Multifollicular ovaries and pregnancy

One of the most common symptoms of MFO is a disruption of the menstrual cycle, which entails problems with conception. Hormonal imbalance and the absence of luteinizing hormone disrupt the ovulation process, so the cycles alternate. A large number of structural elements in the appendages leads to the fact that they do not have time to mature or several dominant follicles appear simultaneously.

Hormonal therapy is used to treat this condition and restore reproductive functions. Patients are prescribed drugs from the group of oral contraceptives, which eliminate the imbalance. This allows the follicles to develop normally and exit the egg during ovulation, increasing the chances of successful conception.

That is, multifollicular ovaries and pregnancy are compatible. Problems may arise during the process of bearing a child. This is due to the fact that a large number of follicles provoke increased production of hormones, which can cause spontaneous termination of pregnancy. To prevent this complication, the woman is prescribed progesterone drugs and undergoes regular examinations to monitor the condition of the fetus.

Multifollicular ovaries and infertility

The ovaries are responsible for a woman's reproductive abilities. Follicles mature in them and ovulation occurs. Disruption of the normal functioning of the organs leads to various problems, one of which is the impossibility of conception. The concept of infertility is used if pregnancy has not occurred after a year of regular unprotected sex.

Infertility due to multifollicularity is temporary, as it can be corrected and is most often associated with the following factors:

• Anovulatory cycle.
• Hormonal disorders.
• Endocrine diseases.
• Disorders of luteinizing hormone synthesis.
• Hypofunction of the pituitary gland.

After the above factors are corrected, the hormonal background is normalized. The menstrual cycle and ovulation are restored, which makes pregnancy possible. If ovulation cannot be restored, this indicates that the MFY has turned into a form of polycystic disease, the treatment of which is longer and more serious. During pregnancy, women with MFY should be under medical supervision. This is due to the risk of spontaneous miscarriages in the early stages.

Chances of getting pregnant with multifollicular ovaries

The chances of pregnancy with identified MFO are the same as for healthy women. Multifollicularity is not infertility or a life-threatening pathology. It only indicates certain disorders in the functioning of the reproductive organs that can be corrected.

Normally, during the menstrual cycle, follicles containing eggs mature in each ovary. The number of such follicles is from 4 to 7, of which 1-2 burst and ovulation occurs. With multifollicularity, the number of structural elements is 8-12 pieces. Because of this, they do not mature to the norm, and ovulation does not occur. Against this background, there are disturbances in the menstrual cycle and hormonal background, eggs are produced that are incapable of fertilization, which creates problems with conception.

If there are no hormonal imbalances or any other disorders with MFO, then treatment is not carried out. In this case, an increased number of follicles is considered a normal variant. But if ovulation does not occur within 3-4 cycles, then a doctor's consultation and drug correction are required. This is necessary to prepare the body for successful conception and normal pregnancy.

How to get pregnant with multifollicular ovaries?

If after correction of disorders caused by MFY it is not possible to conceive a child independently for a long period of time, then IVF or other methods of artificial insemination are recommended. In vitro fertilization is an assisted reproductive technology that is carried out outside the female body. Follicles are taken from the patient, fertilized and implanted into the uterus.

The procedure consists of several stages:

• Ovulation stimulation.
• Transvaginal superovulation.
• Embryo transfer.
• Maintenance of the luteal phase.

Complications arise during ovulation stimulation in MFO. For this purpose, an individual drug regimen with a precisely selected dosage is drawn up. Very often, stimulation is carried out several times with a change in drugs. This increases the risk of developing hyperstimulation syndrome, which leads to ovarian exhaustion. To prevent this complication, IVF is performed after stabilization of all metabolic processes in the body.

Before artificial insemination, patients with an increased number of structural elements of the sex glands are required to have their fallopian tubes checked for patency. This procedure significantly increases the chances of restoring ovulation. If patency is impaired, IVF is performed using laparoscopy.

Pregnancy with twins

Multiple pregnancy with multifollicular ovaries is not uncommon. This occurs when 2 or more ovulations occur in one cycle and several full-fledged dominant follicles mature. In this case, there is a high chance of twin pregnancy.

The probability of having twins increases significantly when undergoing IVF. In vitro fertilization can cause both dizygotic and monozygotic multiple pregnancy. In the first case, twins are born, and in the second, twins. The frequency of twin births in women with MFO is about 11% with IVF - 35-40%.

Multifollicular ovaries after childbirth

One of the reasons for the appearance of MFI after the birth of a child is the lactation period. During breastfeeding, increased production of prolactin is activated, which suppresses ovulation. An increased number of structural elements can also be caused by stress, significant fluctuations in body weight or endocrine diseases.

Multifollicularity is determined using ultrasound. Echo signs of MFO are not always accompanied by clinical symptoms. To reduce the risk of developing this syndrome, it is recommended to monitor weight changes, maintain moderate physical activity and, at the first painful symptoms in the pelvic area, consult a gynecologist.