Difference between revisions of "Calculate Your Ovulation"
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Ovulation occurs at the point in a woman’s menstrual cycle when a mature egg is released from the ovary, gets picked up by the fallopian tube, and has the chance to become fertilized if a sperm cell comes into contact with it. Since pregnancy can only occur during ovulation, many women find the timing useful to calculate while planning a pregnancy. This is not recommended as a replacement for other birth control methods, due to the uncertainty of the prediction and the potential for sperm to survive for up to seven days in the female reproductive tract. For the most reliable results, calculate your ovulation using more than one method, and track the data over many cycles. | Ovulation occurs at the point in a woman’s menstrual cycle when a mature egg is released from the ovary, gets picked up by the fallopian tube, and has the chance to become fertilized if a sperm cell comes into contact with it. Since pregnancy can only occur during ovulation, many women find the timing useful to calculate while planning a pregnancy. This is not recommended as a replacement for other birth control methods, due to the uncertainty of the prediction and the potential for sperm to survive for up to seven days in the female reproductive tract. For the most reliable results, calculate your ovulation using more than one method, and track the data over many cycles. | ||
| − | [[Category:Reproductive Health]] | + | [[Category: Reproductive Health]] |
| − | [[Category:Women’s Health]] | + | [[Category: Women’s Health]] |
==Choose a Method== | ==Choose a Method== | ||
#'''[[#The_Calendar_Method_sub|Calendar]]''': Inaccurate estimate, but helps you track other methods. | #'''[[#The_Calendar_Method_sub|Calendar]]''': Inaccurate estimate, but helps you track other methods. | ||
| − | #'''[[#The_Cervical_Mucus_Method_sub|Cervical mucus]]''': An important factor to understand, but requires tracking daily for at least a couple months.<ref>http://www.babycenter.com/0_ovulation-predictor-kits-vs-basal-body-temperature-cervical_7059.bc</ref> | + | #'''[[#The_Cervical_Mucus_Method_sub|Cervical mucus]]''': An important factor to understand, but requires tracking daily for at least a couple months.<ref name="rf17727">http://www.babycenter.com/0_ovulation-predictor-kits-vs-basal-body-temperature-cervical_7059.bc</ref> |
| − | #'''[[#Tracking_Basal_Temperature_sub|Basal Temperature]]''': Usually paired with cervical mucus method, helping you discover ovulation pattern.<ref | + | #'''[[#Tracking_Basal_Temperature_sub|Basal Temperature]]''': Usually paired with cervical mucus method, helping you discover ovulation pattern.<ref name="rf17727" /> |
| − | #'''[[#Taking_an_Ovulation_Test_sub|Ovulation Test]]''': Convenient but expensive, especially if you have an irregular cycle. Sometimes inaccurate, especially for women over 40.<ref>http://blog.kindara.com/blog/which-is-more-accurate-ovulation-tests-or-tracking-your-basal-temperatures-and-cervical-fluid</ref> | + | #'''[[#Taking_an_Ovulation_Test_sub|Ovulation Test]]''': Convenient but expensive, especially if you have an irregular cycle. Sometimes inaccurate, especially for women over 40.<ref name="rf17728">http://blog.kindara.com/blog/which-is-more-accurate-ovulation-tests-or-tracking-your-basal-temperatures-and-cervical-fluid</ref> |
#'''[[#Detecting_Infertility_sub|Detecting Infertility]]''': Try this if you get irregular results for multiple months from the cervical mucus, basal temperature, or ovulation test methods. | #'''[[#Detecting_Infertility_sub|Detecting Infertility]]''': Try this if you get irregular results for multiple months from the cervical mucus, basal temperature, or ovulation test methods. | ||
== Steps == | == Steps == | ||
=== The Calendar Method=== | === The Calendar Method=== | ||
| − | #Track your menstrual cycle alongside other methods. This is not the most accurate method, but it's an easy, useful step to take while tracking other data.<ref>http://www.ncbi.nlm.nih.gov/pubmed/8968662</ref> Purchase or create a calendar to begin keeping track of your monthly menstrual cycles. Circle the first day of your cycle, which is the day you start your period. Keep track of the duration of the cycle, which typically averages 28 days. | + | #Track your menstrual cycle alongside other methods. This is not the most accurate method, but it's an easy, useful step to take while tracking other data.<ref name="rf17729">http://www.ncbi.nlm.nih.gov/pubmed/8968662</ref> Purchase or create a calendar to begin keeping track of your monthly menstrual cycles. Circle the first day of your cycle, which is the day you start your period. Keep track of the duration of the cycle, which typically averages 28 days. |
#*Record the number of days in each cycle, including the day you start your period. The last day of each cycle is the day before your next period starts. | #*Record the number of days in each cycle, including the day you start your period. The last day of each cycle is the day before your next period starts. | ||
#*Keep tracking your cycle this way for eight to twelve cycles. The more cycles you have to reference, the more accurate the calendar method will be. | #*Keep tracking your cycle this way for eight to twelve cycles. The more cycles you have to reference, the more accurate the calendar method will be. | ||
#Make a chart of the cycle durations. Once you have at least eight cycles recorded, you can turn the data into a chart. List the day of the month your period began in one column, and the number of days in that cycle in a second column. | #Make a chart of the cycle durations. Once you have at least eight cycles recorded, you can turn the data into a chart. List the day of the month your period began in one column, and the number of days in that cycle in a second column. | ||
#*Alternatively, you can use an online ovulation calculator such as the [http://www.webmd.com/baby/healthtool-ovulation-calculator WebMD Ovulation Calculator]. Make sure all of the information described below is included in the calculation, or it may be a less effective prediction. | #*Alternatively, you can use an online ovulation calculator such as the [http://www.webmd.com/baby/healthtool-ovulation-calculator WebMD Ovulation Calculator]. Make sure all of the information described below is included in the calculation, or it may be a less effective prediction. | ||
| − | #Use your chart to predict the fertile period in your current cycle. It’s difficult to pinpoint the exact day you’ll ovulate using only a calendar. Instead, a calendar is useful for predicting the range of days during which you will be fertile, which can be a different length for each woman, as described below:<ref>http://www.medscape.com/viewarticle/589936_4</ref> | + | #Use your chart to predict the fertile period in your current cycle. It’s difficult to pinpoint the exact day you’ll ovulate using only a calendar. Instead, a calendar is useful for predicting the range of days during which you will be fertile, which can be a different length for each woman, as described below:<ref name="rf17730">http://www.medscape.com/viewarticle/589936_4</ref> |
#*Predict the first fertile day in your current cycle by finding the shortest cycle in your chart. Subtract eighteen from the total number of days in that cycle to find your first fertile day, meaning the first day in your cycle when pregnancy could occur. For example, if your shortest cycle lasted 26 days, your first fertile day would be the 8th day in each cycle (26 - 18 = 8), counting the day you began your period as day one. | #*Predict the first fertile day in your current cycle by finding the shortest cycle in your chart. Subtract eighteen from the total number of days in that cycle to find your first fertile day, meaning the first day in your cycle when pregnancy could occur. For example, if your shortest cycle lasted 26 days, your first fertile day would be the 8th day in each cycle (26 - 18 = 8), counting the day you began your period as day one. | ||
#*Predict the last fertile day in your current cycle by finding the longest cycle in your chart. Subtract eleven days from the total number of days to find the last fertile day in your cycle. For example, if your longest cycle lasted 31 days, your last potentially fertile day in each cycle would be the 20th day in the cycle (31 - 11 = 20). | #*Predict the last fertile day in your current cycle by finding the longest cycle in your chart. Subtract eleven days from the total number of days to find the last fertile day in your cycle. For example, if your longest cycle lasted 31 days, your last potentially fertile day in each cycle would be the 20th day in the cycle (31 - 11 = 20). | ||
| − | #*Note that the more regular your cycle duration is, the more effective this method will be.<ref | + | #*Note that the more regular your cycle duration is, the more effective this method will be.<ref name="rf17730" /> |
=== The Cervical Mucus Method=== | === The Cervical Mucus Method=== | ||
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#Buy a basal temperature thermometer. Right before ovulation is the woman’s most fertile time. The body temperature rises slightly right after the woman has ovulated, then remains elevated for the remainder of the cycle, until your next period. You are most fertile during the days in your cycle directly before the temperature rise. Because the incremental temperature change from day to day is so small, regular thermometers will not provide accurate results. Basal temperature thermometers are digital thermometers available at drugstores. | #Buy a basal temperature thermometer. Right before ovulation is the woman’s most fertile time. The body temperature rises slightly right after the woman has ovulated, then remains elevated for the remainder of the cycle, until your next period. You are most fertile during the days in your cycle directly before the temperature rise. Because the incremental temperature change from day to day is so small, regular thermometers will not provide accurate results. Basal temperature thermometers are digital thermometers available at drugstores. | ||
#*The most accurate readings are taken in the vagina or rectum, but there are also basal temperature thermometers designed to take readings in the mouth. Stick with the same method during the entire process, and try to measure at the same depth and angle each time. | #*The most accurate readings are taken in the vagina or rectum, but there are also basal temperature thermometers designed to take readings in the mouth. Stick with the same method during the entire process, and try to measure at the same depth and angle each time. | ||
| − | #Take your temperature daily. It’s important to take your temperature at the same time every day, since it fluctuates throughout the day. Ideally, take it first thing in the morning, after at least five hours of sleep and before getting out of bed. Record your temperature within <sup>1</sup>/<sub>10</sub> of a degree. Use a dot or other symbol on your chart to mark days when other factors may alter the reading, including illness, restless sleep, and fever reduction medicines such as aspirin, Tylenol, and Motrin.<ref>http://www.upmc.com/patients-visitors/education/pregnancy/pages/basal-body-temperature.aspx</ref> | + | #Take your temperature daily. It’s important to take your temperature at the same time every day, since it fluctuates throughout the day. Ideally, take it first thing in the morning, after at least five hours of sleep and before getting out of bed. Record your temperature within <sup>1</sup>/<sub>10</sub> of a degree. Use a dot or other symbol on your chart to mark days when other factors may alter the reading, including illness, restless sleep, and fever reduction medicines such as aspirin, Tylenol, and Motrin.<ref name="rf17731">http://www.upmc.com/patients-visitors/education/pregnancy/pages/basal-body-temperature.aspx</ref> |
#*The average woman’s body temperature is 96–98ºF (35.6–36.7ºC) before ovulation, and 97–99ºF (36.1–37.2ºC) after ovulation. If you get results significantly outside this range, consult the thermometer instructions to make sure you are using it correctly. | #*The average woman’s body temperature is 96–98ºF (35.6–36.7ºC) before ovulation, and 97–99ºF (36.1–37.2ºC) after ovulation. If you get results significantly outside this range, consult the thermometer instructions to make sure you are using it correctly. | ||
#Chart your temperature. Record your daily result on a temperature chart that allows you to create a graph, tracking your temperature changes over time. See [http://assets.babycenter.com/ims/Content/bbt_sample_chart.pdf Baby Center Sample Chart] for a sample Basal Temperature chart. | #Chart your temperature. Record your daily result on a temperature chart that allows you to create a graph, tracking your temperature changes over time. See [http://assets.babycenter.com/ims/Content/bbt_sample_chart.pdf Baby Center Sample Chart] for a sample Basal Temperature chart. | ||
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===Taking an Ovulation Test=== | ===Taking an Ovulation Test=== | ||
#Purchase an ovulation test. Sold in drugstores, ovulation testing kits detect the amount of luteinizing hormone (LH) in your urine, which increases one to two days before ovulation. Similar to over-the-counter pregnancy tests, these are digital devices with a testing stick to be held under your urine stream. | #Purchase an ovulation test. Sold in drugstores, ovulation testing kits detect the amount of luteinizing hormone (LH) in your urine, which increases one to two days before ovulation. Similar to over-the-counter pregnancy tests, these are digital devices with a testing stick to be held under your urine stream. | ||
| − | #*There is another type of testing kit, using which you can test your dried saliva under a microscope for "fern" patterns that sometimes indicate a rise in estrogen levels in the few days leading up to ovulation. This is less reliable than the LH test, especially if you have poor eyesight.<ref>http://www.babycentre.co.uk/a561822/how-to-use-ovulation-predictor-kits</ref> | + | #*There is another type of testing kit, using which you can test your dried saliva under a microscope for "fern" patterns that sometimes indicate a rise in estrogen levels in the few days leading up to ovulation. This is less reliable than the LH test, especially if you have poor eyesight.<ref name="rf17732">http://www.babycentre.co.uk/a561822/how-to-use-ovulation-predictor-kits</ref> |
#Moderate your water intake in the hours before the test. Very concentrated or very dilute urine throws off the results of this test. For best results, avoid caffeine and alcohol on the day of the test, avoid dehydration or excessive water consumption, and wait until your bladder is full. | #Moderate your water intake in the hours before the test. Very concentrated or very dilute urine throws off the results of this test. For best results, avoid caffeine and alcohol on the day of the test, avoid dehydration or excessive water consumption, and wait until your bladder is full. | ||
#Interpret the test. Urinate on the stick and wait for a new line to appear in the viewing window. A line that is about as dark as the existing control line means you are probably ovulating. A faint line is not a reliable indicator. | #Interpret the test. Urinate on the stick and wait for a new line to appear in the viewing window. A line that is about as dark as the existing control line means you are probably ovulating. A faint line is not a reliable indicator. | ||
#*Ovulation tests accurately predict the level of LH in urine, but the surge in LH only lasts about 24–48 hours, giving you a short window to detect it. Using multiple methods to track ovulation is recommended. | #*Ovulation tests accurately predict the level of LH in urine, but the surge in LH only lasts about 24–48 hours, giving you a short window to detect it. Using multiple methods to track ovulation is recommended. | ||
| − | #*Some tests may work slightly differently, so check the instructions. For example, you may need to urinate into a cup and dip the test into it, or the fertility symbol may show up as as smiley face instead of a line.<ref | + | #*Some tests may work slightly differently, so check the instructions. For example, you may need to urinate into a cup and dip the test into it, or the fertility symbol may show up as as smiley face instead of a line.<ref name="rf17732" /> |
#Repeat as necessary. Test yourself daily during the most likely parts of your cycle, as described in the calendar section. If you have missed your ovulation in previous cycles and can afford additional tests, consider taking an ovulation test twice daily. | #Repeat as necessary. Test yourself daily during the most likely parts of your cycle, as described in the calendar section. If you have missed your ovulation in previous cycles and can afford additional tests, consider taking an ovulation test twice daily. | ||
===Detecting Infertility=== | ===Detecting Infertility=== | ||
| − | #Visit a doctor. An OB/GYN or a reproductive endocrinologist can perform tests that are more accurate than home methods.<ref>http://www.ncbi.nlm.nih.gov/pubmed/9288330</ref> These may include a blood test to measure levels of progesterone and other hormones, or tests to detect abnormalities in thyroid function or prolactin levels, if your doctor thinks these are likely. An ultrasound test can be used to detect structural abnormalities in the reproductive tract that could be affecting ovulation.<ref>http://www.acog.org/-/media/For-Patients/faq136.pdf?dmc=1&ts=20150208T0603252328</ref> | + | #Visit a doctor. An OB/GYN or a reproductive endocrinologist can perform tests that are more accurate than home methods.<ref name="rf17733">http://www.ncbi.nlm.nih.gov/pubmed/9288330</ref> These may include a blood test to measure levels of progesterone and other hormones, or tests to detect abnormalities in thyroid function or prolactin levels, if your doctor thinks these are likely. An ultrasound test can be used to detect structural abnormalities in the reproductive tract that could be affecting ovulation.<ref name="rf17734">http://www.acog.org/-/media/For-Patients/faq136.pdf?dmc=1&ts=20150208T0603252328</ref> |
| − | #Have your sexual partner tested as well. Men can also be tested for infertility. This typically begins by testing a sperm cycle, and may continue to an ultrasound exam to detect possible issues in the male reproductive system.<ref | + | #Have your sexual partner tested as well. Men can also be tested for infertility. This typically begins by testing a sperm cycle, and may continue to an ultrasound exam to detect possible issues in the male reproductive system.<ref name="rf17734" /> |
#Ask about treatment. If a doctor does suspect you are infertile due to anovulation (lack of ovulation), she may recommend one of a variety of drugs, depending on your exact condition. Do not assume that lack of conception is due to lack of ovulation without an official diagnosis, as there are many other possible causes. Your doctor should also examine the possibilities of blocked fallopian tubes, sperm-related problems, uterine or egg implantation problems, and age-related decline in egg quality. | #Ask about treatment. If a doctor does suspect you are infertile due to anovulation (lack of ovulation), she may recommend one of a variety of drugs, depending on your exact condition. Do not assume that lack of conception is due to lack of ovulation without an official diagnosis, as there are many other possible causes. Your doctor should also examine the possibilities of blocked fallopian tubes, sperm-related problems, uterine or egg implantation problems, and age-related decline in egg quality. | ||
=== Sample Ovulation Charts === | === Sample Ovulation Charts === | ||
[[Doc:Annotated Basal Body Temperature Chart,Basal Body Temperature Chart]] | [[Doc:Annotated Basal Body Temperature Chart,Basal Body Temperature Chart]] | ||
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== Tips == | == Tips == | ||
