that produces estrogen, subject regressive changes. As a result of this falls estrogenic title and uterine bleeding occurs without education yellow body. For the onset of menstruation no need for the transformation of the mucous membrane of the uterus, as blood shedding menstrual character can appear when different structure.
Anovulatory cycles observed in 2-3% of women with normal leaking menstruation and may alternate with ovulatory cycles. Anovulatory cycle in puberty, menopause and breast feeding can be considered as a physiological condition. If anovulatory cycles occur systematically, this should be viewed as a pathological condition of the body. In such cases, anovulatory cycle can lead to infertility and the so called acyclic bleeding.
The reason for lack of ovulation can be: the weakening of the functions of follicle-stimulating hormone of the anterior pituitary gland that causes underdevelopment of the follicle and his inability to ovulation; insufficiency of luteiniziruuchego; violation of the proportion of hormones (follicle stimuliruyuscyego, LH, male sex hormone and ovarian); mental disorders; disorders of metabolism and vitamin starvation, severe infectious diseases and intoxications. Recognition anovulatory cycle possible after a comprehensive examination of women (measurement rectal temperature, Cytology PAP test, a symptom of "maybe", and in some cases the diagnostic curettage). In the absence of ovulation indicate single-phase rectal temperature at the scraping - proliferation of the endometrium in the period when should be secretion.
The systematic anovulatory cycles restore ovulation contribute mode, nutrition, rich in vitamins, normalization of neuro-psychic state and restore hormonal balance. Hormonal drugs should be prescribed only after a thorough examination of: monitoring rectal (basal) temperature and other indicators of cyclical phases of the menstrual cycle, the biochemical analysis of urine and blood (excretion of hormones) and in some cases, diagnostic scraping.
At insufficiency of ovarian function shown estrogenic drugs. Small doses of estrogen (follikulina or estradiol by 5,000 IU intramuscularly, sinestrol or diethylstilbestrol 1 mg orally in 10-12 days) stimulate the processes of transformation of the mucous membrane of the uterus and the ovaries, contributing to the growth and development of follicles.
To enhance the processes of luteinization appoint chorionic gonadotropin. The urine of pregnant women enter through an enema at the time of the alleged ovulation, i.e. from 10 to 14-day cycle, and daily use before the onset of menstruation.
The amount of urine is determined by the concentration of human chorionic gonadotropin (daily dose is 400 -500 ED). You can assign the horiogonin. The serum of pregnant mares rich follicle-stimulating hormone, therefore it is expedient to prescribe in the form of serum gonadotropin in the first phase of the menstrual cycle.
Because when anovulatory cycle yellow body is missing or defective, shows the use of hormone yellow body. Progesterone is prescribed in the II phase of the menstrual cycle, beginning with the 14th day, 5-10 mg daily for 6-8-10 days.
The treatment must be combined with the use of different drugs and vitamins. In the first phase of the menstrual cycle are recommended vagotonia tools, contributing to the maturation of the follicle, such as the solution of apomorphine (0.05 grams per 200 ml of water) on 1 table. L. 2 times a day. In the second phase of the menstrual cycle shown simpatikotonia tools that enhance the function of the yellow body. Simpatikotonia action has and ascorbic acid that stimulates the adrenal system. At reduction of the basic metabolism and obesity is advisable to apply tireoidin on 0.05 - 0.1 g 2 times a day. Cm. also the Menstrual cycle.