Absence of ovulation is associated with a disturbed menstrual cycle. This is often one of the main causes of infertility. The restoration of ovulation and the menstrual cycle is associated with increased chances of becoming pregnant and with an improvement in the quality of the released eggs during each ovulation. The quality of the eggs is also a determining factor for successful conception and the proper course of pregnancy. How can ovulation be restored? If anovulation is suspected, it is necessary to consult a specialist to determine the exact causes. This includes having your hormone levels tested and an ultrasound scan to assess the number and size of follicles in your ovaries. If the lack of ovulation is not definitive, there are various therapeutic approaches that aim to stimulate ovulation. Polycystic ovary syndrome In the absence of ovulation due to polycystic ovary syndrome, treatment to stimulate ovulation is necessary. Clomiphene citrate is often recommended for these conditions. Ovulation can also be stimulated by injecting synthetic gonadotropins that mimic the action of natural follicle stimulating hormone – FSH and luteinizing hormone – LH. The gonadotropins introduced in this way help the maturation of the ovarian follicles. Ovulation is then triggered by injecting human chorionic gonadotropin – HCG. Weight loss in obese women with polycystic ovary syndrome is sometimes enough to trigger ovulation again and thus increase the chances of becoming pregnant. Hyperprolactinemia In hyperprolactinemia, treatment with prolactin inhibitors is recommended to restore normal levels of the hormone in the blood. If anovulation is caused by any specific disease, its treatment is a sufficient step to restore ovulation. If the cause of the lack of ovulation is of hypothalamic-pituitary origin, treatment with gonadotropin-releasing hormone may be prescribed. In this way, ovulation can be restored, and through the procurement of this hormone, the action of the hypothalamus is imitated. In case of early onset of menopause and premature exhaustion of the ovarian reserve, which leads to the final cessation of ovulation, consultation with a specialist and referral to the various possible methods of assisted reproduction is recommended. References: https://www.doctissimo.fr/grossesse/envie-d-enfant/ovulation/absence-d-ovulation-anovulation-et-grossesse