Ovulation Disorders (PCOS, Anovulation)

Ovulation-Disorders

Understanding Ovulation Disorders

Ovulation disorders are among the most common causes of infertility in women. When ovulation is irregular or absent, it becomes difficult to achieve pregnancy naturally.
The two most frequent conditions are:

  • PCOS (Polycystic Ovary Syndrome)
  • Anovulation (no egg released)

At Saga Clinic Tirana, Dr. Eser Agar provides detailed diagnostic evaluation and modern treatment options tailored to each woman’s hormonal and reproductive profile.

Why Ovulation Disorders Matter

Without regular ovulation:

  • There is no egg available for fertilization
  • Cycles become unpredictable
  • Hormonal balance is disrupted
  • The endometrium may not function optimally
  • Pregnancy chances decrease significantly

The good news: ovulation disorders are highly treatable once properly diagnosed.

Common Symptoms of Ovulation Disorders

You may have an ovulation problem if you experience:

  • Irregular menstrual cycles
  • Very long or very short cycles
  • Absence of menstruation
  • Difficulty predicting ovulation
  • Acne or oily skin
  • Excess hair growth
  • Weight gain or insulin resistance
  • Difficulty losing weight
  • Mid-cycle spotting
  • Trouble conceiving despite trying regularly

PCOS (Polycystic Ovary Syndrome)

What Is PCOS?

PCOS is a hormonal condition affecting ovulation, metabolism, and the reproductive system.
Women with PCOS often have:

  • Irregular ovulation or no ovulation
  • Multiple small follicles on the ovaries
  • Elevated androgens
  • Insulin resistance

PCOS does not mean infertility — but ovulation must be regulated to achieve pregnancy.

Diagnosis of PCOS at Saga Clinic

Diagnosis is based on:

  • Menstrual cycle history
  • Transvaginal ultrasound (AFC, ovarian morphology)
  • Hormonal tests (LH, FSH, AMH, androgen levels)
  • Insulin and glucose assessment
  • Thyroid and prolactin testing

PCOS is a spectrum, and we tailor treatment to your specific symptoms.

Treatment of PCOS

Treatment focuses on restoring regular ovulation and improving metabolic health:

Lifestyle & Metabolic Management

  • Weight optimization (even 5–10% loss improves fertility)
  • Improving insulin sensitivity
  • Nutritional counseling

Ovulation Induction

  • Letrozole (first-line therapy)
  • Clomiphene citrate
  • Gonadotropins (if needed)

Triggering Ovulation

An hCG trigger can precisely time ovulation for intercourse or IUI.

If medications fail

IVF is an effective option for resistant PCOS or when multiple fertility factors coexist.

Anovulation (Lack of Ovulation)

What Is Anovulation?

Anovulation means the ovaries do not release an egg during the cycle.
This can occur monthly or intermittently and is a leading cause of infertility.

Causes of Anovulation

  • PCOS
  • High prolactin
  • Thyroid dysfunction
  • Premature ovarian insufficiency (POI)
  • Very low or very high body weight
  • Excessive exercise
  • Stress and cortisol imbalance
  • Chronic illness
  • Perimenopause

Identifying the cause is essential for choosing the right treatment.

Diagnosis of Anovulation

We evaluate ovulation function through:

  • Cycle history
  • Progesterone levels (mid-luteal)
  • Ultrasound follicle tracking
  • LH surge detection
  • Hormonal testing
  • AMH and ovarian reserve evaluation

Treatment of Anovulation

Treatment is completely dependent on the cause:

Hormonal Regulation

  • Thyroid correction
  • Prolactin treatment
  • Regulation of estrogen/progesterone balance

Ovulation Induction

  • Letrozole or Clomiphene
  • Gonadotropin injections
  • Trigger shot (hCG) for precise timing

Lifestyle Interventions

Especially important when weight or insulin resistance is involved.

Advanced Options

  • IUI
  • IVF/ICSI
    when ovulation cannot be restored naturally or when combined factors exist.

Why Choose Saga Clinic for Ovulation Disorders?

  • Full hormonal and metabolic evaluation
  • High-resolution ultrasound monitoring
  • Evidence-based PCOS and anovulation treatment
  • Personalized ovulation induction protocols
  • Modern fertility strategies
  • Direct care and planning by Dr. Eser Agar
  • Supportive, patient-centered approach

Our goal is to help you ovulate regularly and safely, improving your chances of natural or assisted conception.

Appointments and Contact

If you have irregular cycles or suspect an ovulation issue, early evaluation is essential.
Contact Saga Clinic Tirana to schedule your consultation.

For appointment requests or medical inquiries, please contact us using the options below.

📞 Clinic Phone (Office Hours)
+355 69 836 1565
Available Monday–Saturday, 09:00–16:00.

💬 WhatsApp (Outside Office Hours)
+355 69 362 0838
Available outside office hours via WhatsApp Message only.