Expert guide to ovulation: What is premature ovarian failure? Signs to look out for | Health

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There are six days in a woman’s menstrual cycle when intercourse can lead to pregnancy and ovulation is part of this cycle when the egg is released from the ovary of the dominant follicle in the fallopian tube. It is important to track ovulation because it opens a fertile window where the chances of conception are higher and its fertile window includes the five days before ovulation and the day of ovulation.



Expert guide to ovulation:

Every woman has millions of eggs from menarche or first period, to menopause or last period, but only one egg matures every month, so the menstrual cycle starts with the first day of period, which is the formation of the uterine lining. The brain then releases the hormone FSH, which stimulates the development of a single egg despite the fact that we have millions of eggs and during the first 14 days the egg generates the hormone estrogen which acts on the uterine lining , the thickener.

When the egg is ready to burst, another hormone called luteinizing hormone or LH is produced. In an interview with HT Lifestyle, Dr. Kiran Coelho, Gynecology and Obstetrics Consultant at PD Hinduja Hospital and Khar Settlement Medical Research Center, explained, “The egg ruptures and is retrieved by the fallopian tube as a result of LH surge. It will stay the next 24 hours in the fallopian tube. This is called ovulation. For 72 hours, the sperm are able to impregnate the egg. So, if the couple has had sex before and the sperm are waiting, or if the couple has sex in the next 24 hours, then the egg will be fertilized in the fallopian tube, resulting in pregnancy. However, in most cycles, the egg dies within 24 hours and the lining comes out as a monthly period within 14 days. This is the menstrual cycle.



She advised: “If the couple wants to conceive, they need to know when ovulation is happening so they don’t miss the critical 24 hours. So, assuming one has regular cycles, ovulation normally occurs 14 days before the next period. In a 28 day cycle, this equals 10 to 14 days. This is the calendar method. Another way is to determine the basal body temperature. There is a fertility thermometer that takes rectal temperature daily. Due to the impact of LH, there is a one degree rise in temperature after ovulation. So, when the temperature rises by one degree, it indicates that ovulation has taken place.

Dr. Kiran Coelho added, “Then the third way is to use ovulation induction kits which are very reliable and available in the market. Urine can be tested daily for when the LH surge is detected. When the LH surge is detected, that is the day ovulation occurs and the couple can have sex on that day. The fourth method is to do a follicular study using ultrasound. So, the ultrasound is done on day 10 of your cycle every other day after that, and the actual development and breakdown of ovulation is targeted by the follicular study. So these are the many methods to determine if you are ovulating and, if so, when you are ovulating. Most women have a reproductive lifespan of 20 to 40 years. So, after the age of 30 to 35, ovulation becomes irregular, and beyond the age of 35 to 40, ovulation is quite irregular, and medication may be needed. ovulation induction, in which drugs are given to produce the egg in order to mature it. and to break.



There is a test known as Anti-Mullerian Hormone or AMH that can determine the amount of fertilizable eggs a female has or the ovarian reserve, which is the number of eggs capable of being fertilized. Dr Kiran Coelho explained: “With this test a female can know how fertile she is and how many eggs she has. If a woman wishes to postpone a pregnancy, she can undergo an egg freezing procedure. Younger women who do not wish to have children can undergo egg freezing, in which several eggs are simulated, then extracted and frozen. Embryos are created and IVF can be performed as a woman wishes to conceive.

Bringing his expertise to the same, Dr. Kshitiz Murdia, CEO and Co-Founder of Indira IVF, pointed out, “Ovulation usually occurs 13-15 days before the start of each cycle. However, just like menstruation, the timing of ovulation varies from person to person and from cycle to cycle. If a menstrual cycle lasts 28 days, the ideal day for ovulation is around day 14. , tender breasts and amount of vaginal discharge.



He added: “With the age of around 40, the consistency of ovulation and the risk of infertility are impacted. As such, in such circumstances, for a successful pregnancy, one would have to undergo medical supervision Depending on the diagnosis, they may be advised of egg freezing, cryopreservation, PGTA embryo preservation, IVF and IUI, and other infertility treatment procedures.

Premature menopause or premature ovarian failure – Signs you need to watch out for:

Although many people confuse the two, premature menopause and premature ovarian failure are not the same conditions. Dr Kiran Coelho said: “When the ovaries stop working before the age of 40, it is called premature menopause. Also in premature ovarian failure, the ovaries stop working. However, in case of premature menopause, a woman cannot get pregnant and does not ovulate, but in case of premature ovarian failure, she can be made to ovulate with medication.



She pointed out: “Both conditions have the same symptoms. Estrogen deprivation, hot flashes, irritability, irregular periods, lack of sleep, bloating, dry skin, frequent vaginal infections, loss of libido, dry vagina, painful intercourse, mood swings, frequent tract infections urine and, of course, infertility and irregular periods are among them.

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