Disorders, or absences of spontaneous ovulation are responsible for about 25% of all cases of infertility. The most common problem that lies behind this condition is polycystic ovarian syndrome - PCOS.
Most women believe that they should first examine their ovulatory status on their own initiative or upon their doctor's advice.
It should be noted that even the healthiest woman does not ovulate every month, and that the essential problem occurs if the absence of ovulation happens too often so that in certain situations we have only a couple of ovulations, and sometimes no ovulation in a year.
On the other hand, ovulation tests cannot predict whether a woman will ovulate in the next cycle, and for the most part they are used for retrograde confirmation of whether ovulation occurred during a particular cycle or not.
Ovulation diagnostics can be done on the basis of history data covering the nature of the menstrual cycle by measuring body temperature, and by using sophisticated hormonal analyses which are done in a different period of the menstrual cycle (depending on the requested results).
It is also very "popular" to do serial ultrasound examinations during the cycle every few days, which verifies the growth, and then the bursting of ovulatory follicles. Although it is most accurate, this form of diagnostics requires more visits to the doctor.
It is suggested that couples should not be burdened too much by "chasing ovulation" as it is often depicted in films, but to stick to the following piece of advice.
In women with regular 28-days cycles (which are usually ovulatory) ovulation occurs around the 14th day, and the ovum can be fertilized only 12-24 h after that. On the other hand, sperm can survive in the woman's body for 2-3 days (even longer than 7 days) on average.
This means that the fertile days cover the period of at least 3 days immediately prior to ovulation, which usually is 3 days. Proper relationships certainly do not imply unnatural and stressful hasting home when the alarm sounds, since this drastically disturbs the quality of a partnership. It is advised that a couple trying to achieve pregnancy have intercourse every 1 to 2 days, starting from the 7th - 10th day of the cycle and later, and this way they will surely not miss out their "fertile day".
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