“Not ovulating could be caused by hormonal disorders like hyperinsulinism or hyperandrogenism,” says Dr Alejandra Mora, Gynecologist & Obstetrician, at International SOS Beijing Clinic, “so we need to figure out which hormone needs to be corrected or balanced.”
Mora explains that a high body mass index could lead to insulin excess, in turn resulting in androgen excess, which is a major factor causing altered ovaries and thus reducing pregnancy chances. Follicle-stimulating hormones cause the eggs to ripen and become ready for release. Usually a course of hormonal injections is taken over two weeks for ovaries to develop eggs for release.
However, all hormones have to be prescribed by a qualified doctor. “Some hormones can be used to induce ovulation, and that is only helpful when there is a problem with ovulation or if IUI or IVF have already been decided on,” adds Mora.