Anovulation and Infertility

by Physician Sheryl Tay
20 November 2023

Ovulation is the release of an egg from the ovaries. An anovulatory cycle, also known as anovulation, refers to the lack of ovulation or absent ovulation. Although it is uncommon, there are individuals with an anovulatory cycle who do not experience ovulation, they may still experience bleeding on an almost normal schedule due to changes in hormone levels. 

Anovulation isn’t unusual for young girls who have just started their periods, during pregnancy, breastfeeding and women who are approaching menopause. Even women who typically have regular menstrual cycles can experience it from time to time. However, it would be a cause for concern for women who experience irregular periods and especially those who are trying to conceive.

Causes for Anovulation:

Anovulation typically occurs when the body’s hormones are imbalanced. To trigger ovulation, hormone levels must reach a certain threshold for the release of an egg to occur. Therefore, disruptions to this process can lead to anovulatory cycles. 

Signs and symptoms of anovulation:

Anovulation and infertility:

Chronic anovulation can be a common cause of infertility. An egg must be present for pregnancy to occur, hence if a person has irregular ovulation, they will have fewer chances to conceive because they ovulate less frequently. Additionally, late ovulation does not produce the best quality eggs, which can also make fertilization less likely.

Herbal Medication

Herbal Medication may be prescribed by a TCM practitioner to address underlying imbalances that contribute to anovulation. These herbal formulas are tailored to the individual's specific pattern of symptoms and may include herbs that help improve ovarian function to aid in ovulation, thereby regulating the menstrual cycle and supporting fertility. 


Acupuncture can help to improve the blood supply and circulation to the ovaries and reproductive organs to support egg growth, hence regulate the menstrual cycle and promote fertility. 

Anovulation is a condition that can affect many women, especially those who are trying to conceive. Speak to a physician to know more about how we can help manage your menstrual cycles and to overcome infertility due to anovulation.