Menopause occurs when the ovaries stop producing eggs permanently and female hormone levels decline. After entering menopause, many women wonder if it is possible to ovulate again. Although it is medically impossible for ovulation to return after complete menopause, there are conditions that may cause ovulation-like symptoms. In this article, we will discuss with your doctor the possibility of ovulation returning in menopause. Stay with us.

Is it possible to ovulate again after complete menopause?

After full menopause, the ovaries no longer have active follicles and therefore ovulation is not possible. This condition is permanent and unlike pre-menopausal periods, it cannot be reversed. Any type of bleeding after menopause does not mean the return of menstruation or ovulation and should be checked medically.

Some symptoms, such as mild pelvic pain, may give rise to this impression, but they do not mean that the ovaries are working again. Research shows that only in cases of premature and abnormal menopause caused by early ovarian failure , there is a possibility of limited return of ovarian function. Therefore, the natural return of ovulation after true menopause is not scientifically possible.

Difference between menopause and perimenopause in terms of ovulation

Premenopause is the period when the ovaries are still active, but their function has become irregular, so ovulation sometimes occurs and sometimes not. At this stage, the woman may not have periods for months, but there is still a possibility of pregnancy. Menopause is diagnosed when 12 full months have passed without menstruation and ovulation has completely stopped.

Many women confuse the symptoms of premenopause with menopause and think that it is possible to ovulate again. Knowing the difference between these two stages is very important for a realistic understanding of fertility and the type of treatment.

English text:
After menopause and the complete cessation of monthly periods, there is no possibility of regular ovulation and pregnancy. However, the uterus and other reproductive organs are still healthy and can carry out the task of pregnancy. Therefore, using a donor egg is the best method for pregnancy in the post-menopausal period.
Persian translation:
After menopause and complete cessation of menstruation, regular ovulation and normal pregnancy are not possible. However, the uterus and other reproductive organs are still healthy and capable of carrying out the pregnancy process. For this reason, the use of donated eggs is considered the best method for pregnancy in the period after menopause.

quoted from hayatmedtour

New methods for ovarian rejuvenation before complete menopause

In recent years, medical research has moved toward methods that improve ovarian function in the early stages of fertility decline. These methods are only applicable to women who have not yet entered full menopause and whose ovaries have silent or very few follicles.

Ovary rejuvenation is being investigated as a research method in some fertility centers of the world. Although initial results are promising, it is not yet accepted as a definitive treatment. These methods can cause limited egg production or improve hormones in some women. Next, three important methods will be examined.

Method	Use and effect	Limitations
Ovarian rejuvenation	Improving ovarian function or limited egg production in the early stages of fertility decline	It is used only before complete menopause and is considered a definitive treatment It is not possible.
Injecting PRP into the ovary	Stimulating the activity of ovarian cells and possibly increasing hormones or follicular growth	It is an experimental method and its effect is not the same in all patients.
Stem cells	Stimulate ovarian tissue and support follicles	Still in the research stage and without General confirmation
Hormone replacement therapy (HRT)	Compensation of estrogen and progesterone deficiency and improvement of some symptoms	Does not cause true return of ovulation.

1. PRP injection into the ovary

Injection of PRP or platelet-rich plasma is one of the new methods to stimulate the activity of ovarian cells. This method uses the person's own blood platelets, which have repair substances and growth factors. Some reports have shown that uterine and ovarian PRP may increase levels of reproductive hormones or induce follicular growth.

This method is still experimental and its effect is not the same in all patients. It is usually recommended for women who are on the verge of menopause or suffering from ovarian failure.

English text:
Ovarian rejuvenation treatment involves injecting PRP into your ovaries. Although PRP is made from your own blood, it may still have risks associated with it. Text translation: Ovarian rejuvenation treatment includes PRP injection into the ovaries. Although PRP is made from a person's own blood, it can still carry risks.

quoted from healthline

2. Stem cells and research methods

Using stem cells is one of the most advanced and researched methods to re-stimulate ovarian tissue. Researches in laboratory and animal stages have shown promising results. The aim of this method is to transform stem cells into oocyte-forming or follicle-supporting cells.

Some limited human studies have reported changes in hormones and improved ovarian function. However, this method is still in the research stage and has not been approved for general use.

3. Hormone replacement therapy

Menopause hormone therapy aims to compensate for the lack of estrogen and progesterone hormones. This method does not cause ovulation to return, but it may improve some symptoms of menopause or reduced ovarian function. In some cases, HRT can cause menstrual-like cycles before full menopause.

This treatment is mostly used to control symptoms and maintain the general health of women. It should be used according to the medical conditions of each person and under the supervision of a doctor. Actual return of ovulation is not possible even with HRT.

Conclusion

The possibility of ovulation returning in menopause is scientifically and medically non-existent, because the ovaries stop working forever. But before reaching true menopause, in premenopause or early menopause, there is a possibility of partial improvement of ovarian function with treatment. Methods such as PRP, stem cells, and hormone treatments can help improve hormones in some cases, but they are not a guarantee that fertility will return. Many common beliefs about the return of menstruation after menopause are false and may mislead women.

Your doctor takes care of your health!