DEAR DOCTOR K: I've always had infrequent periods, but I never thought much of it. My doctor recently used the word "anovulatory" to explain why I've had trouble getting pregnant. What does this mean? Could the two be connected?
DEAR READER: "Anovulation" means you are not ovulating -- releasing eggs. A woman's ovary should release approximately one egg each month. Once released, the egg travels into the fallopian tube. There, it can be fertilized by the entry of a sperm. The fertilized egg then enters the uterus. When a woman does not ovulate, no egg is available to be fertilized by sperm. As a result, a woman cannot become pregnant. Women who are anovulatory have irregular, few or no periods.