How can women with menstrual disorders become pregnant?
Women of reproductive age are normally expected to have menstrual bleeding, ideally every 28 days. Menstrual irregularity is defined as having two bleeding intervals less than 21 days or longer than 35 days. This period between two bleeding is counted from the day of the previous menstrual bleeding until the next menstrual period. Women who are out of this range, ie menstrual irregularities, have some problems. Hyperprolactinemia, polycystic ovary syndrome, premature ovarian insufficiency and perimenopausal hormone menstrual irregularity which can cause infertility in women can cause infertility. In addition, problems such as pregnancy, weight loss, eating disorders, intensive exercise program, excessive stress, systemic diseases experienced by the woman may cause menstrual irregularity and cause reproductive problems. In this context, it is very important that women who want to get pregnant regularly have regular menstruation and ovulate regularly.
How is the spawning period calculated?
If a woman of reproductive age is periodically periodic, if the menstrual period is counted from the first day of menstruation, the period between the next menstrual period is very important in calculating the ovulation period. For example, if the number of days between the onset of both menstruation is 28 days, 14 days are subtracted and the time of ovulation is calculated. When a woman who has menstruation every 28 days counts from the previous menstruation, she ovulates on the 14th day or between the 13th and 15th days. In the same context, a woman who has a menstrual period every 30 days subtracts 14 from this day, and the remaining time is known as the 16th day of ovulation. In the same way, a woman who has a menstrual period every 26 days is in the ovulation period around 12 days from the day of menstruation when she removes 14 from 26 again.
Women who want to have a planned pregnancy by observing the ovulation period will have an unprotected sexual intercourse for two weeks starting from 3 to 4 days before the calculated ovulation. It should not be forgotten that while the follicle hatching life is between 12 and 24 hours, the duration of sperm flowing into the vagina as a result of unprotected sexual intercourse is up to 4-5 days. For this reason, the unprotected sexual intercourse of a woman by trying to determine the time of ovulation will facilitate pregnancy.
The irregular pattern of a woman's menstruation means that her ovulation periods are irregular and hence it is difficult to conceive. In women whose ovulation period is irregular, first maturation of eggs can be ensured by using drugs under expert control first and then relationship period can be planned with ultrasound monitoring. In the next stage, if the vaccination method or none of these methods can be useful, the in vitro fertilization method can be tried. In such a case, it is necessary to consult and consult an expert immediately.
How is ovulation monitoring performed in women with menstrual irregularity?
Women with irregular menstruation may experience the problem of not being able to conceive naturally. Because women who cannot calculate the day of ovulation may not know when to have unprotected sexual intercourse for pregnancy. Because it is very difficult for the irregular menstruation to know the exact time of ovulation. Ovulation is irregular and irregular menstruation occurs. There are some measurements, different calculations and methods used to determine the time of ovulation in such cases.
Luteinizing hormone (LH) measurement
Women who have menstrual irregularities can benefit from the pharmacies' eliza test so that they can accurately calculate the day of ovulation. In the Eliza test, devices measuring urinary LH (luteinizing hormone) peaks are detected and understood. With LH measuring devices, the female can determine and estimate the day of ovulation. These devices that measure the LH peak are available from pharmacies, and with regular urine tests, women can understand the time of ovulation at home on their own. However, although the reliability of the LH devices is not 100%, it is a great convenience for the woman to benefit from the body temperature measurement. It is much easier to determine the time of ovulation in women who have regular menstruation.
Calendar method
Normally, women of reproductive age should practice menstruation every 25 to 35 days. It is believed that women who have menstruated in this way probably lay eggs regularly. Anovulation may be suspected in women with longer or shorter menstrual periods within this time frame. It is also possible to calculate the periodicity and ovulation periods by using the calendar method. In this method, women; it counts from the first day of menstruation for the next few months to the next period of menstruation and marks it on the calendar. In this way, the woman can determine the duration of her own menstrual cycle and calculate the ovulation period.
According to the time elapsed between these two menstrual periods, the estimated ovulation date is 14 days before the next menstrual period. For this reason, couples planning pregnancy is advised to enter into a relationship that includes 2 days before and 2 days after this day.
Changes in the body
Women with irregular menstrual periods need to monitor and follow changes in their body in order to predict the ovulation period and plan pregnancy. Although these data are not said to give very clear information, they are considered as signs of ovulation period. Changes that women may feel; Suddenly increased mucus secretion between two menstrual periods and menstrual pain during the same periods can be listed as sudden onset of groin pain. When these symptoms are felt, the woman can understand that she is in ovulation. Besides these; Just like in the menstrual period, breast sensitivity, fluid retention in the body, changes in appetite and mood changes indicate that ovulation occurs.
Immediately after ovulation, the amount of progesterone, which is one of the female hormones, increases in the body, so there is an increase in body temperature. This is why the woman can estimate ovulation by measuring her body temperature. For this purpose, women can measure their body temperature using sublingual thermometers from the second day of menstruation before getting out of bed and at the same time every day. As a result of the recording of this heat day by day, the temperature increases approximately 0.5 -1 degrees after a while. This increase in temperature also indicates that about 2 days before ovulation.
If it is necessary to evaluate and compare the above-mentioned egg laying accounts in terms of effectiveness; calendar method and basal body temperature monitoring may not be enough to determine days suitable for reproduction. Because many women have menstrual periods at irregular intervals and have difficulty in calculating this order. At the same time, body temperature monitoring gives information after a while after ovulation. However, a woman should have unprotected sexual intercourse about 24 hours before ovulation in order to get pregnant easily. However, vaginal mucus evaluation may give some healthier and realistic values compared to others. Namely; The cheapest and practical way to determine the time of ovulation is to evaluate vaginal mucus quality. Just before female ovulation, estrogen levels increase and the amount of mucus increases. Mucus during this period; become more transparent, fluid, elastic. When the woman detects this change, she should engage in unprotected sexual intercourse and increase her chances of becoming pregnant.
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