Anovulation

Cathlene Joy A. de Guzman, MAN

Causes of Anovulation
High BMI Imbalance of hormones

Stress Imbalance of hormones

Low BMI Pituitary gland

Abnormalities of TSH and Interfere with ovulation

prolactin

PCOS Common hormonal imbalance, causes ovaries to become

small. Symptoms and other symptoms

First and last periods Occurs during perimenopause

Diagnostic procedures
01 Defining feature

Testing blood
02
progesterone
Testing blood
03 thyroid and
prolactin levels
 Ultrasound
Other tests: testing the lining of the uterus or other
blood tests, depending on the woman’s evaluation
and history
01 Treatment

Lifestyle changes
 Medical
Interventions
clomiphene citrate, aromatase inhibitors,
insulin-sensitizing agents, or gonadotropins
Reference
Anovulation. (n.d.). Women and infants Care
in New England Health “Make it plain and
System. https://fertility.womenandinfants.org
/services/women/anovulation simple”
Pelvic Inflammatory
disease (PID)
Infection to the reproductive system

● 75% of all instances is caused by STD

● Common in adolescents
● Begins in the cervix
● Most likely to occur during menstruation
Assessment

Severe pain

Heavy purulent
discharge
Fever

Leukocytosis ESR Severe pain

Cervix
Ovaries-difficult to palpate

Peritoneal tissue Untreated

Inflamed and edematous It enters in a chronic
phase-fibrotic scarring

Chronic
Chronic phase phase-Ovaries
Abdominal pain, Intermenstrual spotting
dyspareunia and
dysmenorrhea
Diagnosis
Ultrasound Laparoscopy
 02
Therapeutic
Management
 Analgesic
and
broad-spect
rum
antibiotics
Limit activity
Drain abscess from the cul-de
sac
—Increase chance of PID
No coitus
Early childbearing
Encouraged
Adolescents-recognize and seek help
You’re too
young to
believe it is
not going to
be okay.