Anovulatory infertility: optimization of diagnostics and treatment algorithms
Tikhomirov A.L., Manukhin I.B., Gevorkyan M.A., Manukhina E.I., Kazenashev V.V.

Moscow State Medical Stomatological University named after A.I. Evdokimov

The article discusses the problems of infertility in women and the place of ovulation disorders in their structure, and the causes of ovulation disorders in the early, middle and late reproductive periods. The article also discusses methods of indirect ovulation determination: basal temperature chart, ultrasound, determination of the concentration of progesterone in the mid luteal phase, and the peak of luteinizing hormone (LH). With the exact determination of "window of fertility" (and planning sexual intercourse in accordance with it) it is more likely to have a baby soon in a natural way. However, only 13% of women trying to get pregnant, can determine the day of ovulation correctly, and only 55% of women can determine the day of ovulation within the "window of fertility", with the calculations based on the phases of the menstrual cycle. There are ways to determine the day of ovulation and / or the "window of fertility", which vary in accuracy and ease of use: monitoring the hormonal changes in urinary ovulation tests (measurement of LH); digital ovulation tests (increasing the likelihood of getting pregnant by 77%). The innovative fertility monitor Clearblue Advanced helps to determine the length of the "window of fertility", thus increasing the chances of pregnancy by almost half.

Key words: infertility, anovulation, determination of ovulation, fertility monitor Clearblue Advanced.
For citation: Tikhomirov A.L., Manukhin I.B., Gevorkyan M.A. et al. Anovulatory infertility: optimization of diagnostics and treatment algorithms // RMJ. 2017. № 2. P. 133–136.