Ovulation Symptoms
Ovulation Day (Period) How to tell?
What are the symptoms of ovulation in women? How do I know when the day of ovulation is approaching? How do we know when ovulation occurs? How to tell if ovulation is present or not? How is ovulation determined? The most frequently asked questions, especially by couples planning pregnancy (pregnancy).
Ovulation, ie ovulation date calculation, when, which days spawning issues such as detailed information can be found by clicking here. In this article, the symptoms of ovulation, signs, complaints and symptoms felt during ovulation will be explained.
Symptoms before and after ovulation:
Increased vaginal (cervical) discharge, liquefaction of the discharge. Women often say "my wetness has increased." This symptom begins a few days before ovulation.
Increase in body temperature. Patients usually do not feel this slight increase, but they are easily noticeable in degrees and measurement. There is usually an increase of around half a degree.
Groin pain: Unilateral (only right or left) groin pain is usually felt on the day of ovulation. Pain can sometimes be bilateral. The reason for the pain is the leakage of fluid in the follicle into the pelvis during ovulation. This fluid spontaneously disappears every few days. The pain usually ends in one day. Sometimes the pain associated with the growing egg starts 4-5 days before ovulation, increases on the day of ovulation and then suddenly disappears. (Mittelschmerz, moderate pain)
Sensitivity, fullness, tension in breasts
Abdominal feeling
Abdominal pain and cramps
Increased sexual desire: usually begins a few days before ovulation.
In some women, hypersensitivity to stimuli such as smell, taste and light, disturbance occurs.
Why Women See Menstruation ...
Between the first days of two bleeding and the purpose of the cycle is to prepare the uterus for pregnancy. Both physiological and mental processes contribute to the regular functioning of this cycle: On the first day of each menstrual period, an egg cell begins to mature and produce estrogen hormone in one of the ovaries with the effect of a hormone secreted from the pituitary gland in the brain. This hormone is responsible for the thickening of the inner layer of the uterus and the completion of preliminary preparations for pregnancy. During this thickening period which lasts for 14 days, fluid accumulates around the egg cell and is approximately 18-20 mm. diameter is filled with fluid and called the follicle fluid pouch occurs. During these events, when the level of another hormone secreted from the pituitary gland reaches a certain stage, this developing follicle fractures and the mature egg cell is released. This cell enters the Fallopian tube and begins to advance here. In the fallopian tube, the egg cell encounters a sperm cell and if fertilization occurs, pregnancy begins.
Progesterone hormone starts to rise in the blood in addition to estrogen hormone immediately after ovulation. This hormone makes the inner layer of the uterus suitable for the placement of the fertilized egg and the continuation of pregnancy and in a sense, it completes the preliminary preparations made by the estrogen hormone. If pregnancy does not occur, the inner layer of the uterus begins to fall out after a certain period of time with decreasing hormone levels in the blood. This spill occurs with bleeding. With this bleeding called menstruation, the inner layer of the uterus begins to be prepared for a possible pregnancy in the new menstrual cycle and the above events start again.
Woman's 28 Days
The repetitive process in a reproductive age woman is called the menstrual cycle on average every 28 days. The menstrual cycle or cycle refers to the time from the first day of the last menstrual period to the first day of the next menstrual period and the events taking place in the female body during that time.
A menstrual cycle usually lasts 28 days in women, but it is the upper and lower limits of normal between 21 and 35 days. Menstrual bleeding continues for an average of 4 days and is considered to be the lower and upper limits of normal between 1 and 7 days. During menstruation, between 20 and 80 milliliters of blood is lost.
The menstrual cycle lasts from puberty to menopause when the ovarian cells are completely depleted. During this period, it temporarily pauses during pregnancy and for most of the period of breastfeeding.
Pregnancy, ovulation irregularity, eating disorders (anorexia or blumiya), too much exercise, thyroid gland diseases and obesity (obesity) can be shown as the cause. Once the cause is identified, menstrual order is provided with appropriate treatments. Otherwise, the risk of uterine cancer increases.
Damages of Irregular Menstruation
Menstrual irregularity can be caused by a variety of reasons. This may have harmful consequences depending on the underlying cause, or may be a harmless menstrual irregularity caused by stress, depression, overweight, overweight, and drug use. In such cases, the irregularities such as stress and weight may cause harm to the patient. These reasons need to be regulated. However, if there are conditions such as fibroids, polyps, hormone disorders and ovulation disorders, these can be harmful. Such situations need to be clarified and treated with medication or surgery if necessary. If the cause is not detected early and treatment is delayed, for example, the growth of a fibroid causing menstrual irregularities may cause further difficulties in the future. Some of the patients with menstrual irregularities have ovulation irregularities, which may prevent or delay pregnancy.
Menstrual irregularity is not always harmful, and in some cases menstrual irregularity is normal. For example, menstrual irregularity is a normal and expected condition in the first years of menstruation (15-17 years), in nursing mothers, and those using protection needles.
Excessive menstruation: Menstrual period exceeds seven days or menstrual period can be described by the use of daily pads. Anemia due to severe bleeding may cause fatigue and inability to perform daily activities. Hormonal imbalances may be due to uterine glands, structures called polyps that may be in the uterus or mouth, abnormal pregnancies, intrauterine device, liver kidney or thyroid diseases. .
Frequent menstruation: Menstrual cycle to fall below 21 days
Sparse menstruation: Menstrual cycle exceeding 35 days
Intermediate bleeding: Abnormal bleeding between two menstrual cycles.
Amenorrhea
A young girl who is 14 years old and has not developed secondary sex characteristics such as breast development or pubic hair growth is called primary amenorrhea. If breast development and pubic hair growth have started, the age limit to be called primary amenorrhea is 16 years.
Secondary amenorrhea is a period of 6 months for a woman who has previously menstruated.
The hypothalamus, pituitary, ovary and uterus function completely normal in a regular menstrual woman. The hypothalamus and pituitary in the brain stimulate the ovaries (FSH and LH) and ovaries. The stimulated ovaries secrete the hormone estrogen and progesterone. The hormone estrogen and progesterone also stimulate the inner layer of the uterus (uterus), ie the endometrium, and help to develop menstrual bleeding. The consecutive mechanism between these organs is normal and is required for regular menstrual bleeding every month. When this mechanism is disrupted at any stage, menstruation or menstrual irregularity occurs. In order to have menstrual bleeding, there should be no blockage in the flow path of the blood (cervix, vagina, hymen) for any reason other than these mechanisms.
Premenstrual Syndrome (Premenstrual Tension)
Many women feel nervousness, tension, depression, fatigue and fatigue during the menstrual cycle; various digestive system problems (abdominal bloating, nausea-vomiting, constipation); diffuse bloating and weight gain; skin problems such as acne formation. Regular exercise to prevent this condition; A diet rich in pulp foods, poor in salt, sugar and caffeine, and regular sleep is recommended, but medical treatment is recommended for patients with severe complaints.
Uterine and Ovary Urine
Uterine fibroids are the most common tumors of the uterus and more than 99% are benign. Abnormal bleeding can cause pain, frequent urination due to bladder pressure, and painful sexual intercourse. Medical or surgical treatment options are evaluated according to the size and complaints of the patient and the patient's age and child request. Ovarian glands are evaluated together with examination, ultrasound findings and tumor markers and follow-up or surgical treatment is recommended.
Cervical Problems
Screening of cervix with smear test is done to all women. Further tests (colposcopy and biopsy if necessary) are performed in our clinic according to the test result.
Sexual Organ Warts
Painless and hard warts on the genitals or around the anus are caused by a virus called HPV and is a disease that shows sexual transmission. Warts can be treated with creams. Or cryotherapy / coagulation.
Urinary Tract Complaints
Complaints such as frequent urination, incontinence and incontinence, burning during urination and incontinence are evaluated and referred to our urogynecology unit if necessary.
Symptoms of Cystitis and Prevention
Cystitis, which is more common in women, occurs with frequent and small urge to urinate and symptoms of pain and burning while urinating. The best way to avoid cystitis, where untreated cystitis can cause kidney inflammation, is to drink enough water.
20 percent of women
40 of them get cystitis known as bladder inflammation among people at least once in their entire life.
Symptoms of cystitis
Strong and continuous urine demand
Burning while urinating
Frequent and small amount of urination
Bleeding in urine
Fuzzy and odorous urine
Pelvic discomfort, feeling of pressure
Light fire
Causes of cystitis
Bacterial infections are the most common cause of cystitis. The most common type of infection is intestinal bacteria. Within the reasons;
Making a toilet lesion from back to front can prevent bacteria in the anus from spreading to the urethra.
To be sexually active and to use birth control methods such as ‘diaphragm..
Menopause and pregnancy with hormonal changes.
Urinary bladder sagging, which causes the bladder to empty enough, people with diabetes such as diabetes.
Diseases that lower body resistance, such as cancer and HIV.
Women with chronic infection of the female genital organs.
Women with deodorant and other potentially irritant material may have symptoms of cystitis. Precautions to avoid cystitis
The best way to avoid cystitis is to drink enough water (at least 8 glasses per day). Going to the toilet and emptying the bladder completely is an effective way to prevent cystitis.
Wearing cotton work clothes and not wearing tight pants can help prevent cystitis.
It is important to make toilet hygiene from front to back. Top of Form 1
Vaginismus in Women and the Problem of Inability to Intercourse
Vaginismus is a condition that occurs in approximately 1% of all women and involuntary contractions occur when attempting to insert a penis, finger, vaginal tampon or examination speculum in the muscles located in the outer 1/3 of the vagina. These contractions can occur even if only the imagination of the enterprise is a real initiative.
In some cases vaginismus is so severe that a real sexual intercourse is not even possible. Even contractions occur during the examination, in which case normal vaginal delivery may not be possible. In most women with vaginismus, sexual desire and arousal are completely normal and may also have orgasms. Some women have vaginismus from the beginning, while others develop after a healthy sex life. This condition, called secondary vaginismus, usually develops due to dyspareunia (pain during intercourse).
Women with vaginismus may rarely have a serious psychological trauma such as sexual harassment, a painful gynecological examination, and a very painful first relationship. Strict religious beliefs and sexual orientation disorders may also be involved.
Some women with vaginismus have misconceptions about the genital area and the size of their vagina. That's why they might believe their vaginas are too small to get into anything.
Cases such as endometriosis, chronic infections, hymen tightness can also cause vaginismus and these can only be detected in a complete gynecological examination. If the vaginal examination is accompanied by the spouse, the couple may be able to break down prejudices about the genital anatomy and the dimensions of the vagina.
The treatment tries to prevent involuntary contractions. Training is provided for the woman to gain basic knowledge about genital anatomy. Techniques for relaxation before vaginal access are shown.
Annual follow-up of women with no complaints and pre-pregnancy examinations of women planning pregnancy
Gynecological examination and pap smear test are applied to women admitted to our outpatient clinic. Pap smear plays an important role in the diagnosis of cervical diseases. Especially in the early detection of cervical cancer is very important place.
Intervention room services which is a sub-unit of our polyclinic
Endometrial biopsy (removal of uterus)
Cervical sampling and cervical polyp removal
Cryotherapy
Electrocautery (Incineration)
Dermoid Cyst
At the beginning of embryonic life there are roughly 3 cell layers. These layers differentiate into different cell and tissue groups, eventually forming organs. These layers are called germ cell layers. Germ cells are found in the ovaries in women and in the testes in men and are responsible for the production of eggs and sperm cells. Tumors developing from these cells are capable of harboring many different tissues. The generally dominant germ layer is the so-called ectoderm. From this layer, various tissues, especially leather and skin appendages, develop. Therefore, benign germ cell tumors seen in the ovary are called adlandırıl dermoid cysts..
The dermoid cyst can carry fragments from all germ cells, but is usually the predominant ectoderm layer. For this reason, the parts of the skin and leather attachments are seen more. Since the sebaceous glands in the skin are also present in the dermoid cyst, the cyst fluid is a thick, yellow-brown colored, oily, dense fluid. In the cyst, hair, hair, teeth, bone, cartilage and nerves are found. Their dimensions are very variable. It can range from a few centimeters to half a meter.
Clinical and Diagnosis
The dermoid cyst is usually asymptomatic and is detected incidentally during another examination, ultrasound examination, radiological examination or surgery. Approximately 65% of the cases have no complaints. The most common complaint in the presence of symptoms is abdominal pain. In addition, abdominal distention and abnormal uterine bleeding may occur. Less common complaints are urine or defecation problems and back pain.
Treatment
The treatment of dermoid cyst is surgical. It should be removed as soon as it is noticed. Operation can be performed as laparoscopic or open surgery. However, laparoscopic approach should be preferred in appropriate cases. Since it is generally seen in reproductive age women, care should be taken to protect the ovarian tissue and only the cyst should be removed and the ovary should not be removed. If the cyst ruptures during the operation, the abdominal cavity should be cleaned carefully and great care should be taken not to leave any material belonging to the cyst content in the abdomen. Otherwise, chemical peritonitis may occur. In this respect, dermoid cyst operations require special experience and attention.
Ovarian Cyst Explosion (Tear) - Ovarian Cyst Rupture
As the ovarian cysts grow, the fluid in them increases, and the tension of the cyst gradually increases, eventually resulting in tearing or bursting of the cyst wall, which is called ovarian cyst rupture.
Explosion of the ovarian cyst does not always lead to very important problems. Sometimes a small cyst tears and the patient may not notice it and can continue normal life. Sometimes bleeding may occur from the ruptured cyst site. This bleeding sometimes stops spontaneously after a while and does not cause a problem, but sometimes this bleeding does not stop and there may be excessive bleeding into the abdomen and the patient may progress to life-threatening degrees such as pain, fainting, blackout, shock, and urgent surgery may be required. Therefore, a patient who knows that there is an ovarian cyst should immediately consult a doctor as soon as his complaints such as pain, darkening, feeling unconscious, dizziness begin; The cyst may be ruptured or sprained (torsion).
Ovarian cysts sometimes rupture spontaneously, sometimes rupture during sexual intercourse or other daily activities, and the patient feels severe groin or abdominal pain. Apart from pain, the patient may have nausea and vomiting. If the cyst bleeding into the abdomen too much, complaints such as fatigue, dizziness, blackout, fainting may also be added. Sometimes there is no bleeding into the abdomen despite the rupture of the cyst.
Diagnosis of ovarian cyst rupture is usually made easily by examination and ultrasonography. Cysts that have exploded by ultrasound and fluid or blood flowing around it can be seen. In cases of excessive bleeding, the patient's blood pressure and blood values are measured as low. It is important to make differential diagnosis with other diseases that may cause abdominal pain.
NABOTH CYSTS (Naboti cyst, Naboth follicle, Nabothian cyst)
Naboth cysts are small cysts formed by secretions that accumulate as a result of obstruction of secretory ducts invisibly small in cervical tissue. Dimensions range from 2 mm to 10 mm. These cysts are full of mucus secretion. There may be one or more naboth cysts in the cervix. Although they are mostly visible during the examination, they cannot be seen in the gland examination but are detected only by chance during ultrasound. They are usually seen in women of reproductive age and birth. Cervical inflammation, ie cervicitis with nabothi cysts can be seen.
They do not cause any complaints and are seen incidentally during examination or ultrasound.
Naboth cysts are one of the normal formations in women. So it is not a pathological condition or disease. So no treatment is given. Most patients are naturally worried about the word “cyst bur here and think that Naboth cyst is an important and treatment-like condition like ovarian cyst. Naboth cysts do not require treatment or follow-up, do not progress to larger sizes, and do not develop into any other disease or cancer. However, with or without a naboth cyst, every woman should undergo a gynecological examination and smear test checks annually.
Bartholin's Cyst (Absesi)
Bartholin glands are located at the entrance of the vagina and secrete mucus. When the duct of one of the glands is blocked, a swelling called cyst occurs. If the cyst is infected, pus-containing abscess is formed. It is usually unilateral. It is an inflammation of the boreholes of the Bartholin gout.
Causes
In most cases, the causative organism is gonococcal (gonorrhea). Other microorganisms may cause this condition. If the infection starts, the ducts become clogged, the secretion cannot flow out and accumulate in the ducts. Gudde tissue may not always participate in abscesses.
Complaints
The main and most obvious symptom in the acute phase is that the gland is swollen and painful. A purulent stream may flow out of the channel with a soft pressure or flow by itself. Abscess manifesting with self-fluctuation is a common finding and concomitant edema may cause swelling of the entire vulva.
Treatment
If the abscess formation is definite, drainage is necessary under operating room conditions and under general anesthesia (which is a very painful procedure). In repeated cases, marsupialization of the sac should be performed. Incision edges of the abscess sac is the process of suturing the edges of the gland functions and protects the formation of relapses. This means to make a cell in the case of the secretion of the fluid flowing out of the gland is provided.
Sometimes a gauze pad is placed in the cyst cavity during surgery. This pad allows the cyst to flow and prevents it from closing again. The next day, the buffer is withdrawn. Another method opens the cyst is emptied, flushed with oxygenated water, a small silver nitrate pen is inserted and the cysts are sutured with chrome catgut and the sutures are left 1 cm long. If a suture material is left out long after 2-3 days, the whole capsule is easily removed.
45AXX
Always Maxi Feminine Pads with Wings for Women, Size 5, Extra Heavy Overnight, Unscented, 36 Count - Pack of 3 (108 Count Total)
