My menstruation is normal, but I still don’t ovulate. What’s going on?

For many women, if they want to get pregnant, they have to ovulate. However, some people have normal menstruation but do not ovulate. What is going on?

Menstruation does not necessarily mean ovulation

Menstruation and ovulation are closely related. Simply put, ovulation determines menstruation. Without ovulation, there will be no menstruation. To be more precise, without ovulation, there will be no ovulatory menstruation and no fertility. Therefore, to determine whether menstruation is normal, we should first determine whether ovulation has occurred. Menstruation with ovulation is normal. Under normal circumstances, the menstrual cycle is controlled by the cerebral cortex and regulated by the interaction between the hypothalamus, pituitary gland and ovaries, and is also affected by other endocrine hormones such as thyroid hormone. Therefore, generally women secrete estrogen before ovulation, and progesterone and estrogen after ovulation.

It is under the action of these two hormones that the female endometrium undergoes changes between the proliferative phase and the secretory phase. Once the hormone level drops, the endometrium loses hormonal support and becomes necrotic and shed, and menstruation occurs. This is normal ovulatory menstruation. In anovulatory menstruation, the ovaries only secrete estrogen and not progesterone, so the endometrium only undergoes proliferative changes. When estrogen drops to a certain level, the endometrium is shed and women begin menstruating.

Factors that affect women's menstrual cycle

1. Uncontrolled weight loss

Nowadays, in an era where thinness is considered beautiful, many women born in the 1980s and 1990s tend to eat less or no dinner in order to wear beautiful clothes and maintain a slim figure. They also use fruits as nutritional supplements for lunch and breakfast. These behaviors are irresponsible to women themselves. Lack of nutrition also plays a key role in changes in women's menstrual cycle.

2. Excessive mood swings

Some women are overly sensitive emotionally, and often experience excessive tension, sadness, joy, etc. over trivial matters. These abnormal fluctuations will inevitably interfere with the normal work of the central nervous system, thereby affecting the regulation of ovarian function that determines menstrual changes and causing menstrual disorders.

3. A life of day and night reversal

Some women have a reversed day and night life due to work, irregular daily routine, getting up early and going to bed late, etc., which can disrupt their menstrual cycle.