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You are viewing: H4H Monographs - The Importance of Ovulation Prediction - Level 2

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Welcome to Natural Ferility Mamagement - Level 2

 

H4H Monograph


H4H Natural Fertility Management (NFM)
The Importance of Ovulation Prediction

Natural Fertility Management (NFM)
Welcome

Natural Fertility Management (NFM)
Hormone Testing

Natural Fertility Management (NFM)
An Introduction

Natural Fertility Management (NFM)
Sperm & Hormone Testing 
for Men

Natural Fertility Management (NFM)
The Menstrual Cycle

Natural Fertility Management (NFM)
Conception Management

Natural Fertility Management (NFM)
Ovulation Prediction

Natural Fertility Management (NFM)
Homeopathic Protocol for Couples

Natural Fertility Management (NFM)
Pre-Conception Management

Natural Fertility Management (NFM)
Fertility Supplements

H4H Natural Fertility Management (NFM)
The Importance of Ovulation Prediction

Introduction
The secret to getting pregnant fast is to know ones body and its signs for when the most fertile days occur. In other words it is important to know the exact time ovulation occurs within the menstrual cycle. Having intercourse during the most favourable fertile period can significantly increase the chances for successful fertilisation. For anyone who has been unsuccessfully trying for awhile the use of one of the following ovulation prediction methods could make all the difference. .

 

Know the Facts
Not everyone realises that

A woman is only fertile for 3 - 5 days of each menstrual cycle.  

The female egg (ovum) only survives for 12 - 24 hrs
The male sperm however can survive from 2 - 5 days


Consequently the best time for impregnation is from 2 days prior to ovulation (so that the ovum can immediately contact viable sperm after shedding) up to 3 days post ovulation (in order to allow for any irregularities in the estimation of ovulation). Over this period intercourse should be undertaken at least once every 2 days so that there are always live sperm present with the potential for fertilisation. Two examples of the ideal time for intercourse are provided by the table below. The first example is where the predicted day of ovulation is day 16 and the second where it is day14.

 

Ideal times for intercourse given different predicted ovulation dates

Day of Menstrual Cycle

10

11

12

13

14

15

16

17

18

19

20

 

 

 

 

 

 

Predicted
Ovulation

 

 

 

 

X

X

Intercourse

X

Intercourse

X

Intercourse

X

Intercourse

X

Intercourse

 

 

 

 

Predicted Ovulation

 

 

 

 

 

 

Intercourse

X

Intercourse

X

Intercourse

X

Intercourse

X

Intercourse

X

X

 

Basis for Ovulation Prediction

Ovulation prediction is predicated on knowing precisely the length of the menstrual cycle. In the case of women with regular cycles ovulation can be quite readily predicted by applying the formula detailed in the Count Forward Method below.

Estimating accurately the cycle length can be trickier however in the case of women with irregular cycles. The usual procedure for estimating cycle length in such situations is to take a note of each cycle's length over a span of several cycles in order to arrive at ther average duration.   

 

Ways to Predict Ovulation
1. The Count Forward Method.
The first part of the menstrual cycle (The Folicular Phase) is variable and may vary from 12 - 23 days and still be considered normal. Ovulation takes place at the end of the Folicular Phase. However the number of days going forward from ovulation to the end of the menstrual cycle (or the commencement of the next cycle) is usually a constant 14 days. This 14 day period is known as the Luteal Phase. Thus based on the fact that the Luteal Phase is a known constant 14 days estimating the expected day of ovulation becomes easy once the average length of the menstrual cycle is known.

Example 1
If the average cycle length is 28 days and the first day of menses (bleeding) is 1st March then the date of expected ovulation can be calculated as follows:
28 (cycle length) - 14 (constant length for Luteal Phase)
= 14 (ie ovulation is on day 14. after commencement of menses).
So expected ovulation is estimated for the 14th March by counting forward the relevant number of days (14) from the commencement of menses

Example 2
If the average cycle length is 32 days and the first day of menses(bleeding) is also the
1st March then the date of expected ovulation can be calculated as follows:
32 (cycle length) - 14 (constant for length of Luteal Phase)
= 18 (ie ovulation is on day 18. after commencement of menses).
So expected ovulation is estimated for the 18th March by counting forward the relevant number of days (18) from the commencement of menses

 

2. Mucus Discharge Method
During the Pre-ovulation stage careful observation should be made of the natural changes occurring in the mucus discharge from the vagina. Initially after menses discharge is cloudy, thick and sticky. This is a signal of endometrial (uterine lining) development. By the time of ovulation however this discharge has dramatically changed in both volume (up to 30 times more) and consistency (from cloudy and thich to thin, clear, stringy and slippery with a consistency of egg white),. This signals that oestrogen levels have risen and that the ovum (egg) has ripened to the shedding stage. The change in mucus consistency facilitates male sperm to slip along with easy efficiency and climb up the mucus strings into the fallopian tube where it can fertilise the shed ovum. Post ovulation the discharge again becomes thick and cloudy. Thus a confirmation sign of ovulation is that the mucus discharge is thinnest and stringiest on the calculated day of expected ovulation (ie as per Count Forward Method above).

 

If you are not one of those lucky women who are able to check their cervical mucus from toilet paper or underwear then you may have to adopt the following procedure.

 

Insert your index finger well into your vagina and remove. Inspect the mucus by rolling the finger and thumb together. Press them together and then separate them. If what you find is 

  •  Thick and sticky you are not ovulating
  •  Creamy and sticky you are not ovulating
  •  Wet and watery but not stretchy you are not ovulating.
  •  Wet and watery, resembling the white of an egg and very stretchy (about an inch) you are ovulating.

Tracking cervical mucus changes is the best way to predict your most fertile time because unlike other methods it relates to the immediate present. (ie BBT tracks (PH) and consequently indicates that ovulation has already taken place or ODKs which track (LH) indicate that ovulation is due shortly).  However it does have a draw back if you are taking Clomid as there is the unfortunate side effect it has of drying up cervical mucus.

Vaginal discharge is normal and varies during the course of the menstrual cycle. Here is a summary of the different types of mucus discharge one may experience

  • White, cloudy & thick
    At the beginning and end of the menstrual cycle.
  • Clear and stretchy like egg white
    At the time of ovulation.
  • Clear and watery:
    May occur at any time during menstruation
    and can be particularly heavy after exercising.
  • Yellow or Green:
    Could indicate an infection, especially if thick or clumpy like cottage cheese or has a foul odor.
  • Discharge with itch
    There should be no itch with healthy discharge.
    Check for yeast infection.
  • Brown:
    A brownish stale blood discharge may appear
    right after menses and is an indication of vaginal clean out.
  • Spotting Blood/Brown Discharge:
    May occur as a result of ovulation and corresponds
    with the corpus luteum bursting and shedding its ovum.
    May occur when pregnant at the time when menses would normally come.
    May occur at the time of the normal period
    instead of the usual flow and can be as a result of unprotected intercourse.
    Check for pregnancy.
     

3. Lower Abdominal Discomfort Detection

About one-fifth of women actually feel ovulatory activity, which can range from mild achiness to twinges of pain in the lower abdomen. The condition may last anywhere from a few minutes to a few hours and is a positive sign of ovulation.

 

The pain is usually only on one side of the lower abdomen and is caused by the egg bursting form the ovary (ovulation). This rupture may also cause light bleeding with resultant spotting (a faint appearance of blood that may show up, for example, in cervical fluids). While only about 20% of women will experience ovulation pains, even less will be able to detect ovulation spotting. Nevertheless, both of these symptoms do allow you to pinpoint fertility as they are physical and correlate directly to the process of the ovulation.

 

4. Detection of Cervical Position
As with cervical mucus the position and feel of the cervix will also undergo several marked changes during your menstrual cycle. These changes can be detected through self-examination with clean dry fingers.

 

The cervix is the part of the body that connects the vagina to the uterus. As you approach ovulation the cervix will soften and become moist. The cervical entrance will open and the tip of the cervix will begin to lift. These descriptive terms are relative however and hands on experience is ideally required to properly monitor the position, texture, and openness of the cervix throughout the menstrual cycle.

 

By recording daily observations in the BBT fertility chart the unique patterns of these descriptive characteristics will become apparent especially when cross referenced with other observations (ie mucus discharge, BBT, Count Forward Prediction, ODK etc)

 

5. Basal Body Temperature (BBT) Method
During the Luteal stage (ie post ovulation stage) the ovary secretes the hormone Progesterone (PH) from its corpus luteum which is the scar or wound left behind after ovum shedding. In response to rising (PH) levels body temperature rises slightly (about 0.5F or 0.3C).  Thus monitoring and charting (BBT) can be an additional indication of ovulation.

 

Scroll right for chart example  >>>>>>>>>

 

(BBT) is the temperature of the body at rest. Consequently it should be taken first thing in the morning before one gets out of bed, eats, drinks or goes to the bathroom. Immediately before ovulation there is a body temperature dip which lasts for only a few hours followed by a sharp rise in temperature. The temperature dip corresponds to ovulation but because it is of such short duration it may nor always be detected. The rise in body temperature however is permanent throughout pregnancy and indicates that ovulation has taken place.

 

6. Ovulation Detection Kits (ODKs)
Mention has already been made of the increase in blood oestrogen levels and its effect on mucus quality. Another effect of a high oestrogen level is to trigger the pituitary gland to effect ovum shedding through its secretion of Luteinising hormone (LH). So using ovulation kits (ODKs) to check (LH) levels in the urine can also help based on ovulation occurring within the normal range of 12 - 36 hrs post (LH) surge. 

 

Scroll right for picture presentation >>>>>>>>>

 

7. Saliva Method

When a woman is about to ovulate her saliva begins to form a distinct fern-like pattern due to an increase in the level of sodium chloride (salt) which in turn is as a result of increasing blood eostrogen. This visible ferning pattern (so called because it looks like frost on a window pane) first appears around 3 to 4 days prior to ovulation and becomes more distinct as ovulation approaches. The Saliva Fertility Test (microscope) predicts ovulation by viewing the crystal pattern changes in the womans saliva prior to ovulation. A drop of saliva is placed on the lens, allowed to dry (5 mins) and the result read.


Scroll right for picture presentation >>>>>>>>>

 

 
Examples of ferning as viewed through the saliva fertility microscope

 

8. OV Watch Method
A recent high-tech option to help predict ovulation is a wrist watch which measures changes in salt (sodium) concentration. Salt levels mimic the changes within cervical mucus which increases in volume and changes in consistency at the time of ovulation. The watch detects these changes as salt concentration from skin perspiration through an inbuilt biosensor. The OV-Watch is worn just like any other watch except it is only worn it at night. It doesn't tell the time but it does indicate when one is fertile.

Scroll right for picture presentation >>>>>>>>>

 

A claimed advantage of the OV Watch over ODKs (which function from the (LH) surge) and the BBT method (which responds to the (PH) surge) is that it can predict ovulation early. Since the best time for impregnation and subsequent fertilisation is prior to ovulation predicting ovulation a day or two earlier than other methods could certainly provide an advantage.

 

Conception rate compared by detection method.

Because OV-Watch helps women take advantage of their full fertile window, they increase their chances of conception. By knowing their more fertile days, women are also able to plan without the rush to have intercourse. This makes trying to get pregnant more natural and spontaneous. And using the OV-Watch is very easy to use unlike ovulation test kits. Just slip it on.

Other ovulation test kits detect ovulation by detecting LH surges in your urine. But a woman's LH surge is detected in the urine only 12-36 hours before ovulation. With the OV-Watch, you will be able to find the day of ovulation, and the 4 days before ovulation- your full window of fertility. That boosts your chances of getting pregnant by two thirds!

For further information
in order to make a fully informed choice contact 

Dr. Peter Darashah

Ph.D.,M.Sc (Lond), B.Sc., DIHom (Pract),FBIH, MARH

Nutrition Consultant & Homeopathic Physician

(087) 2621943
Consultations held at:
Dervish Holistic Cebtre, 50 Cornmarket Str., Cork.

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Fertility chart
Fertility chart
(click image to enlarge)

Basal Body Temperature (BBT) Chart - CLCIK IMAGE TO ENLARGE
Basal Body temperature (BBT) Chart
(Click image to enlarge)

 

Ovulation Detection Kit (ODK)
Ovulation detection Kit (ODK)

Saliva detection kit
Saliva detection kit

Using the saliva dection microscope
Using the microscope

 

OV Watch
OV Watch





 

 

 

 

 

 

 

 

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