Ovulation and the Fertile Phase

Ovulation and the Fertile Phase

Ovulation and the Fertile Phase

Ovulation and the Fertile Phase

Ovulation occurs at about the midpoint of each normal cycle, and the ovum is probably capable of fertilization for only about two days after this. In the majority of women the time of ovulation is fairly constant. In women with cycles of irregular length the date of ovulation is uncertain; in these women the long menstrual cycles are usually due to prolongation of the proliferative phase; the secretory phase tends to remain normal in length.

In some animals, ovulation only follows coitus; this mechanism has been used to explain cases in which human pregnancy has apparently followed coitus early or late in the menstrual cycle, but there is no definite evidence for such a mechanism in women.

The rhythm method of contraception is based on the fact that ovulation normally occurs at mid-cycle, but the date of ovulation may vary unexpectedly even in women whose menstrual cycles were previously regular.

The Menarche

The first menstruation, or menarche, usually occurs between 11 and 13 years of age, but in a few otherwise normal children menstruation may begin sooner or may be delayed. If the menstrual periods have not started by the age of 16 gynecological investigation is indicated. The menarche is preceded by other signs of estrogenic activity, such as enlargement of the breasts and the uterus and growth of pubic hair. The ovarian response to gonadotropic hormones may be erratic at first, so that irregular or heavy bleeding sometimes occurs, but this irregularity nearly always disappears spontaneously.

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