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Ovulation: signs, symptoms, sensations + questions and answers

What is it, ovulation?

To conceive a child is not suitable every day of the menstrual cycle. Only within one day a woman will be able to become pregnant, and if this does not happen, then after 10-14 days menstruation will occur. In order for fertilization to take place, it is necessary to merge the spermatozoon and the mature egg cell.

However, the body of a woman is not adapted to the selection of the female reproductive cell in a short time. It must mature in the follicle of one of the ovaries, and then go out.

The process of breaking the follicle capsule and the subsequent appearance of the egg is called ovulation. In simple words, ovulation is the only day in the menstrual cycle when a woman is able to become pregnant.

Content

Hormones required for ovulation

Ovulation

One of the main causes of female infertility is hormonal failure, in which the egg in the ovary either does not mature, or the capsule of the dominant follicle does not break and it continues to grow, forming a follicular cyst. Favorable conditions for the onset of ovulation suggest the presence of a normal concentration in the woman's body of the following hormones:

  • Estradiol - is responsible for the growth of the dominant follicle and endometrium. If this hormone is not enough, then the dominant one will not stand out from the mass of antral follicles.
  • Luteinizing hormone (LH) - tends to increase by the time the follicle matures. As a result, the peak of PH breaks its capsule and the egg has the opportunity to go outside and get into the fallopian tube.
  • Follicle-stimulating hormone (FSH) - is responsible for the process of maturation of the follicle, as well as estradiol. The hormones FSH and LH are complementary, so the determination of their concentration in isolation from each other will not be informative.
  • Testosterone - a surplus of this hormone prevents both the maturation of the egg and the rupture of the capsule of the dominant follicle.

Sometimes women are diagnosed with such disorders of the endocrine system that constantly prevent the onset of ovulation and which cannot be cured completely. In such cases, doctors try to at least temporarily bring the state of hormones back to normal, for conception to occur.

When does ovulation day come?

Despite the fact that a woman is ready to conceive a child all day, the main question remains on what day after her monthly ovulation occurs? If we look at the medical literature, the answer is quite straightforward: ideally, the release of the egg from the ovary should occur in the middle of the cycle.

But the body of each woman is individual, therefore, early and late ovulations can be observed. The reason for these abnormalities is hormonal imbalance:

  1. Early ovulation is characterized by an increased concentration of estradiol and FSH, as well as testosterone levels close to the lower normal limit.
  2. Late ovulation is characterized by low estradiol concentrations and high testosterone levels.

Absolutely accurately pre-calculate the day of ovulation is impossible. However, there are special examinations that allow you to most reliably predict the timing of the release of the egg from the dominant follicle.

Methods for determining ovulation

Methods for determining ovulation

If a woman knows what period of time in her cycle is most favorable for conception, then she can use it for the purposes of pregnancy planning and for contraception.

Schedule BT - the moment of ovulation is displayed on it by a sharp one-day temperature drop of 0.3-0.4 degrees. The next day, the temperature rises by 0.2 degrees and lasts for about two days for two days, after which it rises to the level of 37 degrees and above.

As a result, a step is formed on the graph between the lowest temperature value and the subsequent increase. This stage means the day of ovulation.

The problem with tracking the release of the egg with the help of graphs is that a woman can find out about the outlined ovulation only a day before it (at the time of a drop in temperature).

Tests for ovulation - the approaching day favorable for conception is displayed on the test with two bright stripes. This means that the next 36 hours the capsule of the follicle will break, the egg will fall into the fallopian tube and will be suitable for fertilization during the day.

One package contains several test systems - this allows you to observe how the color of the test strip becomes brighter.

в тесте на овуляцию слабая вторая полоска, что значит? Question: in the test for ovulation weak second strip, what does it mean?

If the second strip of the ovulation test is weak, this either means that the LH concentration has not yet increased and the dominant follicle has not matured, or it indicates that ovulation has already passed. However, this method of determining ovulation has one major drawback.

The fact is that the reagent in the test system becomes active only if the body increases the concentration of LH. But it may happen that the woman’s dominant follicle is not ripe and does not exceed 9 mm in diameter, and the LH peak still occurred.

Thus, the test will produce a false positive result.

Ultrasound folliculometry is the most accurate way to predict the day of ovulation. In the first phase of the cycle, the doctor can observe the growth of the dominant follicle and make a conclusion about when his capsule breaks.

After the day of anticipated ovulation, it is necessary to visit the ultrasound room once more to make sure that it took place: the presence of a corpus luteum and fluid in the confinement space will be characteristic signs in the first 2-3 days.

How is the process of ovulation?

When the dominant follicle reaches the size of 18 - 22 mm in diameter - this means that the egg in it is fully ripe and ready to go. The whole process of ovulation can be considered sequentially:

  1. A signal arrives in the anterior lobe of the pituitary that causes this part of the brain to intensively produce luteinizing hormone. After a few hours, LH reaches a peak equal to 17 - 77 mU / ml.
  2. The maturing follicle forms a tubercle on the surface of the ovary. Along with the increase in LH, there is a rapid increase in estradiol, with the result that the size of the dominant follicle reaches 22 mm.
  3. After the start of enhanced secretion of LH from the brain, a signal comes from the uterine tube, which is closest to the ovary, which is going to ovulate. The funnel of the oviduct is located above the ovary so that the fallopian tube has the opportunity to capture the egg cell.
  4. Under the influence of the peak of LH, the wall of the dominant follicle, closest to the abdominal cavity, becomes thin, and its integrity is broken.
  5. The egg cell leaves the follicle along with the follicular fluid that will nourish the female reproductive cell until it is fertilized.
  6. The fallopian tube using cilia captures the egg cell and carries it inside its cavity, where it will meet with spermatozoa.

All these processes occur within 24 to 36 hours and for most women are completely invisible. Tangible, as a rule, are only signs of a subsequent increase in progesterone: increased appetite, breast tenderness, etc.

Signs, symptoms, feelings of ovulation

symptoms, ovulation sensations

A small part of the fair sex feels when a favorable period for conception occurs, let's describe the possible signs, symptoms and sensations on the day of ovulation. First of all it is:

  • Tingling in the lower abdomen on the left or on the right can be a symptom of the most enlarged dominant follicle, the shell of which will soon burst.
  • A sudden increase in appetite can indicate not only an increase in progesterone, but also a hormonal adjustment that occurs during ovulation.
  • Spotting - a few drops of light brown color indicate that the release of the egg from the follicle took place 3-4 hours ago. However, this symptom occurs only in a small number of women. And if intermenstrual bleeding is present, then you need to make sure that they are provoked by ovulation.
  • Increased sexual desire - associated with the restructuring of hormones and the change of phases of the menstrual cycle.
  • The appearance of stretching transparent secretions. They are similar in consistency to raw egg white. During the period of ovulation, the "thread" of such secretions can be stretched to 5-7 cm in length.
Signs, symptoms, feelings of ovulation

lingering discharge, a sign of ovulation, photo

If you plan sexual intercourse as the symptoms of ovulation appear, then these attempts may not lead to pregnancy. The fact is that most of the signs appear when ovulation is about to begin, or has already occurred.

For such a period of time, spermatozoa may not have time to get to the fallopian tube (for this they need several hours, and the egg cell lives only from 12 to 24 hours).

On which day after ovulation can a pregnancy test be performed?

There are various reasons that determine a woman’s desire to learn about her pregnancy as early as possible: from banal impatience to the need to take special preparations to support the vital activity of the embryo.

When the question arises on what day after ovulation you can do a pregnancy test, you need to consider that it all depends on the time when the fertilized egg implanted into the uterus.

  • Early implantation, 3 - 5 days after ovulation. The test will show a weak second strip already on day 9.
  • The most common periods of implantation for 6 - 8 days. In this case, the test will show a weak second strip at 11 days after ovulation.
  • Late implantation, for 9 - 12 day. The test will begin to show a weak second strip, starting at 13-14 days after ovulation.

However, determining the day of implantation is almost impossible. The only exceptions are cases when this process is displayed on the BT graph with a one-day drop in temperature by 0.3-0.4 degrees (implant recession).

But not all women basal temperature responds to the attachment of the ovum.

What if there is no ovulation?

What if there is no ovulation?

Normally, a woman may have 1-2 anovulatory cycles per year. If there is no ovulation for several months, it signals that it is necessary to take hormone tests and show the results to the doctor.

As an additional examination, an ultrasound scan of the uterus and appendages can be done, as well as a snapshot of the Turkish saddle. Among the reasons for which there is no ovulation, you can list the following:

Disruption of the endocrine glands - the dominant follicle either does not mature or does not break in time, developing into a cyst. The inability to conceive due to improper functioning of the endocrine system is quite common and difficult to correct.

As a rule, the production of not one hormone is broken, but several at once - this complicates the treatment process.

Overweight or dystrophy - any serious deviations of body weight from the norm provoke the body to work for wear. The body instinctively feels that the conditions for conception are unfavorable, so the brain month after month may not send impulses to the pituitary gland and the hypothalamus for sufficient production of the necessary hormones.

Increased stress - the suspension of reproductive functions occurs for the same reason as serious deviations of body weight from the norm. The body begins to actively deal with stress and regards the environment as unfavorable for carrying a child.

Excessive stress - physical stress can be accompanied not only by the lack of ovulation, but also by the absence of menstruation. Reproductive functions are returned when a woman refuses excessive loads and for several months changes her lifestyle to a more peaceful one.

Most of the reasons for the inability to conceive due to improper production of hormones. Therefore, in addition to the gynecologist, you can also visit an endocrinologist, who examines the hormonal background and the work of the endocrine system in more detail.

If there is no ovulation for several months, this is a reason to go to the hospital and not to self-medicate. Firstly, it can aggravate hormonal failure even more, and secondly, it takes precious time, which is better to spend on an adequate course of treatment.

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