Understanding Ovulation

1. Understanding Ovulation Ovulation- release of a mature ova Moves through the fallopian tubes. If no conception occurs, the uterine lining as well as blood is released. The shedding of an unfertilized egg and the uterine wall is the time of menstruation.

2. Key Facts of Ovulation • An egg lives 24-48 hours after leaving the ovary • Normally only one egg is released each time of ovulation • Identical twins occur when single egg is fertilized and splits into 2 (most identical twins happen by chance) • Fraternal twins occur when two separate eggs are fertilized by two separate sperm (2 eggs released) • Ovulation can be affected by stress, illness or disruption of normal routines • Implantation of a fertilized egg normally takes place 6-12 days after ovulation • Each woman is born with millions of immature eggs that are awaiting ovulation to begin • If an egg is not fertilized, it disintegrates and is absorbed into the uterine lining

3. Tracking Ovulation • A woman's monthly cycle is measured from the first day of her menstrual period until the first day of her next period. On average, a woman's cycle normally is between 28-32 days, but some women may have much shorter cycles or much longer ones. • Ovulation can be calculated by starting with the day the last menstrual period (LMP) starts or by calculating 12-16 days from the next expected period. • This is what many refer to as the "fertile time" of a woman's cycle, because sexual intercourse during this time increases the chance of pregnancy. Ovulation can occur at various times during a cycle, and may occur on a different day each month.

4. Fertility Calendar

5. 3 Phases • Menstrual Period • Day 1 of cycle, thickened lining (endometrium) of the uterus begins to shed • Menstrual bleeding • Normally lasts 4-6 days

6. Follicular Phase • The first part of the ovulation cycle is called the follicular phase. • This phase starts the first day of the last menstrual period (LMP) and continues until ovulation. • Egg follicle of an ovary gets ready to release an egg • One egg is released • Last 5 days of follicular phase plus ovulation day are most fertile window

7. Luteal Phase • The second half of the cycle is called the luteal phase and starts the day of ovulation until the next period begins. • The luteal phase has a more precise timeline and usually is 12-16 days from the day of ovulation. • If the egg is fertilized by sperm and then implants in the endometrium a pregnancy begins • If egg is not fertilized or does not implant the endometrium begins to break down

8. Hormones • When your menstrual cycle begins, your estrogen levels are low. • Your hypothalamus (which is in charge of maintaining your hormone levels) sends out a message to your pituitary gland which then sends out the follicle stimulating hormone (FSH).

9. Hormones • FSH triggers a few of your follicles to develop into mature eggs. One of these will develop into the dominant follicle, which will release a mature egg and the others will disintegrate. • As the follicles mature they send out another hormone, estrogen. The high levels of estrogen will tell the hypothalamus and pituitary gland that there is a mature egg.

10. Luteinizing Hormone • A luteinizing hormone (LH) is then released, referred to as your LH surge. The LH surge causes the egg to burst through the ovary wall within 24-36 hours and begin its journey down the fallopian tube for fertilization.

11. Corpus Luteum • The follicle from which the egg was released is called the corpus luteum, and it will release progesterone that helps thicken and prepare the uterine lining for implantation. The corpus luteum will produce progesterone for about 12-16 days

12. Once an Egg is Fertilized • If an egg is fertilized, the corpus luteum will continue to produce progesterone for a developing pregnancy until the placenta takes over. You can begin looking for pregnancy symptoms as early as a week after fertilization. If fertilization does not occur the egg dissolves after 24-48 hours.

13. At this time your hormone levels will decrease and your uterine lining will begin to shed about 12-16 days from ovulation. This is menstruation (menstrual period) and brings us back to day 1 of your cycle. The cycle then begins all over again.

14. Menstruation