Ovulatory dysfunction

Expert Diagnosis and Treatment by Dr. Jovana Lekovich

Ovulatory dysfunction is one of the most common causes of female infertility—and one of the easiest to treat. Whether you’re experiencing irregular periods, anovulation (lack of ovulation), or hormonal imbalances, Dr. Jovana Lekovich, a top fertility specialist in New York City, offers the expertise, compassion, and advanced treatment options to help you take the next step toward pregnancy.

As a board-certified reproductive endocrinologist, Dr. Lekovich creates personalized, evidence-based plans to restore healthy ovulation and maximize your chances of conception.

What Is Ovulatory Dysfunction?

Ovulatory dysfunction occurs when ovulation is irregular or absent, making it difficult to conceive naturally. Without a mature egg being released from the ovaries each cycle, fertilization cannot occur.

Common signs of ovulatory dysfunction include:

  • Irregular or absent menstrual cycles

  • No positive ovulation test results

  • Unexplained infertility

  • Hormonal acne, weight gain, or excess hair growth


Causes of Ovulatory Dysfunction

There are several underlying conditions that can disrupt ovulation, including:

  • Polycystic ovary syndrome (PCOS) – The most common hormonal cause of anovulation

  • Hypothalamic amenorrhea – Often due to stress, low body weight, or excessive exercise

  • Hyperprolactinemia – Elevated prolactin levels interfering with ovulation

  • Thyroid disorders – Both hypothyroidism and hyperthyroidism can affect menstrual regularity

  • Diminished ovarian reserve – Age-related or premature decline in egg quality and quantity

  • Perimenopause or premature ovarian insufficiency (POI)

Dr. Lekovich conducts a thorough evaluation to accurately diagnose the root cause and tailor treatment accordingly.


Diagnostic Testing for Ovulatory Disorders

A proper diagnosis is essential for effective treatment. Dr. Lekovich offers comprehensive hormonal and reproductive testing, including:

  • Hormone bloodwork (FSH, LH, AMH, estradiol, prolactin, TSH, testosterone)

  • Ultrasound imaging to evaluate follicle development and ovarian morphology

  • Cycle tracking and ovulation monitoring

  • Lifestyle and metabolic assessments for PCOS and hypothalamic amenorrhea

These tests help pinpoint whether and when ovulation is occurring—and what’s preventing it.


Treatment Options for Ovulatory Dysfunction

Dr. Lekovich offers customized fertility treatment plans based on your medical history, diagnosis, and family-building goals.

🌱 Ovulation Induction:

  • Oral medications like Clomid (clomiphene citrate) or Letrozole to stimulate ovulation

  • Injectable gonadotropins for more complex cases

  • Ultrasound monitoring to track follicle growth and ovulation timing

🤰 Fertility Treatments:

  • Timed intercourse or intrauterine insemination (IUI) with ovulation support

  • In vitro fertilization (IVF) for resistant cases or other concurrent fertility issues

  • Lifestyle counseling for weight management, nutrition, and stress reduction

  • Endocrine management for PCOS, thyroid, or prolactin disorders


Why Choose Dr. Jovana Lekovich?

  • 👩‍⚕️ Board-Certified Fertility Specialist in NYC
    Trusted for her clinical expertise and high success rates treating complex hormonal and reproductive issues.

  • 🧬 Individualized, Patient-Centered Care
    Your treatment is never one-size-fits-all—it’s built around you and your reproductive goals.

  • 💡 Advanced Diagnostics & Modern Therapy
    From PCOS to POI, she provides the latest in fertility medicine and hormone regulation.

  • 🗽 NYC-Based, Globally Respected
    Welcoming patients from across New York and internationally seeking expert fertility care.

Regain Control of Your Cycle & Fertility

Irregular periods and ovulation issues shouldn’t stand in the way of your dreams of parenthood. With specialized care from Dr. Jovana Lekovich, you can restore reproductive balance and move forward with confidence.

📅 Schedule your consultation today to explore your options for treating ovulatory dysfunction in NYC.

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