Why is ovulation induction not the first choice for follicular hypoplasia

Why is ovulation induction not the first choice for follicular hypoplasia

As the old saying goes, sharpening the knife does not delay the chopping of wood. This is also true for poor follicular development. The follicles cannot grow to the size of mature follicles, and their functions are poor. They secrete insufficient estrogen, and cannot ovulate and combine with sperm. If you force ovulation, you may ovulate, but if the egg quality is not good, you may not get pregnant, and there will be no good outcome. So what causes poor follicular development? The following editor will give a comprehensive introduction.

Causes of follicular dysplasia

1. Pituitary gland problems

One of the causes of ovarian hypoplasia, common diseases that lead to abnormal ovulation include pituitary prolactinoma, hyperprolactinemia, and Sheehan syndrome. High prolactin levels can inhibit ovulation.

2. Hypothalamic anovulation

Primary organic factors, primary functional factors, secondary organic lesions, and secondary functional factors.

3. Premature ovarian failure

Some women have poor follicular development due to premature ovarian failure. The patient has normal menstruation in the early stage and even has a history of childbearing, but then the menstruation becomes rare and eventually complete menopause. The follicles in the ovaries of these patients have been exhausted and it is impossible to use ovulation-stimulating drugs to develop follicles. Or, although there are primordial follicles, they do not respond to gonadotropins.

4. Polycystic ovary syndrome

Polycystic ovary syndrome is one of the causes of follicular hypoplasia. Polycystic ovary syndrome is the most common cause of female anovulation. The characteristics of the ovaries are that the ovaries are enlarged and have multiple small follicles, but they cannot mature. Therefore, drugs are needed to promote follicle development.

In addition, excessive weight loss, mental stress, and other physical health factors can lead to female endocrine disorders, which can directly affect the development of female follicles.

Symptoms of follicular dysplasia

Follicular hypoplasia refers to the failure of follicles to reach the size of mature follicles in the late follicular stage, poor function, insufficient estrogen secretion, and clinical examination cervical score that cannot reach the expected high value (>10 points). This situation is very common in infertile women, with an incidence of up to 27.0%, and it recurs in different cycles of the same patient, with a recurrence rate of 63.8%. Even in non-FM cycles, there are many abnormalities of varying degrees. This finding suggests that FM may be an important cause of infertility. About 15% to 25% of infertility is caused by abnormal follicular development and ovulation disorders.

Symptoms of follicular dysplasia

1. Idiopathic: The follicles do not develop, only at a very small level.

2. Small follicles: The follicles develop but are immature, and their diameter is often less than 18 mm.

3. The follicles are not round: they are not round in development, but appear oval or even jujube-shaped, and have no fertilization ability.

4. The follicle does not rupture: The follicle is mature, but does not rupture and ovulation cannot occur.

What to do if follicular dysplasia

If the follicles do not develop well, you can adjust your diet and supplement the nutrients needed by the body.

1. Eat more black bean foods: From the end of menstruation to ovulation, you can consume black bean milk, black bean soup, and black beans to supplement estrogen to promote follicle development.

2. Ginger tea conditioning: Brown sugar ginger tea can be used for treatment from the first day of menstruation to the end of menstruation. It is very helpful for protecting the uterus and restoring normal ovarian function.

3. Water fish soup conditioning: Using water fish and some side dishes to make soup can be of great help to some friends with ovulation disorders, and it has no side effects.

Dietary precautions: If the follicles are not well developed, you should avoid eating too much raw, cold, or spicy food in your daily diet. It is better to consume nutritionally comprehensive cool foods, which are more helpful in protecting the uterus and promoting recovery.

Women with poor follicular development should not be discouraged. Medical technology is so advanced now, and with self-conditioning and unremitting medical treatment, there is always hope.

Pregnancy requires mature follicles

Women will only release one mature egg every month, and this mature egg is generally around 18-25mm, but there are individual differences. Some people will release eggs when the follicle grows to 15mm, and some people will release eggs when it grows to 25mm. You can do a periodic B-ultrasound examination to check your specific personal situation. Usually, mature follicles will be released within one to two days, and the released follicles can generally survive for 2 days.

At this point, the doctor will recommend a comprehensive examination to understand the ovarian function and the specific reasons. Only by treating the cause, rather than blindly promoting ovulation, can the situation improve. Our hospital mostly uses a combination of Chinese and Western medicine to regulate the condition of follicular hypoplasia. Clinical observation of 3-6 months can significantly improve, and natural pregnancy can be achieved. Due to individual differences, the treatment methods will also be different. Many sisters are also concerned about whether the chance of having twins is high after ovulation promotion after treatment? This still depends on the natural probability. Although ovulation is artificially promoted, it is rare for two eggs to be released at the same time in a month, and it is even rarer for ovulation and fertilization to occur at the same time. First understand the cause, treat the cause, and enjoy a good pregnancy with comprehensive conditioning!

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