You can’t get pregnant if you have problems with ovulation, because there is no egg for the sperm to fertilize. You can get pregnant if you have unprotected sex anywhere from 5 days before ovulation until 1 day after ovulation. When you have a menstrual cycle without ovulating, it’s called an anovulatory cycle. There are a lot of underlying issues that can cause this. It’s a common reason for infertility.
Whether you are trying to get pregnant or trying to avoid getting pregnant, it’s important to understand your menstrual cycle and how it relates to your fertility. Once you learn exactly how and when pregnancy can happen, you’ll have a better idea of when you can and can’t get pregnant.
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For some women, it is difficult to determine exactly when they will release eggs (ovulate) because of irregular periods or various other factors. Many factors such as hormonal problems may contribute to an inability to release the egg. If you are breastfeeding a baby, there are very few chances for you to get pregnant.
How do you know if you’re ovulating?
Ovulation occurs when an egg is released from your ovary. It usually happens about 10 to 16 days before your period starts. It’s difficult to predict exactly when you’re ovulating because the length of your cycles can vary from month to month. Even if your menstrual cycles are the same length, you may not always ovulate on the same day.
Another sign of ovulation is that your cervical mucus, the discharge from your vagina, may be wetter, clearer, and more slippery around the time of ovulation. Your body temperature may rise slightly after ovulation as well. There are also ovulation predictor kits that can detect an increase in the levels of certain hormones in your urine.
How can you track your ovulation?
Tracking and knowing when you are releasing eggs (the fertile window) will help you to know the best timing/days of the months to have sex with your spouse and get pregnant. There are certain methods for example:
Ovulation calendar:
Writing down when your period starts each month and how long it lasts may help you to determine your fertile days.
Ovulation predictor kits:
Home-based ovulation predictor kits to increase your chances of getting pregnant. It is a urine test kit that checks your luteinizing hormone (LH).
Devices and apps:
There are popular devices and apps available to assist you to monitor your menses, predict the release of the egg, the best time to conceive and your next menses (However, this may be inaccurate because every woman has varied natural signs of the fertile period).
What causes Ovulation cycles?
Anovulation is usually the result of an imbalance of the hormones that control ovulation. It begins with a surge in luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels. Anything that interferes with these hormones can cause anovulation, which can be caused by several underlying conditions, including:
Obesity
A high body mass index (BMI) can cause you to have excess male hormones such as testosterone, called androgens. This can interfere with the hormones that regulate ovulation.
Low body weight or excessive exercise
As with having a high BMI, having a low BMI or excessively exercising can cause anovulation. It does this by disrupting the release of the hormones that control ovulation from your pituitary gland.
Stress
Stress also affects the hormones that control ovulation. One study found that women who had high levels of an enzyme that indicates stress in their saliva took 29% longer to conceive than those with low levels of the enzyme.
Polycystic Ovarian Syndrome (PCOS)
PCOS is the most common cause of hormonal imbalance in women of childbearing age, affects approximately 1 in 10 women. PCOS causes you to produce excess androgens. High levels of androgens cause the follicles, or sacs, in your ovaries that contain your eggs to remain small. This can prevent your body from releasing eggs.
Abnormalities in TSH or Prolactin
Thyroid-stimulating hormone (TSH) and Prolactin are both hormones produced by your pituitary gland. If levels of these hormones are abnormal, it can interfere with the hormones you need to ovulate. Problems with your thyroid gland can lead to over or underproduction of these hormones.
You can identify your early Non fertile, fertile and late fertile phase of your cycle by observing, recording and interpreting the aforementioned three signs. However, you should not use these signs to determine the exact day of release of an egg.
Allopathic treatment of Ovulation, anovulation
Anovulation is usually treated with fertility drugs. There are several commonly prescribed fertility drugs, including:
Clomiphene citrate (CC)
Around 80% of women will ovulate and 40% will get pregnant using CC. It works by stimulating the hormones that cause your body to release an egg.
Human chorionic gonadotropin (hCG)
This causes your ovary to release an egg, usually 36 to 72 hours after it’s given. This is the same hormone that pregnancy tests measure. So, if you take a pregnancy test after receiving hCG, you will get a false-positive result.
Follicle stimulating hormone (FSH)
This is a lab-created version of the hormone that causes the eggs to mature in your ovaries. This may be used on women who don’t get pregnant with CC or who don’t make their own FSH. FSH treatment has a risk of 20% to 30% of pregnancy with multiplies. Use of FSH has to be closely monitored by your doctor.
GnRH agonists and antagonists
These are synthetic hormones that are used to control the release of LH.
Risks of allopathic fertility medicines
There are many different types of hormones used to treat anovulation and all they have severe side effects, for example:
- Ovarian hyperstimulation, which can cause serious complications such as blood clots, kidney damage, twisting of ovaries, and fluid collecting in abdomen or chest.
- Pregnancy with multiple babies, which occurs in about 20% of pregnancies that result from fertility drugs.
- Ectopic pregnancy, which is a pregnancy that occurs outside of your uterus.
- Adnexal torsion, which is twisting of your ovaries.
- Possibly increased risk of ovarian cancer, though this is still being researched, etc.
Homeopathic treatment of Ovulation, anovulation
As we know that anovulation is usually treated with fertility drugs. There are several commonly prescribed well proven fertility medicines to me, for example:
Borax
Leucorrhea like white of eggs, with sensation as if warm water was flowing, acidic discharges. Manses too soon, profuse, with griping, nausea and pain in stomach extending to lower spine. Membranous dysmenorrhea. Sterility. Favors easy conception. Sensation of distention in clitoris with sticking. Pruritus of vulva and eczema.
Natrum Phosphoricum
Acidic vaginal discharges – destructive and kill the sperms. Manses too early; pale, thin, watery. Sterility with acid secretions from vagina. Acidic warm leucorrhea; discharge creamy or honey-colored, or acidic, watery, sour-smelling. Morning sickness, with sour vomiting.
Natrum Carb
Infertility in females from non-retention of sperms. Induration of cervix. Pudenda sore. Bearing-down sensation. Heaviness; worse, sitting; better by moving. Manses late, scanty like meat-washings. Leucorrhea discharge, offensive, irritating preceded by colic. Offensive and irritating vaginal discharges.
Abroma Radix
Menstrual discomfort, promote hormonal balance female infertility when irregular menstrual disorder occurs. Dysmenorrhea. The menstrual flow scanty or copious. No conception.
Murex
Conscious of a womb. Pulsation in neck of womb. Desire easily excited. Feeling as if something was pressing on a sore spot in the pelvis: worse sitting. Pain from right side of womb to right or left breast. Nymphomania. Least contact of parts causes violent sexual excitement. Sore pain in uterus. Manse’s irregular, profuse, frequent, large clots. Feeling of protrusion. Prolapse; enlargement of uterus, with pelvic tenesmus and sharp pains, extending toward breasts; aggravated lying down. Dysmenorrhea and chronic endometritis, with displacement. Must keep legs tightly crossed. Leucorrhea green or bloody, alternate with mental symptoms and aching in sacrum. Benign tumors in breasts. Pain in them during menstrual period.
Acid Nitricum
Vaginal soreness, with ulcers. Leucorrhea brown, flesh-colored, watery, or stringy, offensive. Hair on genitals falls out. Uterine hemorrhages. Manses early, profuse, like muddy water, with pain in back, hips and thighs. Stitches through vagina. Metrorrhagia after parturition.
Berberis Vulgaris
Neuralgia of ovaries and vagina. Pinching constriction in mons veneris, vaginismus, contraction and tenderness of vagina. Burning and soreness in vagina. Aversion to sex, cutting pain during coition. Manses scanty, gray mucus, with pain in kidneys and chilliness, pain down thighs. Leucorrhea, grayish mucus, with painful urinary symptoms.
Natrum Muriaticum
Natrum Mur is a very beneficial Homeopathic medicine to treat women with anovulation who have irregular and suppressed menstrual cycles. Natrum Mur regularizes menstrual cycles. Difficulty in conception due to PCOS. Manse irregular; usually profuse. Vagina dry. Leucorrhea acrid, watery. Bearing-down pains; worse in morning. Prolapsus uteri, with cutting in urethra. Ineffectual labor-pains. Suppressed menses. Hot during menses. Craving for extra salt. Reserved nature of patient, weeping spells especially when alone and worsening of symptoms when sympathy is offered
Thuja Occidentalis
Suffers from retarded menstrual flow with multiple cysts in ovaries. Thuja dissolves abnormal growth or accumulation anywhere in the body. Extreme hair growth on unusual parts in women – hormonal imbalance. Vagina very sensitive. Warty excrescences on vulva and perineum. Profuse leucorrhea; thick, greenish. Manses scanty, retarded. Polypi; fleshy excrescences. Ovaritis; worse left side, at every menstrual period. Profuse perspiration before menses.
Kali Carbonicum
Manses early, profuse or too late, pale and scanty, with soreness about genitals; pains from back pass down through gluteal muscles, with cutting pain. Pain through left labium, extending through abdomen to chest. Delayed menses with chest symptoms or ascites. Difficult, first menses. Complaints after parturition. Uterine hemorrhage; constant oozing after copious flow. Anovulation when the menses are suppressed altogether for several months.
Senecio Aureus
Manses retarded, suppressed. Functional amenorrhea of young girls with backache. Before menses, inflammatory conditions of throat, chest, and bladder. After menstruation commences, these improve. Anemic dysmenorrhea with urinary disturbances. Premature and too profuse menses. Heaviness or pain in pelvis region and nausea, but the menstrual flow is absent.
Erigeron Canadensis
Metrorrhagia, with violent irritation of rectum and bladder, and prolapsus uteri. Bright-red flow. Menorrhagia; profuse leucorrhea; bloody lochia returns after least motion, comes in gushes; between periods, leucorrhea with urinary irritation; pregnant women with “weak uterus;” a bloody discharge on slight exertion. Bleeding hemorrhoids; nosebleed instead of menses
Apis Mellifica
Anovulation due to cyst. Manses suppressed with cerebral and head symptoms. Edema of labia. Soreness and stinging pains; ovaritis; worse in right ovary. Dysmenorrhea, with severe ovarian pains. Metrorrhagia profuse, with heavy abdomen, faintness, stinging pain. Sense of tightness. Bearing down. Ovarian tumors, metritis with stinging pains. Great tenderness over abdomen and uterine region.
Lachesis Mutus
Climacteric troubles, palpitation, flashes of heat, hemorrhages, vertex headache, fainting spells; worse, pressure of clothes. Manses too short, too feeble; pains all relieved by the flow. Ovary painful and swollen, indurated. Mammae inflamed, bluish. Coccyx and sacrum pain. Acts especially well at beginning and close of menstruation. Manses too short, too feeble. Cyst in ovary with pain – pain is worse in the morning. Pains are all relieved by the flow.
Thyrodinum
Increased sexual desire when ovulating. Menstruation – absent from long time (months, years). Manses profuse, prolonged, more frequent; early amenorrhea. Painful and irregular menstruation. Constant ovarian pain and tenderness. No catamenial flow.
Pulsatilla Pratensis
Infertility in females resulting from short, scanty periods, PCOD. Amenorrhea; Polygon). Suppressed menses, nervous debility, or chlorosis. Tardy menses. Too late, scanty, thick, dark, clotted, changeable, intermittent. Chilliness, nausea, downward pressure, painful, flow intermits. Leucorrhea acrid, burning, creamy. Pain in back; tired feeling when ovulating. Diarrhea during or after menses.
Sepia
Infertility in females resulting from short, scanty periods, low sex drive in ovulating patient. Prolapse of uterus and vagina. Pelvic organs relaxed. Bearing-down sensation as if everything would escape through vulva; must cross limbs to prevent protrusion or press against vulva. Leucorrhea yellow, greenish; with itching. Manses Too late and scanty, irregular; early and profuse; sharp clutching pains. Violent stitches upward in the vagina, from uterus to umbilicus. Morning sickness.
Calcarea Carb
Infertility due to profuse and too long-lasting periods. Cutting pains in uterus during menstruation. Manses too early, too profuse, too long, with vertigo. Uterus easily displaced in normal ovulating patient. Leucorrhea, milky. Burning and itching before and after menstruation. Increased sexual desire, easy conception. Hot swelling breasts. Breasts tender and swell before menses. Milk too abundant; disagreeable to child. Deficient lactation, with distended breasts in lymphatic women. Much sweat about external genitals. Sterility with copious menses. Uterine polypi.
Aletris Farinosa
Early and copious menses with infertility in Ovulating patients. Leucorrhea, anemia, weakness, tiredness, and fatigue may also persist with menorrhagia. Tendency for frequent abortions is present. Premature profuse menses with labor-like pains. Amenorrhea or delayed menses from atony; weariness of mind and body; abdomen distended, bearing down. Manses too soon with colic, light-colored. Menorrhagia, profuse, black with coagula; fulness and weight. Leucorrhea, white stringy. Prolapsus. Sterility. Habitual tendency to abort; sensation of weight in uterine region; tendency to prolapse. Myalgia (false pains).
Grephites
Manses too late, with constipation; pale and scanty, with tearing pain in epigastrium, and itching before. Hoarseness, coryza, cough, sweats and morning sickness during menstruation. Leucorrhea, pale, thin, profuse, white, excoriating, with great weakness in back. Ovulating lady’s mammae swollen and hard. Induration of ovaries and uterus and mammae. Nipple sore, cracked, and blistered. Decided aversion to coitus.
Gossipium Herbaceum
Abortion, amenorrhea and dysmenorrhea of Ovulating lady. Labia, abscess of. Ovaries, pains in. Pregnancy, vomiting of. Sterility. Tumor. Uterus, bearing down sensation.
Agnus Castus
Infertility in Ovulating females with decreased sexual desire, aversion to sex is there. Excessive masturbation. Transparent leucorrhea; parts very relaxed. Leucorrhea spotting pads yellow. Sterility, with suppressed menses. Milk scanty or entirely suppressed. Deficient, secretion of milk in lying-in women. Swelling and inflammation of the uterus. Retained placenta.
P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).
For proper consultation and treatment, please visit our clinic.
None of above-mentioned medicine(s) is/are the full/complete treatment, but just hints for treatment; every patient has his/her own constitutional medicine.
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Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, 
Gastroenterologist, Specialist Homeopathic Medicines.
Senior research officer at Dnepropetrovsk state medical academy Ukraine.
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