Some questions and answers to understand the ovulation
What is exactly ovulation?
Ovulation is a process by which the ovum matures in the ovary after its expulsion occurs. From the ovary, it goes to the tube in order to be fertilized. It is performed clinically and always is preceded by a hormonal stimulus. In this regard women with hormonal alterations may have problems.
Can we feel it?
YES. Although the fact that you do not notice, it does not mean that it does not occur. Frequently we do not identify it because we do not know what is what we should feel.
What are the symptoms?
Ovulation normally occurs in the mid-cycle, about 14 days from the beginning of the menstruation, in a period of 28 days. But before that two consecutive hormonal peaks occur. The first one is an increase of estrogen recognized by the changes of the thickness and amount of vaginal discharge. Just after that immediately a peak of LH (luteinizing hormone) takes place with which you start to secrete progesterone in order to prepare the womb for a possible pregnancy. You can notice this last peak with an increase of the temperature in the morning up to 0.5 º C. Attending to these two symptoms and some pain that this process can lead, you will recognize de moment in which you are ovulating.
Why women cannot notice anything?
Not everyone has the same sensitivity to pain and also vaginal discharge and temperature can be altered by other natural or pathological causes. This would explain why there are women who notice ovulations and others that could not recognize them. In relation with the pain, it will be usually relief with some rest or analgesics if necessary, although it can go unnoticed.
Are there medicals tests to detect it?
YES. First a doctor carries a clinical record to find out what kind of cycle women have and then he also performs a gynecological examination. During the examination, the doctor looks at the vaginal mucus and signs of tenderness. Through an ultrasound doctor can see come signs that make he thinks when the ovulation has occurred. Finally, you can make a hormone analysis between the 21-22 day of the cycle to quantify the level of progesterone and whether ovulation has taken place or not. However nowadays a hormonal analysis between the second and third day of the cycle (the pituitary hormone analyzes) is the most widely performed analysis because it provides much more information about the proper functioning of the menstrual cycle and ovarian reserve.
What is the relation between ovulation and fertility?
When you are looking for a pregnancy, it is recommended to be sexually active the days before and after ovulation. There are ovulation tests sold in pharmacies that detect the LH peak surge prior to this process. Take the basal temperature is also useful to know when you ovulate. But if your cycles are very regular, from 28 to 30 days, it is enough to guide your sexual activity to the 14-15 days after the beginning of the menstruation.
Source: Contraception 2008