What should a woman do if she is not ovulating?

May 08, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, lack of ovulation in women may be caused by不良 living habits, excessive mental stress, polycystic ovary syndrome (PCOS), hyperprolactinemia, premature ovarian failure, and other factors. It is recommended to maintain good living habits in daily life, learn to regulate emotions, and avoid prolonged mental stress and excessive pressure, which can help maintain hormonal stability.

Generally, anovulation in women may be caused by unhealthy lifestyle habits, excessive mental stress, polycystic ovary syndrome (PCOS), hyperprolactinemia, premature ovarian failure, and other factors. Treatment options include general therapy, medication therapy, and other methods under a doctor's guidance. If discomfort occurs, prompt medical consultation is recommended. Detailed analysis is as follows:

1. Unhealthy Lifestyle Habits

Unhealthy eating habits, lack of exercise, long-term late-night activities, smoking, and alcohol consumption may affect the endocrine system, interfere with normal ovarian secretion, and subsequently affect ovulation. It is important to maintain regular作息 (作息 should be translated as作息 here means daily routine or作息 time, but it's better to rephrase), go to bed early and wake up early, ensure sufficient sleep, consume more fresh vegetables and fruits, and improve overall physical health.

2. Excessive Mental Stress

Long-term excessive mental stress can affect the normal function of the hypothalamic-pituitary-ovarian axis, leading to anovulation. It is recommended to relax through psychological counseling, stress management, healthy diet, and moderate physical activity.

3. Polycystic Ovary Syndrome (PCOS)

Polycystic ovary syndrome may be associated with multiple factors, including genetic and environmental influences. This condition may prevent follicles in the ovaries from maturing and being released normally, resulting in anovulation. It is often accompanied by symptoms such as reduced menstrual flow, obesity, and acne. Patients can follow medical advice to use medications such as clomiphene citrate tablets, progesterone capsules, and dexamethasone tablets for treatment.

4. Hyperprolactinemia

Hyperprolactinemia may be triggered by stress factors such as mental tension and physical activity. Elevated prolactin levels can suppress hypothalamic secretory function and affect pituitary hormone secretion, leading to the aforementioned symptoms. Symptoms may include headache and visual disturbances. Patients can use medications such as cimetidine tablets, chlorpromazine hydrochloride tablets, and vitamin C tablets as advised by a physician.

5. Premature Ovarian Failure

Premature ovarian failure may be caused by genetic factors, autoimmune conditions, infections, and other reasons. Ovarian function declines prematurely, preventing the normal production of eggs and resulting in anovulation. It may also be accompanied by emotional fluctuations and worsening skin condition. Patients can use medications such as estradiol gel, dydrogesterone tablets, and cyclosporine soft capsules under medical guidance.

It is recommended to maintain healthy lifestyle habits, learn to regulate emotions, and avoid prolonged mental tension and excessive stress to help maintain endocrine stability.

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