Irregular or absent ovulation

Irregular or absent ovulation is one of the most common and directly addressable causes of female infertility, yet it is frequently oversimplified in standard medical care. Treatment often proceeds without fully exploring the underlying drivers preventing regular ovulatory function. At Renew Health and Wellness, Dr. Jennifer Redmond, CNP, DNP conducts a thorough investigation of ovulation irregularity that evaluates the complete hormonal cascade governing follicular development and ovulation - including FSH, LH, AMH, estradiol, progesterone, prolactin, thyroid hormones, and androgens - alongside metabolic markers such as insulin and fasting glucose that profoundly influence ovulatory regularity.

For women with PCOS - which accounts for the majority of anovulatory infertility - her approach targets the insulin resistance driving androgen excess and LH dysregulation through a combination of nutritional strategies, evidence-based medications, and hormonal support. Thyroid dysfunction, hyperprolactinemia, and hypothalamic amenorrhea are identified through targeted testing and treated as primary contributors to ovulation failure. Ovulation induction protocols, including clomiphene or letrozole when appropriate, are incorporated with careful cycle monitoring to maximize the quality and timing of ovulation.

Progesterone support in the luteal phase is assessed and provided when deficiency is identified, as inadequate progesterone after ovulation can prevent implantation even when ovulation occurs. Nutritional and lifestyle interventions that support hypothalamic-pituitary-ovarian axis function - including stress reduction, sleep optimization, and body composition management - are embedded into your fertility care plan. At Renew Health and Wellness, irregular ovulation is not a dead end. It is a solvable hormonal puzzle that we are equipped and committed to solving with you.