Ovulation – what is it in simple words

Ovulation is a cyclical physiological process in which a Mature egg is released from the ovary. During this period, the highest probability of fertilization of the egg, so determining the fact of ovulation is very important for women who want to get pregnant.

What happens when you ovulate

During ovulation, the physiological process of leaving a Mature egg from the ovary with its subsequent entry into the fallopian tube, where fertilization can occur. The process is cyclical in nature, the release of the egg occurs every month on about 14 days from the beginning of the menstrual cycle (a possible slight deviation in the timing of ovulation is considered normal).

Directly the exit of the egg from the ovary takes a period of time about an hour. Then it moves into the uterine tube (movement occurs due to the movement of the villi of the fallopian tube mucosa). In the fallopian tube funnel, an egg can be fertilized by a sperm within 24 hours. If this does not happen, then it dies.

The entire period of time when there is the highest probability of ovulation is called the ovulatory period. It is the most favorable for the conception of a child. The reliable duration of the ovulatory period remains unexplored, usually a favorable period for getting pregnant is 1 day before and after ovulation.

How ovulation is regulated

Ovulation is a complex physiological process that is regulated by certain hormones. The pituitary gland produces follicle-stimulating hormone, which increases the rate of egg maturation and follicle formation (the vesicle before ovulation can reach 2 cm in diameter).

During the maturation of the follicle, estrogens are released. They affect the hypothalamus, pituitary (structures of the Central nervous system), stimulating the production of luteinizing hormone, responsible for maturing the egg. The increase in the concentration of the hormone in the blood begins 36-48 hours before ovulation and has a peak character.

After the exit of the germ cell, a yellow body is formed in place of the damaged vesicle (the postovulatory phase of the menstrual cycle). Knowledge of the regulation of the ovulation process is necessary to find out the causes and mechanism of various changes in which female infertility can develop.

Why to determine ovulation

The fertilization process occurs only when a Mature egg is released and moved into the fallopian tube. After unprotected sexual intercourse, spermatozoa usually move to the fallopian tube within 24 hours (the lifetime of a Mature egg that has left the ovary) and fertilize the egg.

ovulation

The ovulatory period is the most favorable for fertilization of an egg and conception of a child, so at the stage of pregnancy planning, a woman finds out the time of ovulation. If ovulation was detected when using the test system, it is recommended to carry out conception within a day after the test.

How to determine ovulation

The entire ovulatory period and the process of direct release of the egg from the ovary does not manifest itself clinically. The General condition and well-being of the woman does not change. Therefore, in order to reliably determine ovulation, you can use several common methods:

Calculation of ovulation.

The calculation of the possible day of ovulation during a regular menstrual cycle. The first day of the cycle is considered the beginning of menstruation. With a known and equal number of all days (on average, the cycle lasts about 28 days) of the menstrual cycle, its middle (day 14) will coincide with the beginning of ovulation. For the convenience of counting, you can use a special calendar of the menstrual cycle.

Determination of ovulation by body temperature.

Measurement of a woman’s body temperature, which is better performed in the rectum (it is possible to get more reliable measurement results). During ovulation, due to the peak production of luteinizing hormone, there is a small (on average, half a degree) rise in temperature. For convenience, it is recommended to measure throughout the entire menstrual cycle and make a schedule.

The ovulation test.

Using a special ovulation test is a modern technique that is based on determining the appearance of luteinizing hormone in a woman’s body fluids (urine, saliva). The diagnostic system can be represented by test strips. They are dipped in a vessel with collected urine, and then the result is recorded. The presence of 2 strips (experimental and control lines) indicates the presence of luteinizing hormone in the blood and determines ovulation.

Thanks to the availability of modern test systems for ovulation, its determination has become much easier.

What determines the time of ovulation

In the normal functional state of the endocrine and reproductive systems, ovulation occurs approximately on the same day of the menstrual cycle. Changes in the timing of the release of a Mature egg from their ovary are recorded in 20% of cases and may be the result of various provoking factors:

  • Endocrine pathology that affects the pituitary, adrenal, or sex glands.
  • Infections of the reproductive system, which also include sexually transmitted diseases (mycoplasmosis, ureaplasmosis, trichomoniasis, chlamydia).
  • Chronic pathological conditions of the internal genitals, which include polycystic ovaries, endometriosis.
  • Metabolic disorders (metabolism) with the development of obesity.
  • Suffered excessive physical, mental, emotional stress.
  • Genetic predisposition, inherited (syndrome of early ovarian depletion, which develops before the age of 40 years).
  • Age-related physiological decline in the functional activity of the reproductive system.

Diagnosis of the causes of ovulation disorders is necessary for effective treatment of various changes in the functional state of the reproductive system that lead to female infertility.

Why is there no ovulation?

So, now you know what ovulation is, in simple words, it is the release of an egg from the ovary, which can be fertilized by a sperm. Due to ovulation, pregnancy occurs. If this process is disrupted, the woman can not conceive a child. Try to buy clomid online and use it, in most cases it helps to conceive a child.

Some women do not ovulate. Why is this happening? Consider all possible reasons why eggs may not Mature in the ovaries. They can be physiological and pathological.

Physiological cause

  • early age, before puberty – girls may not ovulate even up to 15-16 years, although these processes usually begin after 13-14 years;
  • late age – over the years, ovulation occurs less and less, after 50 years, the egg in many women no longer Matures at all;
  • pregnancy – during the period of carrying a child, it is impossible to conceive another one;
  • lactation – during this process, the hormone prolactin is produced, which blocks the production of FSH (this hormone stimulates the maturation of follicles in the ovaries, so if it is not produced in the pituitary gland, ovulation does not occur).

Often there is no female ovulation, because there are some disorders in the body. In the vast majority of cases, the endocrine factor is to blame. That is, ovulation does not occur because certain hormones are too much or too little. As soon as their number becomes normal, ovulatory processes will again occur in the ovaries every month.

Pathological causes

  • damage to the ovaries as a result of trauma, surgery, radiation, tumors, etc.;
  • surgical removal of the ovaries;
  • their underdevelopment (congenital anomalies);
  • premature ovarian depletion syndrome (early menopause).

Note that if ovulation is absent, it does not mean that it will never happen. In women with endocrine disorders, it can occur, it just happens less often. It is more difficult to catch the moment for fertilizing sexual intercourse to conceive a child. In healthy women, eggs Mature 10-12 times a year. In endocrine diseases, this can occur only 2-3 times a year. The majority of cycles remain anovulatory. In addition, the duration of a single menstrual cycle can sometimes reach several months due to an increase in the duration of the follicular phase. That is, the period during which the ovary grows a follicle with an egg.

What pills help women get pregnant quickly

More than 10% of women of childbearing age experience problems with conception. Girls who are looking for easy ways ask the Internet what pills to take to get pregnant quickly. They go to the pharmacy and take medications at their own risk. More thoughtful and responsible expectant mothers go to the clinic and ask this question to the doctor.

the pill helps you get pregnant

If pregnancy does not occur within a year, the couple needs a thorough medical examination. It is important that the attending physician finds out the reasons why conception does not occur. And prescribed adequate treatment that is suitable for this particular couple.

The process of conception

A healthy woman’s body is ready for pregnancy if the reproductive system works correctly. Conception occurs under the following conditions:

  • The menstrual cycle is regular;
  • Ovulation occurred at the appropriate time (approximately in the middle of the cycle);
  • Its duration is about two days;
  • At this time, the sperm fertilized the egg;
  • The fertilized egg should be firmly fixed in the uterus within a few days.

Based on the research and analysis results, the doctor concludes at what stage of conception a woman has a failure of the reproductive system. And prescribe appropriate treatment with drugs that will restore the impaired function.

What pills stimulate the conception

There are three types of hormonal drugs, the action of which is aimed at restoring impaired function.

  • Means that stimulate ovulation. Thanks to them, there is an increased growth of follicles in the ovaries. They contain luteinizing and follicle-stimulating hormones.
  • With the help of drugs containing HCG, the growth of the follicle and its ability to remove the egg is stimulated. That is, these drugs help the egg to meet with the sperm.
  • In order for the egg to be securely fixed in the uterus, a medicine containing progesterone is used. This hormone thickens the walls of the uterus, and also contributes to the formation of a safe environment during gestation.

All drugs that stimulate conception can be taken only after consulting with a doctor and under his supervision! It should be remembered that all of them are powerful drugs that, if used independently and without control, can cause harm, but not help.

The doctor will tell you which pills are suitable for a particular woman, because the body of each individual.

When you can’t drink hormones

You can only take the pills after a thorough examination. It is important for the doctor to exclude the following diseases:

  • violation of the patency of the fallopian tubes. If there are spikes, then hormonal stimulation increases the risk of ectopic pregnancy;
  • sexually transmitted diseases;
  • weak sperm motility in men. In this case, it is not the woman who needs to be treated, but her husband;
  • Congenital abnormalities of the structure of the female reproductive system. Hormone pills will simply be useless.

It should be remembered that pregnancy may not occur after unsuccessful gynecological operations or the use of medications that provoked a miscarriage. In this case, before taking medications for rapid conception, you need to wait a few months (sometimes you need to pause for a whole year) for full recovery of the body.

Conclusion

Even if the woman is healthy, use drugs containing hormones, you need to be careful and only under the supervision of a doctor.

Do not despair if pregnancy does not occur immediately after the course of treatment. Many women successfully conceived after several cycles.

Ovulation stimulation in women after 40 years

Some couples decide to have a second child many years after the birth of their first child. Often, doctors resort to ovulation stimulation after 40 years, because the supply of eggs can be used up. As a result, after stimulation in the form of hormonal drugs, ovulation returns, so there are chances of conception. This method in medicine is effective, thanks to it, many women become mothers after 40-45 years.

What is the stimulation of ovulation

The absence of an egg from the follicle, according to research, is considered a common pathology in gynecological practice. Most often, it is associated with hormonal imbalance, incorrect body weight and other diseases of the internal genitals.

To Wake up the sleeping ovaries, you need to trigger the ovulatory process. This is often done with hormonal medications. Their action in the body contributes to the development of the follicular capsule and the release of EGGS capable of fertilization. In addition, the menstrual cycle is restored.

Ovulation stimulation in women after 40 years

Often, medications are used that have different effects on the woman’s body. It is worth remembering that the appropriate method is suitable only for those ladies whose appendages are completely healthy. We are talking about cases when the follicles do not break, and they need help.

Features of stimulation after 40 years

For women of this age, a personal treatment regimen is developed if they cannot get pregnant in the usual way. Some patients refuse this method, because they are afraid of the birth of twins, as well as the influence of other side effects. However, a number of ladies still agree to the doctor’s proposal, since the eggs are not able to perform their main function.

To restore ovulation, you have to resort to IVF. This method is also suggested because the reproductive age has already ended. In this regard, it is necessary to use the help of donors and the spouse’s sperm, if it is of high quality.

For all these processes to be carried out successfully, women need to find a competent specialist in this matter. After a comprehensive examination, he will select the right hormonal agents that will not cause damage to the body.

It is not superfluous to use folk remedies as an auxiliary therapy to the standard stimulation Protocol. Herbs will help restore fertility, the main thing is to consult your doctor before using them.

Preparation and contraindications

Before ovulation is stimulated, each expectant mother must undergo a detailed examination. Evaluating the results of tests, the doctor will exclude all pathologies that may negatively affect the success of this method. In particular, it is necessary to:

  • pass tests to detect infections in the genital tract;
  • smear from the vagina;
  • donate blood for various hormones;
  • conduct a cytological examination;
  • ultrasound of the mammary glands;
  • ECG;
  • find out whether the fallopian tubes are passable;
  • get the results of the analysis for TORCH infections;
  • if necessary, do a laparoscopy.

A spermogram will be required from the partner. If the male factor of infertility is absent, then you can start treatment for a woman.

However, the Protocol does not apply to all patients. It can not be performed for the following pathologies:

  • genetic abnormalities of a chromosomal nature;
  • obstruction of both tubes;
  • hereditary diseases;
  • somatic abnormalities;
  • dysfunction of the kidneys, heart or liver.
  • inflammatory processes of the reproductive system; polycystic ovaries.

Performing stimulation after 40 years

The main component of the prescribed drugs can have different effects on the body as a whole. Most often, medications begin to be taken from the third day of the menstrual cycle. Often, intramuscular injections are prescribed to enhance the action. The action can be either gonadotropic or antiestrogenic. All this is determined by the primary clinical picture. Diagnosis of follicle formation is performed by ultrasound.

After analysis of the dominant follicular capsule, a HCG injection is administered. If all the activities were carried out for IVF, then the YC fence can be performed every other day. In the case of the natural way, couples need to have unprotected sex.

As a rule, no more than two cycles of hormone use are sufficient. If the desired effect on the reproductive system is not found, doctors change the treatment regimen. Sometimes there are cases when conception occurs from the first time.

Conclusions

Ovulation stimulation after 40 years is possible only if a woman is in good health. This conclusion is based on the survey conducted. Stimulation of ovulation is performed with the help of injections and pills that normalize hormonal balance. After 40 years, you should seriously think about whether to give birth, because there are certain health risks.

Why is it not always possible to get pregnant during ovulation?

When a couple starts planning to conceive a baby, the first few unsuccessful attempts can cause a lot of questions — why pregnancy does not occur, because partners try to conduct sexual acts during this, the most favorable fertile female period. In fact, this is a normal situation, the reasons for which may be quite natural. But also pathological prerequisites are not excluded.

General information

Ovulation is a short period of the female menstrual cycle when a Mature egg comes out of the dominant follicle into the fallopian tube. A set of germ cells in an immature state in girls is available even when the baby is in the womb. Then, during life, part of the first — order oocytes die, and part is spent on ensuring the cyclical work of the female body. Each month, one (rarely more) follicles ripen, which break in the middle of the cycle under the influence of hormones, releasing an oocyte ready for fertilization by a sperm.

Ovulation lasts about an hour, and then for another day the egg retains the ability to be fertilized.

If during these days the meeting with the male sex cell does not occur, the oocyte dies, descends into the uterus and comes out with menstrual bleeding along with endometrial particles that have grown under the influence of progesterone in the second phase of the female cycle in anticipation of a fertilized egg.

Female fertility (the ability to reproduce) is largely due to the ovulatory process, and the probability of conceiving a child on the days of ovulation is maximum. But the maximum is not 100%. According to who, female fertility during ovulation depends on age, its highest value is no more than 33% in women under 25 years of age, no more than 25% in women under 30 years of age. Reproductologists say that these figures are somewhat inflated, and the real probability of conceiving a child for the first time in one cycle in healthy women and men does not exceed 11% at the age of 20-25 years. Naturally, after 35 years, the probability does not exceed 4-7%, and after 40 years — 3%.

This is due to the deterioration of the genetic material of the female germ cells, and if the partner is age-related, then his germ cells are probably not of excellent quality. These statistics are not a cause for concern. About 60% of married couples get pregnant safely within six months, and another 30% of couples see positive pregnancy test results within a year.

In about 25% of cases, even if sexual intercourse was performed exactly during the fertile window, conception does not occur, and the reasons for this have not yet been established by geneticists and doctors. In addition, in almost half of cases of family infertility, poor sperm quality plays a decisive role.

why it is not always possible to get pregnant during ovulation

Conditions for successful conception

To find the answer to the question of why a woman can not get pregnant during ovulation with the first or second baby, you need to make sure that the couple correctly approaches planning and meets all the conditions for successful conception.

A woman is ovulating

The fact is that every lady in the course of life there are “empty” anovulatory cycles. The older a woman gets, the greater the number of such cycles per year (compare — in 20 years, anovulatory cycles are usually 1-2 per year, and in 35 years — up to 5-6). Ovulation can also occur late or earlier, and this scenario can be triggered by stress, a cold, a trip, or a flight.

In order to answer the question of whether the egg is released at all, you can use home ovulation tests: when they show two stripes, it’s time to start active actions.

The accuracy of home tests is lower than laboratory tests, and you can visit a doctor to do an ovarian ultrasound on day 5-6 of the cycle immediately after your period. And closer to the middle of the cycle, you can do a blood test for luteinizing hormone. Its sharp jump indicates the approach of ovulation.

The man is healthy and capable of conception

A simple analysis — spermogram will help significantly reduce the time and nervous costs when planning a baby. If the quality of a man’s germ cells leaves much to be desired, the probability of fertilization is significantly reduced, and the risk of conceiving a child with genetic abnormalities or chromosomal errors increases.

In this case, you first need to improve the quality of sperm by taking vitamins, giving up bad habits, visiting the bath and sauna. And only after three months (this is how long spermatogenesis lasts) to start the exciting process of “catching” ovulation.

Sexual acts occur during the fertile window

Spermatozoa live longer than the egg (up to 3-4 days), they are quite capable of “waiting” for the egg to come out already in the fallopian tube, and therefore it is recommended to start having sex 3-4 days before ovulation and do it a day later up to 2-3 days after ovulation, refusing to use contraception, douching, and lubricants.

With moderate frequency of sexual contact, a man’s sperm will be of optimal quality, which will help to conceive a baby faster.

The couple is in the right psychological state

Any stress increases the production of stress hormones, which partially block the production of sex hormones. That is why it is often impossible to get pregnant, even if the sperm is of normal quality and ovulation is present. Doctors have long noticed that conception occurs most quickly in the first year of a couple’s life together, while the feelings are fresh. If you turn sexual acts into a sports attraction with the sole purpose of conceiving, the probability of successful conception decreases.

A woman who every month with trepidation waits for two stripes on the test, can not be distracted by anything else, switch, is in a state of chronic stress, and the probability of conception itself becomes several orders of magnitude lower.

why it is not always possible to get pregnant during ovulation

Possible reasons for the lack of conception

A variety of factors can affect the ability of male and female cells to merge, and not all of them have been studied in detail by doctors and scientists. But even those that are known are quite enough to understand that conception is a delicate matter.

It’s mostly about the health of the partners. A woman’s probability of conception is reduced not only by age, but also by bad habits, living in an area with unfavorable environmental factors, working at night, professional contact with radiation, paints and varnishes, and toxins. And even if there is ovulation, it is not a fact that the oocyte will be of good quality and fertilization will be successful.

The male fertility factor can be affected by the habit of wearing tight underwear and trousers, which disrupt blood circulation in the scrotum and increase its temperature. The habit of steaming in the bath, turning on car seat heating also affects the quality of sperm.

We can’t even imagine how many conceptions we’ve missed in our lives! After all, sometimes pregnancy “breaks down” at the very initial stage — the fetal egg cannot descend into the uterus, implantation does not occur, because of a genetic error, it stops developing and growing and dies. In this case, your monthly period may arrive a little late. And a woman will never know that conception did take place.

The reason for the absence of pregnancy with strict adherence to the rules of successful conception can be any gynecological pathology — obstruction of the fallopian tubes, inflammation in the uterus, ovarian dysfunction. Often, doctors also diagnose hormonal infertility, in which the level of hormones in the female body does not allow her to be pregnant (progesterone or estrogen deficiency). Often, ovulation does not occur, and if it does, the level of natural hormonal support may not be sufficient to ensure the survival of the embryo in the very first days after conception.

In men, the cause may be hidden in varicocele, prostatitis, and sexual infections, many of which occur without pronounced symptoms, and therefore can not be immediately noticed by the carrier.

We should also talk about antisperm antibodies that produce the immune system of a man or woman. The immune defense simply perceives spermatozoa as foreign objects, and throws all its forces at their speedy destruction. In this case, sperm die in the body of a man, if he has antisperm antibodies, or die before reaching the egg, if such immune cells are produced in a woman.

The immune system can react to sperm this way for some reasons. For example, a man underwent surgery on the genitals, there was an injury, a bruise of the genitals, and individual germ cells, getting not where they should be, caused an aggressive immune response. In women, this form of infertility develops due to excessive passion for anal sex with ejaculation in the rectum, as well as when swallowing sperm during oral contact. This is one of the most difficult types of infertility to treat.

What to do?

Whatever your ideas about your own fertility, it’s best to start planning a pregnancy by going to the doctor. A woman needs to be examined by a gynecologist, put her own weight in order (even losing 5% of the original body weight increases the likelihood of conception). It is also important for a man to pay attention to his diet, bad habits and make a spermogram.

A simple and quick survey will allow the couple to plan more constructively for adding to the family, to know exactly the “weak” sides of each other. Let’s just say that there are almost no insurmountable situations. Even if some abnormalities are detected, in 96% of cases, after correctly selected treatment, the problem is eliminated, and the couple can begin to successfully plan the baby.

The remaining 3% of couples will be helped by methods of assisted reproductive medicine — IVF, ICSI, egg donation, sperm donation.

A trip to a psychotherapist is inevitable in psychogenic infertility, when the cause lies in severe stress, emotions, and fears. After eliminating these feelings, the couple usually manages to conceive a baby without any problems.

About ovulation tests

All couples who want to have a child know that you can only conceive a child on the day of ovulation. Gynecologists say that ovulation occurs in the female body from about 12 to 16 days of the cycle. However, due to some reasons (stress, climate change, hormonal failures, etc.), ovulation may shift for several days, and occur at the beginning of the cycle, or at the end of the cycle. In addition, the time of follicle development may differ not only in several different women, but even in the same one — in different cycles. This is confirmed by the planning moms themselves, who determine ovulation by tests over several cycles. So how do you determine the right day for conception, how do ovulation tests work? Now we will talk about this in detail.

How ovulation tests work

Each menstrual cycle, a woman Matures one, two or more follicles in the ovaries. As the follicle Matures, female hormones called estrogens are produced in the cells of the follicle. The larger the follicle becomes, the more estrogen its cells produce. The high content of estrogen stimulates a sharp increase in the content of luteinizing hormone, which causes the egg to literally break through the ovarian wall within one to two days after a sharp rise in its level. When the level of these estrogens reaches a level that will be sufficient for ovulation, luteinizing hormone (abbreviated as LH) is released. A small amount of LH is always present in the urine, but 24-36 hours before ovulation (the release of an egg from the ovary), its concentration increases sharply.

ovulation tests

To fertilize an egg, sperm must enter the female body at about the same time as the egg leaves the follicle. It may seem that this is easy to achieve, but we must remember that the egg after leaving the follicle lives for only 24 hours, and the sperm remain able to fertilize it for 3-4 days, less often a week. Thus, sex should occur at the appropriate time, i.e. at ovulation, if the couple is planning to conceive. Without tests, this can sometimes be difficult to achieve.

What day should I start testing?

This day depends on the duration of the menstrual cycle. The first day of the cycle is considered the day when menstruation began. Cycle length — the number of days that have passed from the first day of the last menstruation to the first day of the next. If you have a constant cycle, it is better to start doing tests 17 days before the start of the next menstruation. For example, if your normal cycle length is 34 days, then you should start testing from day 18.

If the normal length of your cycle is 28 days, then you should start testing on the 11th day. If your cycle duration is different, select the shortest cycle for the last 6 months and use its duration to calculate the day when to start testing. To start testing, it is not superfluous to visit an ultrasound, after which, after making sure that the follicle has reached 18-20 mm, you can start testing every day. For convenience, ovulation tests are not sold in a single version, but in the amount of 5, 7 or 10 pieces. For accurate results, it is better to use tests 2 times a day (morning and evening).

When is the best time to use an ovulation test?

The best time for testing is from 10 am to 8 PM, this is the time when LH is produced, so you should stick to this time of the test. At the same time, you should refrain from urinating for at least 3 hours before the test. Avoid excessive fluid intake before starting testing, as this may lead to a decrease in the concentration of LH in the urine and reduce the reliability of the result.

How to perform an ovulation test correctly?

If you are using a digital ovulation test, remove it from the packaging, remove the cap, and place the tip of the test strip in the device module, following the arrows. If everything is done correctly, you will hear a click, and a ready indicator will appear on the test.

digital ovulation test

It is not recommended to perform the test until it lights up. Collect the urine in a jar and immerse the absorbent end of the test in the urine for 15 seconds. Place the receiver on a flat, dry, clean horizontal surface. Wait 4-5 minutes. The ready symbol will start flashing on the device, and you can see the result on the display in a few minutes.

If you use a test strip, then you need to open the bag, get the strip and lower it into a pre-prepared container with urine. The test strip should be lowered for 10-20 seconds to the specified “Max” mark. Next, the test strip should be placed on a flat surface. The result should be evaluated at room temperature in 5 minutes, but not later than 10 minutes after the start of the procedure. The test strip is only used for one-time use.

Digital ovulation test results

To determine the exact result, compare the color intensity (lighter or darker) of the test strip with the control strip. The digital ovulation test is convenient for recognizing the result, which can be one of three and is indicated on the screen.

An empty circle indicates that there is no LH release yet, or its presence is insignificant and you need to continue monitoring the surge using tests.

Smiley-indicates the highest PH value. The cell is already on its way or about to be released. Sexual acts can be safely planned for this and the next day.

The results of the test strips for ovulation

First, it is important to determine which line on the test is the control line and which is the test line. The control card always appears, regardless of the presence of ovulation, it shows that the test is correct and the test was performed correctly. The test line (second) indicates the presence of LH in the urine.

Look at the test, if there is a second pale bar — the test is negative, the release of LH has not yet occurred, and testing needs to continue. If, after testing correctly for several days, you have not found the second bright stripe, then the cycle is anovulatory. There are several reasons for this: stressful situations, sudden climate change, the use of powerful medications, the postpartum period, breast-feeding, premenopause, active physical activity, etc.

A positive test is a bright stripe the same as the control one or even brighter. A positive test means that you will ovulate within 24-36 hours.

The most appropriate time for conception begins from the moment when You have determined that the release of LH has already occurred. In this case, the release of LH occurred on the 15th day of the cycle and if sexual intercourse occurs in the next two days, the chance of getting pregnant will be maximum. Once you have determined that the release of LH has already occurred, there is no need to continue testing, the tests will start to fade.

Signs and symptoms of ovulation, feelings of a woman (part 2)

Today we publish the continuation of the article “Signs and symptoms of ovulation, feelings of a woman”, the first part can be read here

The feeling after ovulation

Some women, especially those who use the calendar method of pregnancy prevention, are interested in symptoms after ovulation. This is how women calculate “safe” days for unwanted pregnancies. These signs are very unusual and may coincide with the early symptoms of pregnancy:

Vaginal discharge

As soon as the egg is released from the main follicle and dies (its life span is 24, maximum 48 hours), the discharge from the genital tract also changes. Vaginal whites lose their transparency, become milky, possibly interspersed with small lumps, sticky and poorly drawn.

Pains

Within one to two days after ovulation, discomfort and minor pain in the lower abdomen disappear.

Libido

Gradually, sexual desire also fades, since now it makes no sense for spermatozoa to meet with an egg, it has already died.

Basal temperature

If the basal temperature is significantly higher than 37 degrees at the moment of rupture of the Graaf vesicle, then after ovulation it decreases by several tenths of a degree, although it remains above the 37 degree mark. This sign is unreliable, since even with conception, the basal temperature will be above the 37-degree mark. The only difference is that by the end of the second phase (before the start of menstruation), the temperature will drop to 37 degrees or lower.

Acne

On the eve and at the time of ovulation, hormonal changes occur in the body, which affects the condition of the skin of the face – acne appears. Once ovulation is complete, the rash gradually disappears.

Ultrasound data

Ultrasound allows you to identify the dominant follicle that has fallen due to the rupture, a small amount of fluid in the post-uterine space, and later the yellow body that is forming. Ultrasound data are most significant in the case of dynamic research (maturation of follicles, determination of the dominant follicle and its subsequent rupture).

Calendar method for determining ovulation

Ovulation is the release of a Mature egg from the ovary. The egg Matures during the menstrual cycle, which is necessary for the preparation of the uterus and the maturation of the egg, the result of which is ovulation. To determine ovulation using the calendar method, you need to know your menstrual cycle for the last few months. Knowing the cycle, you can calculate its length, i.e. the period from the beginning of one month to the beginning of the next. From the total duration of the cycle, 14 days are subtracted. So, if the cycle is 28 days, then subtracting 14 days, we get the 14th day of the cycle, in which the egg can be released from the ovary. For conception during the week before and after ovulation, the couple is recommended to have an active sexual life, preferably with breaks of 1-2 days, in order to have time to Mature the sperm. As already calculated above, the release of a Mature egg occurs somewhere in the middle of the menstrual cycle.

However, every woman may have ovulation shifts a few days later, this may be due to infectious pathologies of the reproductive system; excessive physical exertion; stress and hormonal disorders.

Menstrual cycle

Among the causes of early ovulation, the following can be distinguished: disorders in the balance of estrogen and progesterone hormone; disorders in the adrenal cortex; colds and flu diseases, etc. Such factors may well trigger the onset of early ovulation. In addition, each cause can affect other systems of the female body. Therefore, to avoid this, it is recommended to avoid such factors that may affect ovulation and, as a result, the bearing of a child in the future. Premature ovulation is dangerous if it repeatedly occurs in the female body, in this case, the reasons lie in hormonal failures and other various abnormalities, a woman may need gynecological intervention. In addition, it is possible that pregnancy will not occur for a long time, if only the couple focuses on the middle of the cycle. Or, on the contrary, the onset of an unwanted pregnancy, if the woman is not protected at the beginning of the cycle, again using the calendar method. Over the course of a woman’s life, ovulatory shifts in different directions are periodically observed, so there may be a late release of the egg.

The reasons for late ovulation lie in the following: hormonal disorders in the body; lack of weight, because lack of adipose tissue negatively affects the production of estrogen, provoking a delay in maturation and exit of the female cell; taking emergency contraceptives in the past; gynecological pathologies, infections and lack of menstruation, are also characteristic companions of late egg release. To restore the cycle, a woman needs to undergo a full examination, after which appropriate treatment is prescribed.

After accurate compliance with all medical recommendations, ovulatory processes are normalized, the cycle is restored and a long-awaited pregnancy occurs.

Determination of ovulation by basal body temperature

Basal temperature measurements are performed in the morning, however, it is not advisable to get out of bed before measuring, so prepare a thermometer in the evening. To measure the temperature, you can use both a simple mercury thermometer and an electronic one. Carefully insert the thermometer into the rectum and hold it there for five to seven minutes. Record the measured temperature in the table every day, except for days when a woman has her period. After taking measurements throughout the cycle, you need to build a graph. To build a table, you can specify the days of temperature measurement on the top, and on the left, specify the possible BTT on these days. At the junction of the lines, put points that are connected by a straight line.

On days when there is a sharp increase in body temperature, after its rapid decrease, and ovulation occurs. This jump is explained by the fact that during ovulation, the hormone progesterone is actively produced, which affects the thermoregulation center in the brain. It is its increase that leads to fluctuations in BTT, which increases sharply after the release of a Mature egg. If you notice strong, atypical changes in temperature, or it does not change at all, you need to see a doctor to find the cause, which may be due to estrogen deficiency or other factors. It is easy to create a basal temperature chart using special applications that are placed on some women’s websites or in applications.

This method is available, but not 100% reliable, because there is not always time to measure the temperature, you can also just forget about the measurement, missed days can significantly change the picture and schedule of building the BTT

In addition, factors such as medication, sexual intercourse, climate change, stress, etc. can affect the usual and normal schedule for building BTT. Therefore, for greater confidence in determining day X, an ovulation test that is sold at any pharmacy can help.

Signs and symptoms of ovulation, feelings of a woman (part 1)

For the early onset of pregnancy, it is important to know and be able to determine the days when ovulation occurs, since the conception of a child occurs on such days. This article will describe how to determine the onset of ovulation.

Ovulation is the process of leaving a Mature and fertilized egg from the ovary. The menstrual cycle of a woman is so arranged that in its first phase there is maturation of follicles and eggs in them (normally it is one or two eggs), which at the time of ovulation come out and are ready for fertilization. With the help of the fallopian tube, they enter the uterine cavity, where they merge with the spermatozoa. If this does not happen, then the egg dies, and the second phase of the cycle will help to remove it and prepare the uterine cavity and endometrium for the next attempt.

For the early onset of pregnancy, it is important to know and be able to determine the days when ovulation occurs, since the conception of a child occurs on such days.

ovulation calendar

The egg Matures during the menstrual cycle, which is necessary for the preparation of the uterus and the maturation of the egg, the result of which is ovulation. To determine ovulation using the calendar method, you need to know your menstrual cycle for the last few months. Knowing the cycle, you can calculate its length, i.e. the interval from the beginning of one month to the beginning of the next.

14 days are subtracted from the total duration of the cycle. So, if the cycle is 28 days, then taking away 14 days, we get 14 days of the cycle, in which the egg can exit the ovary. For conception within a week before ovulation and after it, the couple is recommended to have an active sexual life, preferably with breaks of 1-2 days, in order to have time to Mature the spermatozoa. As already calculated above, the release of a Mature egg occurs somewhere in the middle of the menstrual cycle.

Ovulation is the only day when you can get pregnant, without it, the onset of pregnancy is impossible. This is a very fast phase, which ends immediately after the release of a Mature egg from the follicle.

The ovulation cycle is usually divided into several periods: preovulation, ovulation itself, and postovulation. Nature created man so that he could have at least a day to conceive before or after ovulation. Why so? all because if the onset of pregnancy was possible only during ovulation, then there would be much more problems with infertility, and thanks to some life of the egg after ovulation, this period increases, which makes it possible for couples to fertilize and reproduce. In all women who are of reproductive age, there is a fertile period, which implies the time of pregnancy. This time falls on the ovulation itself and 3 days before and 2 days after it. This period is associated with the life of a sperm that lives in a woman’s body for up to five days.

Ovulation in women of childbearing age occurs periodically (every 21-35 days). The frequency of ovulation is regulated by neurohumoral mechanisms, mainly gonadotropins of the anterior pituitary and ovarian follicular hormone. Ovulation is facilitated by the accumulation of follicular fluid and thinning of ovarian tissue located above the protruding pole of the follicle. The constant ovulation rhythm for each woman undergoes changes within 3 months after abortion, within a year after delivery, and after 40 years, when the body is preparing for the pre-menopausal period. Ovulation stops with the onset of pregnancy and after the extinction of menstrual function. Setting the ovulation period is important when choosing the most effective time for fertilization, artificial insemination, and in vitro fertilization.

Signs of ovulation

To determine the day of ovulation, knowledge of its signs will help, for which it is necessary to treat your body with great attention. Of course, ovulation can not always be suspected, because its manifestations are very subjective and sometimes go unnoticed by a woman. But the changes in the hormonal background that occur every month allow you to “calculate” and remember the sensations during ovulation and compare them with the new ones.

Signs of ovulation

Subjective signs

The subjective signs of ovulation are those that a woman feels and only she can tell about. Another name for subjective signs is sensations:

Abdominal pains

One of the first signs of ovulation is considered to be pain in the lower abdomen. On the eve of the rupture of the follicle, a woman may feel, but not necessarily, a slight tingling in the lower abdomen, often on the right or left. This indicates a maximally enlarged and strained dominant follicle that is about to burst. After its rupture, a small wound of several millimeters remains on the ovary shell, which also bothers the woman. This is manifested by minor aching or pulling pains or discomfort in the lower abdomen. Such sensations disappear after a couple of days, but if the pain has not passed or is so acute that it violates the usual lifestyle, you should consult a doctor (ovarian apoplexy is possible).

Mammary glands

There may be soreness or hypersensitivity in the mammary glands, which is associated with hormonal restructuring. FSH production stops and LH synthesis begins, which is reflected in the breast. It is swollen and rough and becomes very sensitive to touch.

Libido

Another characteristic subjective sign of approaching and coming ovulation is an increase in libido (sexual desire), which is also due to hormonal changes. It is so predetermined by nature that it ensures the continuation of the genus – once the egg is ready for fertilization, it means that you need to strengthen your sexual desire to increase the probability of sexual contact and subsequent pregnancy.

Aggravation of sensations

On the eve and during ovulation, a woman notes an aggravation of all sensations (increased sensitivity to odors, changes in color perception and taste), which is also explained by hormonal changes. Emotional lability and sudden mood changes (from irritability to fun, from tears to laughter) are not excluded.

Objective sign

Cervix uteri

During the gynecological examination in the ovulatory phase, the doctor may note that the cervix has softened somewhat, the cervical canal has opened slightly, and the neck itself has lifted up.

Oedemata

Swelling of the limbs, most often the legs, indicates a change in the production of FSH to the production of LH and is visible not only to the woman herself, but also to her relatives and the doctor.

Excreta

When ovulation changes its character and vaginal discharge. If in the first phase of the cycle a woman does not notice spots on her underwear, which is associated with a thick plug that clogs the cervical canal and prevents infectious agents from entering the uterine cavity, then in the ovulatory stage, the discharge changes. The mucus in the cervical canal is liquefied and becomes viscous and viscous, which is necessary to facilitate the penetration of spermatozoa into the uterine cavity. In appearance, the neck mucus resembles egg white, stretches up to 7-10 cm and leaves noticeable spots on the underwear.

Basal temperature

This symptom can only be detected by a woman who regularly keeps a schedule of basal temperature. On the eve of ovulation, there is a slight (0.1-0.2 degrees) decrease in temperature, and during the rupture of the follicle and after the temperature rises and remains above 37 degrees.

What does ovulation feel like?

What does a woman feel during ovulation? Every woman who carefully monitors her female health can clearly tell the time when ovulation is approaching and when it occurs. Among the signs that indicate the approach of ovulation, highlight the nature of the discharge – they become thick, abundant and transparent. Additional symptoms include:

  • discomfort in the lower abdomen
  • breast swelling, mild soreness
  • an increase in basal temperature, if its schedule is determined by a woman
  • sexual desire reaches its maximum

Fortunately, the severity of clinical symptoms of ovulation in most women is so minimal that they do not attach importance to them. Others also note during this period of pain in the lower abdomen on one side, which indicates which ovary ovulated, heaviness in the lower back, which independently disappear after a short period of time. And only a small percentage of women note a pronounced pain symptom that forces them to seek medical help.

We have discussed how to determine ovulation by feeling a little, but it is important to remember that not all women observe such symptoms and this does not allow us to talk about the lack of ovulation in them, because their pain threshold is so high that they level these feelings. You can reliably confirm the presence of ovulation only by measuring basal temperature, conducting ovulation tests, or using ultrasound, which determines the observation of the growth of follicles and the exit from the dominant egg, as well as a sharp change in vaginal secretions allows you to judge the onset or approach of ovulation.

The duration of ovulation

Every woman who plans to give birth to a child should know how many days ovulation lasts in women and by what methods it can be calculated. Ovulation itself involves the release of an egg, ready for fertilization, from the dominant follicle, which breaks under the influence of hormones and in its place a yellow body is formed.

How many days is ovulation in women and how to determine it? All women are interested in this issue at the stage of pregnancy planning, especially if the process of fertilization does not occur for a long time. Everyone knows that pregnancy requires ovulation, and the time of its onset falls in the middle of the menstrual cycle. But, unfortunately, not every woman has a regular menstrual cycle, which allows you to determine its time of onset. Almost every woman who is of reproductive age can become pregnant in the middle of the menstrual cycle for several days. To calculate the time of ovulation you need to use several methods:

  • the standard method is that after two weeks from the first day of menstruation, the probability of ovulation increases, but this is not for everyone. This method works if the menstrual cycle lasts 28 days. If the cycle is longer, then the onset of ovulation occurs later.
  • measurement of basal temperature from the first day of the cycle in compliance with all the requirements, because during ovulation in the body there is a hormonal adjustment, which is characterized by an increase in temperature on the graph and indirectly indicates ovulation. This method can be judged after several months of observation. The onset of the upcoming ovulation can be judged by a sharp decrease in temperature due to hormonal imbalance and its subsequent increase above 37 degrees
  • ovulatory tests make it possible to study ovulation for several days, which is very important when planning a pregnancy

Ovulation lasts on average from 16 to 32 hours, but this is the time of the fertile window, that is, the time when it is possible to fertilize the egg and the onset of pregnancy. The release of a Mature egg itself lasts from a few minutes to a dozen minutes, which was noticed during IVF.

To determine how long ovulation lasts in women, you can use its characteristic signs: increased libido, swelling and swelling of the mammary glands, discomfort in the lower abdomen and lower back, more on the one hand, abundant mucous discharge, sometimes with streaks of blood.

How long ovulation takes depends on the lifetime of the germ cells. A Mature egg that has emerged from the follicle can be fertilized within one or two days, which is always individual. Therefore, if a woman has symptoms of ovulation on one day, then the next two days may also be the onset of ovulation, as well as sexual intercourse three days before it often leads to the onset of pregnancy, because the sperm lives about three days.

How many days is ovulation — each woman can determine by clinical symptoms, and if the vaginal discharge disappears or becomes too thick, pain and swelling of the mammary glands disappear, then we can say that it has passed, and the probability of pregnancy is not.

The period of ovulation in women can fluctuate with inflammatory processes in the reproductive system, with eating disorders, significant physical and mental loads, with severe stress and nervous shocks, with a sharp change in climatic conditions of residence, as well as with active sexual life.

Do not forget that the body can have both early ovulation and late ovulation. Early ovulation is characterized by its early onset and is associated with frequent sexual acts, significant physical activity, strict diets, as well as the presence of diseases that can affect the hormonal background of a woman. Sometimes ovulation comes late, which can also be determined using the tests and techniques that we discussed a little earlier. Due to the presence of ovulation and the regularity of the menstrual cycle, it is possible to indirectly judge a woman’s reproductive age, her probability of pregnancy and gestation. Many women, knowing when they are ovulating, plan a pregnancy or carefully protect themselves from it. The absence of ovulation for 2 or 3 cycles indicates a violation of reproductive health and requires medical attention to correct the hormonal background.

To be continued

What drugs stimulate ovulation

Increasingly, women are turning to a gynecologist with problems with conception. But medicine does not stand still, it is constantly developing, so the desired pregnancy can occur after treatment with special drugs that stimulate ovulation.

Reasons for lack of ovulation

Most often, the inability to get pregnant is associated with the lack of ovulation as such or with its incorrect course. There may be several reasons for this:

  • Diseases of the pelvic organs of an infectious and inflammatory nature (chronic salpingoophoritis, polycystic ovaries, cysts, etc.).
  • Too small a woman’s weight is usually less than 48 kg, in which there is insufficient production of sex hormones, which leads to a lack of ovulation and amenorrhea.
  • Hormonal changes in the body against the background of stress, excessive weight (when the body mass index is more than 25), certain diseases of the thyroid gland (Hypo – or hyperthyroidism), etc.
  • Long-term use of oral contraceptives. In this case, the body stops producing hormones on its own, and it sometimes takes several months to fully restore this ability.
  • Excessive physical activity can also negatively affect ovulation, especially if it is associated with taking synthetic sports nutrition supplements. These drugs have a very negative effect on the female reproductive system.

In what cases do I need stimulation and when it is not carried out

Ovulation stimulation is possible when a couple cannot conceive a child for a year. If the age of a woman is 35+, this period can be reduced to six months. In any case, a thorough diagnosis (preferably of both partners) is necessary to identify the true causes of infertility and make a decision about stimulation. In particular, the following diagnostic tests are carried out:

Ovulation stimulation

  • Collection of the patient’s medical history, which takes into account her age, the presence/absence of abortions and pregnancies, miscarriages, chronic diseases, carrying an intrauterine device, etc.
  • The patency of the fallopian tubes is checked. Non-operative and operative methods are used for this purpose. The first include metrosalpingography (x-ray examination). A variation is ultrasonic metrosalpingography, when using a contrast agent and ultrasound equipment to check the patency of pipes. These methods are not universal and have their disadvantages, such as the harmfulness of radiation and possible errors in the result. For more accurate diagnostics, laparoscopy is used-an operative study, but it gives the most reliable results.
  • The usual ultrasound examination, which can show possible inflammatory processes, polycystic, various neoplasms and other pathologies of the female reproductive system.
  • In some cases, ovulatory failures may occur due to hormonal disorders, so it is mandatory to donate blood to determine the amount of female sex hormones. At the same time, it is recommended to conduct research on the activity of the thyroid gland, since this organ has a direct impact on female fertility.
  • The partner’s spermogram should also be performed, since sometimes the reason for the absence of pregnancy can be insufficient mobility and viability of spermatozoa.
  • Test the compatibility of the partners. If the results are unfavorable, the doctor may suggest artificial insemination.

It should be noted that contraindications to stimulation are inflammatory diseases of the uterus and (or) ovaries, tubes, adjacent organs and systems (urinary tract, gastrointestinal tract), hormonal fluctuations, the onset of menopause or pre-climatic period.

After diagnostic measures and in the absence of absolute contraindications, the gynecologist decides to prescribe drugs that stimulate ovulation.

Methods of ovulation stimulation

Ovulation stimulation is impossible without taking vitamin complexes and useful trace elements. True female” vitamins include E, A, B (folic acid is required), and C. additionally, vitamin D is recommended, especially for women living in areas where Sunny days are rare.

Methods of ovulation stimulation

Vitamin A helps follicle maturation and regulates the amount of cervical fluid. B vitamins are recommended to be taken both at the planning stage of pregnancy and during it, as they not only prolong the luteal phase of the cycle, promote endometrial growth and egg maturation, but also during pregnancy eliminate toxicosis, prevent miscarriages and help healthy fetal development. Vitamin E stimulates the maturation of the yellow body, “supports” ovulation itself and increases the production of progesterone, which is especially useful when this hormone is insufficient. Vitamin C helps normalize the hormonal background, and also serves as a means to prevent the development of DNA abnormalities in the future fetus. Also, when preparing for pregnancy, it is advisable to monitor the sufficient intake of polyunsaturated omega-3 fatty acids in the body. They are most concentrated in oily fish, synthetic fish oil, and Flaxseed and olive oils. Drugs containing selenium, zinc, and iron are also used to stimulate ovulation.

All these methods of restoring ovulatory function are effective. However, you can’t use them at random. A doctor’s consultation is necessary, as well as an extensive and comprehensive diagnosis of both partners.

Ovulation stimulation: from indications to prescription.

Long ago in the past, there were times when problems with ovulation in a woman meant only one thing for a married couple — infertility. Medicine has learned to successfully solve this problem, and in many cases, treatment ends with conception and the birth of a healthy child. In this case, ovulation stimulation is performed with drugs that are individually selected for each patient in accordance with her physiological characteristics. We will tell you in which cases the doctor can prescribe ovulation stimulation, what should precede it, what is the scheme of the procedure and its effectiveness.

Why do we need the stimulation of ovulation

Ovulation stimulation is prescribed only if there are direct indications for it, since if the woman’s reproductive system is in order, then she herself produces viable eggs.

Ovulation in a healthy woman of childbearing age is the process of releasing a fully Mature and ready-to-fertilize egg from the follicle. Exit is preceded by a long preparation. Once a month, several eggs sleeping in the ovary are awakened by hormones and begin to increase in size. After about ten days, the dominant follicle is released from them, the size of which can reach 18-20 mm. When the egg is fully Mature, the follicle shell is torn. The egg goes into the abdominal cavity, and then enters the fallopian tube. There, within 24 hours, she waits for fertilization. If it does not happen for some reason, the egg dies and the whole process is repeated in a month. Usually one egg is involved in ovulation, but sometimes there are two or three. In this case, twins are born. If the embryo divides itself into 2 parts after fertilization (that is, initially these 2 parts were formed from one egg and one sperm), then twins are born.

ovulation stimulation

In some women who are ready to become mothers both physically and mentally, pregnancy does not occur because her ovaries do not form a Mature egg. If conception does not occur for 6 consecutive cycles, ovulation stimulation may be prescribed. It has a single goal — to help the body form a full-fledged egg, capable of fertilization, and push it to exit the follicle. The essence of the method is to target the ovaries with certain medications in order to increase the release of hormones necessary for ovulation.

Ovulation stimulation for conception, the doctor prescribes only if there are:

  • Anovulatory infertility (hormonal dysfunction that is incurable in another way; polycystic ovary; a woman’s high or low body mass index;)
  • Preparation for artificial insemination by IVF.
  • Infertility of unknown origin.

Preliminary study

Before starting the ovulation stimulation procedure, the doctor necessarily prescribes a number of studies, both laboratory and instrumental. Their purpose is to identify possible contraindications:

  • hormonal disorders;
  • inflammatory processes of the pelvic organs and ovaries;
  • violations of the patency of the fallopian tubes.

A relative contraindication is the age of a woman over 40 years, because in this case, the risk of giving birth to a sick child increases.

So, instrumental research includes:

  • Examination of the therapist to identify common diseases in which pregnancy is contraindicated.
  • ECG.
  • Ultrasound of the pelvis and mammary glands.
  • Examination of the patency of the fallopian tubes by laparoscopy or radiography with contrast material.
  • Folliculometry.
  • Fluorography.
  • Types of laboratory tests:

Clinical blood test.

  • Blood tests for syphilis, HIV, hepatitis B and C.
  • The General analysis of urine.
  • PCR – examination of smears from the vagina and cervical canal.
  • Examination of smears from the vagina, cervical canal and urethra for atypical cells and the degree of purity.
  • Infectious examination (for chlamydia, ureaplasmosis and mycoplasmosis, gonorrhea, trichomoniasis, etc.).
  • Determination of the blood level of female sex hormones, thyroid hormones, prolactin and testosterone (performed repeatedly).

After a full examination and obtaining a medical opinion on the absence of diseases that can prevent conception or provoke the birth of a sick child, it is necessary to assess the ovarian reserve of a woman. Using this procedure, is defined by:

  • the chance to receive in the process of stimulating ovulation of a positive result;
  • intensity of stimulation;
  • optimal scheme;
  • the most effective drugs and their individual dose.

To assess the ovarian reserve, a woman gives blood for analysis after taking hormonal drugs. Based on the obtained indicators, a conclusion is made about the prospect of artificial ovulation stimulation.

The choice of the scheme of hyperovulation

Ovulation stimulation is performed according to one of the regulated schemes, which describes in detail the method, dose and duration of administration of the drug. The doctor selects the scheme taking into account:

  • result of ovarian reserve assessment;
  • female body mass;
  • the results of the previous stimulation procedures (if any).

All drugs used for stimulation are hormonal, but differ from each other in the type of hormone they are based on — follicle-stimulating or luteinizing (necessary to support the development of the egg). There are four groups of tools for ovulation stimulation.

  • Preparations based on HMG (human menopausal gonadotropin), containing follicle-stimulating (FSH) and luteinizing (LH) hormones in the same proportion. This includes, for example, “Menopur”.
  • Drugs based on FSH, whose principle of action is close to the natural hormone — “Gonal”, “Puregon”.
  • Drugs that are based on the suppression of estrogen and increase the level of FSH to the required norm — “Clostylbegit”, “Clomid“, “Clomifen”.
  • Hormonal agents that stimulate the rupture of the follicle shell and the timely release of the egg – “Prophase”, “Horagon”, “Pregnil”, “Ovitrel”.

Usually, a combination of drugs is used in the schemes.

Ovulation stimulation is recommended to be performed no more than 6 times, since it can lead to depletion of the ovaries. If the desired pregnancy does not occur as a result of stimulation, it is necessary to choose other methods of treatment.

Despite the fact that ovulation stimulation is a well-established method of treating infertility, it should be remembered that it also has its own limits of application, indications and contraindications, and side effects. In addition, even if it did not lead to the long-awaited result, it is important to know: modern Reproductology is not limited to this method.

Clomid for the treatment of female infertility

Clomid is a medication that is used in gynecological practice for the treatment of female infertility. It belongs to the group of antiestrogens. This means that it blocks the receptors (nerve endings) in the ovaries and hypothalamus, which leads to a decrease in the production of estrogens. Also, this drug stimulates the maturation of follicles, ovulation itself and the level of estradiol in the blood.

What are estrogens?

This is a group of steroid female sex hormones that are produced mainly in the ovaries. Men also have a small amount of estrogen in their blood, which is produced by the testicles and adrenal glands (in both sexes). Estrogens are divided into three types: estrone, estriol, and estradiol. Clomid particularly affects estradiol levels in the blood.

Functions of estrogens:

Feminization. This means that thanks to estrogens, a woman has a feminine appearance. In adolescence, these hormones are actively produced and form secondary sexual characteristics (Breasts, buttocks, abdomen, female hair growth, growth of internal and external genitals).

Reproduction. A group of estrogen hormones activates the production of mucus in the vagina, as well as its epithelization, which creates the necessary conditions for maintaining the viability of spermatozoa. Estrogens stimulate the maturation of the egg (follicle) and the onset of ovulation, in which the Mature egg is released from the ovary and it can be fertilized by a sperm. Further, after ovulation, in the event that fertilization occurred, estrogens are responsible for the preservation of the fetal egg, blood supply to the placenta and preparation of the expectant mother’s breast for lactation. If the egg is not fertilized by a sperm, these hormones activate the detachment of the inner layer of the uterus (endometrium) and, as a result, menstruation begins.

Other effects of estrogens include the regulation of calcium levels, cholesterol in the blood, blood pressure, liver function, and mental activity.

How Clomid works

Clomid contains the main active substance – clomiphene, which blocks the receptors that perceive estrogens in the hypothalamus (the part of the brain that controls the hormonal background of the body). As a result, the production of gonadotropins (follicle-stimulating and luteinizing) increases, which activate maturation and intra-secretory (endocrine) function of the follicle in the ovaries. As a result of all the processes described above, the use of the drug Clomid leads to the fact that the level of estradiol in the blood increases significantly.

Causes and symptoms of estrogen reduction

  • The main reason that the level of estrogens in the blood of a woman decreases is the lack of activity of the ovaries that produce them. As the body ages, there is also a shortage of them. An important reason may be various pathological changes on the part of the pituitary gland.
  • Sometimes there is a decrease in the level of estrogens in women who are engaged in professional sports, when the physical load on the body is excessive. This phenomenon occurs due to the fact that testosterone (the male hormone) is produced intensively.
  • Another important point is the presence or absence of adipose tissue. It is proved that estrogens are also produced by fat cells. This means that exhaustion or rapid weight loss is extremely dangerous for the female body, namely for its reproductive ability.

Symptoms that occur with estrogen deficiency

  • In adolescence, a lack of estrogens leads to insufficient development of secondary sexual characteristics, a decrease in the size of the uterus, late onset and failures in the menstrual cycle.
  • In the reproductive age, a decrease in the level of estrogens provokes a decrease in sexual desire, sharp mood swings, various violations of the duration and other indicators of the menstrual cycle. In parallel, memory decreases, performance, insomnia appears and the skin condition worsens (its elasticity, color, turgor). Stretch marks, pigmentation, and inflammatory rashes appear on the skin. Female infertility and dysfunctional uterine bleeding may occur.

Form of release of the drug Clomid

This medicine is produced in tablet form. Each tablet contains 25mg, 50mg, 100 milligrams of clomiphene. The drug Clomid is intended for oral administration, that is, through the mouth.

clomid for the treatment of female infertility

Indications for use of the drug Clomid

According to the instructions for use of the drug, it is prescribed for these conditions:

  • infertility caused by lack of ovulation;
  • galactorrhea is a spontaneous pathological outflow of milk from the breast, which is not associated with feeding a child and occurs as a result of pituitary tumors;
  • amenorrhea – absence of menstruation for a long period;
  • dysfunctional uterine bleeding (metrorrhagia);
  • androgen insufficiency (hypogonadism) – insufficient production of steroid hormones by the sexual glands;
  • polycystic ovary;
  • oligospermia in men, a condition in which the quality and activity of spermatozoa decreases;
  • violation of the pituitary gland.

How to take Clomid

The scheme of application of the drug is different and depends on the pathology. As indicated in the instructions for use of the drug, to stimulate the ovulation process, Clomid is prescribed at a dose of 50 milligrams once a day, before bedtime. The course of taking the drug begins on the fifth day of the menstrual cycle and lasts five days. In situations where there is no menstruation at all, you can start taking the drug at any time prescribed by the doctor. If it is ineffective and there is no ovulation, the dose of Clomid can be increased to 150 milligrams per day, or the course of treatment can be extended to ten days. There is a special indication in the instructions, which says that the total course dose of the drug should not exceed 1 gram.

How to determine whether Clomid is effective

It is necessary to determine the presence of ovulation. To do this, there are several fairly simple methods that a woman can perform herself at home. This is a temperature method or basal temperature measurement, a method of ovulation tests. Additionally, the levels of hormones (luteinizing, progesterone, etc.) are determined.

In cases where the menstrual cycle has improved, but pregnancy does not occur, it is recommended to repeat the course of taking this drug in the same therapeutic dosage.

Contraindications to taking the drug Clomid

  • Renal or hepatic insufficiency, which is associated with the way the drug is excreted.
  • Neoplasm of the genitals.
  • Uterine bleeding of unknown etiology.
  • Inflammation of the inner layer of the uterus (endometriosis).
  • A tumor or an underactive pituitary gland.
  • Ovarian insufficiency on the background of increased prolactin levels in the blood.
  • Ovarian cyst.
  • Pregnancy.

Side effects of the drug Clomid

During the reception of Clomid, various manifestations from the internal organs may appear.

  • Allergic manifestations: vasomotor disorders, allergic dermatitis, rarely-rashes.
  • Manifestations from the nervous system: drowsiness, dizziness, headache, depression, insomnia, hyperexcitability, slowing down the speed of motor and mental reactions.
  • Possible manifestations of the genitourinary system: an increase in the size of the ovary, cystic ovarian changes, menorrhagia, dysmenorrhea, polyuria, increased urination, pain in the lower abdomen.
  • Other possible side reactions include:” flushes ” of blood to the face, alopecia (hair loss), chest pain (breast), decreased visual acuity, weight gain.

Special instructions concerning the drug Clomid

Taking this medication increases the likelihood of multiple pregnancies.

The development of effective action of the drug is possible only if the patient has a sufficient amount of their own estrogens. The lower their level, the less effective Clomid is.

Treatment with anti-estrogenic drugs, as well as any other, should take place under the careful supervision of a gynecologist. Periodically, the ovarian function is determined and other special examinations, including vaginal ones, are performed.

During the course of therapeutic treatment with Clomid, it is recommended to take special care when working with mechanisms that carry a potential danger, and when driving a car.