How to treat ovulation disorders? Ladies, please watch this.

Many women have ovulation disorders and cannot normally discharge qualified eggs, which can seriously affect women's pregnancy. There are many ways to treat this problem, such as the use of progesterone, which can promote female ovulation. There are also many other treatments.

1. Hemostasis treatment:

1. Estrogen-progestin combination therapy: When the amount of bleeding is not too much, you can take a low-dose contraceptive pill orally on the first day of menstruation for a total of 21 days, stop taking it for 7 days, and a total of 28 days as a cycle. For acute heavy bleeding and stable condition, you can use a combined oral contraceptive pill. After the bleeding stops, reduce the dose by 1/3 every 3 days to the daily maintenance dose, and stop taking it for a total of 21 days.

2. Estrogen: Suitable for acute heavy bleeding in adolescence. After the bleeding stops, reduce the dose by 1/3 every 3 days to the daily maintenance dose. You can also use estradiol benzoate. Start reducing the dose 3 days after the bleeding stops, usually by 1/3 every 3 days, and stop taking the drug on the 21st day from the date the bleeding stops.

3. Progesterone:

(1) Daily intramuscular injection of progesterone: 5 days;

(2) Dydrogesterone: 10 days of use;

(3) Medroxyprogesterone acetate: take for 10 days.

2. Ovulation induction therapy

Suitable for patients who want to have children. Commonly used ovulation-inducing drugs include clomiphene, human menopausal gonadotropin, follicle-stimulating hormone, and gonadotropin-releasing hormone. These drugs should be used with caution and under the guidance of a doctor to avoid multiple pregnancies, miscarriages, etc.

3. Menstrual cycle adjustment treatment:

1. Artificial cycle: Progynova, on the 5th day of bleeding, take once a night for 21 consecutive days. On the 11th day of medication, add intramuscular injection of progesterone injection every day. Use up both drugs at the same time, stop the medication for 3-7 days for bleeding, repeat the medication on the 5th day of bleeding, and use it for 3 consecutive cycles.

2. Estrogen-progestin combined method: Use combined oral contraceptives from the 5th day of withdrawal bleeding in the hemostatic cycle, and take it for 21 consecutive days before the withdrawal bleeding. 3 consecutive cycles constitute a course of treatment.

3. Second half cycle therapy: Take medroxyprogesterone on the 15th to 16th day after hemostasis, and take it for 10 consecutive days. Three cycles constitute one course of treatment.

4. Monitor ovulation:

The most commonly used method is to monitor ovulation by B-ultrasound. That is, starting from the 8th to 10th day of the menstrual cycle, observe the appearance and development of the dominant follicle until ovulation. The diameter of the follicle is about 20 mm to 24 mm (the normal range is 14 mm to 28 mm). The maximum diameter of the follicle is mostly the same for each person in different menstrual cycles. The treatment for ovulatory disorders is that if the diameter of the follicle is less than 17 mm, the possibility of pregnancy is very small. At the same time, ultrasound monitoring can also clearly observe the thickness and morphology of the endometrium, which plays a certain role in predicting pregnancy.