Dr. Rita Bakshi explains ovulation and fertility.
Let’s discuss what exactly is ovulation, what exactly is female anatomy and how really should anybody want a pregnancy or not want a pregnancy work through it? As soon as a girl is born. Let me tell you that we, as women are born with a finite number of eggs. Unlike males, which have an infinite production of sperms.
And that is why they are fertile not only at 40, at 50, at 60, at 70, women finish their fertility cycle somewhere around 35 to 40 years. And my intent of telling you is also that much, as you may want to delay fertility, you should also know till when can you wait. And when is the hurry.
Just to walk through the normal cycle, as I said, a girl is born with a finite number of eggs, which start at puberty developing into every month, a monthly cycle or menses as we call it. So a lot of eggs start developing under the hormone of FSH, which is a pituitary hormone. And that instigates the eggs, to develop and produce us, uh, an endometrium or a utrine lining, which is receptive to a pregnancy.
As soon as if there is no pregnancy that is no, no intercourse, no contact. And I in a young girl, the egg will rupture, but we’ll have not a place to get fertilized. And therefore, under the, another hormone that is an LH and progesterone, what is started developed into a Corpus luteum, which has a fixed 14 day cycle.
And then if no egg, no pregnancy. One we’ll start menstruating in, in the next 28, 30 days, a normal cycle is anywhere between 28 to 35 days. Some people may have prolonged cycles say from 35, they may have a 45 or 50 days cycle, which is not really normal. And some people have a very short cycle. So less than 21 days, we call it a short cycle more than 45 days, we call it long cycle.
What is important is to know that somewhere 14 days before the next cycle date is the date when one is really receptive to becoming pregnant. So if you want to avoid that date, that is the day to be avoided 14 days to Mark on the calendar. 14 days before the coming cycle. So if your cycle is 28 days, then you are exactly midway, pregnant, uh, you know, receptive.
If it is a 35 days, then you are somewhere, I’d say around 20, 21 day. But if it is a 45 day cycle, so 14 days before the coming cycle is the day when one has to be careful for whichever way one is planning. So let us say, you’re planning to become pregnant. You may be in contact the whole month, but if you could miss out on that very crucial day, that is 14 days before the coming cycle, then you would have missed the boat.
So because the cycles are not so fixed. You know, you can always be a two day this side or that side. So you have to be in contact if you want to become pregnant. Two days before or two days after. So those five, six days of the cycle are extremely important. However, if you want to avoid a pregnancy again, these are the days when you should be careful and you should take all the precautions that are required. If you don’t want to get pregnant.
However, for people who cycles are not fixed and irregular, it will be difficult to use a dating method. In that case, we are many other methods like testing on an ovulation kit. So you get these kits in the market, which are just like urine testing kits for pregnancy. The day you supposed to say, you have a 28 day cycle, then say from day nine or 10, when you start putting three drops of urine on the kit and you get one, one line. Second day 10 again, you test, you get one line on day 11, one line, they 12 one line they 13, you get two lines. Then you know that you are going to ovulate in the next 24 hours. So you have to be in contact. That means in the next 24 hours, if you are trying to get pregnant, then these are what are called the ovulation kit tests.
You know, these are homemade tests. You can test them at home. You need not go to the office of the doctor to get checked, whether you are ovulating or what is the right date of ovulation. And similarly you want to avoid, then you also know these other days to avoid a contact. These are, uh, the other way, of course is getting an ultrasound done.
Seeing how the egg is developing, looking at the size of the egg, the way it is coming up the day become 18-20 mm and we know it’s a right egg, ready to rupture. And if we give an injection for rupture, it will option the next 36 hours. And then you will again, be fertile to try a pregnancy. So this is how a normal cycle works.
And this is just to tell you, you know, how to, to work either yourself or to a doctor, if you are working through a menstrual cycle. Thank you.
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