Abstract

Anovulatory cycle happens, if a woman�s body cam mot release a mature egg during her menstrual cycle. This disturbance in the normal ovulation processcan result in irregular periods and may impact a woman�s fertility. The cycle starts with the gonadotropin _ releasing hormone (GnRH) which activates the anterior pituitary gland ti release follicle animating hormone (FSH) and luteinizing hormone ( LH). Anovulatory cycles lead to the occurrence of hormonal imbalances.Low FSH as well as LH production and enhanced levels of androgen result in the disruption of the regular cycle. Poly cystic ovarian syndrome ( PCOS ) results in the disturbance of production of hormone Anovulatoon occurs due to problems particularly in Hypothalamus and pituitary gland. These glands regulate the release of hormones namely gonadotropin _ releasing hormone ( GnRH) and follicle stimulating hormone ( FSH). Normally PCOS is a common cause of anovulation. It is manifested by more levels of androgens and insulin resistance resulting in an irregular ovulation or complete absence of ovulation. Hyper prolactinemia exhibit the capacity to disrupt the normal estrus cycle. Clomiphene results in ovulation. One of the most significant consequences of anobmvulation is infertility. Treatment is based on hormone therapy and life style modifications. It is finally concluded that understanding the pathophysiology will play a role for an effective diagnosis and management. An early diagnosis and proper treatment can restore normal fertility and menstrual regularity for women facing anovulatory.

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