The day on which menstrual bleeding begins is the beginning of a menstrual cycle. A menstrual cycle lasts about 28 days, and when menstrual problems occur, this cycle may vary. At the beginning of this period, egg development is triggered by hormones released from the pituitary gland in the brain.
By the middle of the menstrual period (i.e. 14 days after the onset of menstrual bleeding), FSH (follicule stimulating hormone) and estrogen hormone are at their highest, during which time there is also a sudden increase in the secretion of LH hormone from the pituitary. This sudden increase in LH hormone (peak of LH hormone) is the main mechanism that ensures ovulation. After the ovulation process occurs, the hormones estrogen, FSH, LH decrease, the hormone progesterone begins to increase, and a number of changes begin to appear in the body.
After ovulation, the follicle in which the egg is located turns into a cyst called the corpus luteum and progesterone is released from there. If pregnancy does not occur, progesterone will decrease and start new menstrual bleeding. If pregnancy occurs, progesterone will ensure the continuation of the pregnancy in the uterus and will continue to be secreted without decreasing. As a result, ovulation is a complex process involving the brain-hormones-ovary triad.
How Do We Know That Ovulation Is Happening?
We can understand whether ovulation occurs by progesterone analysis performed 1 week before the expected menstruation or by LH (luteinizing hormone) analysis in the urine.
In women with ovulation disorders (menstrual problems), menstrual intervals are prolonged due to menstrual irregularity. The most common cause of menstrual irregularity is polycystic ovary syndrome.
- Ovulation Problems in Women
- Causes related to the ovary.
- Causes related to the central nervous system (pituitary, hypothalamus)
- Hormonal dysfunction.
- It should not be forgotten that the leading cause of ovulation problems in women is Polycystic Ovary Syndrome (PCOS).
What Can We Do With Ovulation Problems?
We can follow the development of the egg and overcome the problems of ovulation with the treatment we call cracking injections at the appropriate time and size. Especially in polycystic ovary syndrome, spontaneous ovulation can be achieved with lifestyle changes and weight loss.