Posts for tag: OBGYN
Cycle monitoring is a method used by OBGYNs and fertility specialists to map out a woman's monthly menstrual cycle, in order to determine when ovulation is most likely to occur. Every woman has what is known as a fertile window; the days leading up to and including ovulation. This is the phase of the menstrual cycle when a woman is most likely to get pregnant. Because every woman's cycle is different, with many women experiencing irregular periods which can make it harder to predict ovulation, cycle monitoring is useful for couples trying to conceive, either naturally or with the aid of IVI (Intravaginal insemination) or IVF (Invitro fertilization).
Ovulation and the Menstrual Cycle
A typical menstrual cycle is approximately 28 days, but varies from woman to woman. Ovulation is the monthly process where an egg is released for fertilization by the sperm, and it is the only point in the menstrual cycle when conception is possible. Healthy sperm generally remain viable for up to five days, which is factored into the fertile window when calculating a fertility chart and menstrual cycle for a woman actively trying to conceive.
Many women are unaware of their ovulation schedule, and many myths abound about the length and duration of the fertile window. Because menstrual cycles can vary greatly from one woman to the next, a consultation with an OBGYN can help women determine their ovulation schedule once they have decided they are ready to become pregnant.
Determining Ovulation and the Fertility Cycle
The first step in cycle monitoring is measuring the basal body temperature. Although the variations in temperature can be slight, and OBGYNs have found the effectiveness of basal body temperature measurements in predicting ovulation to be inconclusive, it is still considered a basic step in charting fertility. During ovulation, the body releases elevated levels of the hormone progesterone, which can cause slight fluctuations in temperature. During ovulation, the cervix produces elevated levels of mucus designed to help the sperm make its way to the egg for fertilization. Monitoring mucus levels can help to predict ovulation. The mucus becomes more elastic, clear (resembling the texture and consistency of egg whites) during the fertile window.
The range varies from woman to woman, but days 1-5 are the beginning of the cycle, when menstruation occurs. Days 6-9 are dry with no visible mucus. From days 10-12 the mucus is sticky and thicker than during the fertile window. At the end of the fertile window the mucus becomes thick and sticky again, followed by dryness until the cycle begins again the following month. Measuring the cycle for a few months can help to determine both the duration and ovulation dates for each woman.
What is an IUD?
An IUD (intra uterine device) is a temporary form of birth control for women. It is a small, plastic device that is implanted into the uterus by an OBGYN to prevent pregnancy.
How Does an IUD Work?
There are two different forms of the device - hormonal and copper. The device prevents pregnancy in several ways. The copper version prevents fertilization by targeting and killing the sperm. The hormonal version releases daily low levels of levonorgestrel, thickens the mucus produced by the cervix during ovulation and thins out the uterine lining, all of which prevent the sperm from fertilizing an egg.
Do IUDs Provide STD/STI Protection?
No. IUDs only offer protection from pregnancy, and will not protect against sexually transmitted diseases and infections. Discuss sexual activity and risk factors with your OBGYN to determine the best methods for protection and safe sex with an IUD.
Who is a Good Candidate for an Intra Uterine Device?
IUDs are safe and effective for both younger women in their teens and older women, and can be used whether or not a woman has already given birth.
Will an IUD Affect the Ability to Get Pregnant in the Future?
No. The device does not affect fertility, and the woman's ability to conceive will be the same as before the device was implanted once it is removed, according to the woman's age and individual fertility levels. Once a woman is ready to become pregnant, an OBGYN can help to establish a fertility chart to determine ovulation and the best time to conceive.
Is the Device Painful?
Some women, particularly those who have never had children, may experience some initial discomfort when it is first implanted. Over the counter pain killers like Advil or Motrin prior to insertion of the device can help to minimize any pain or discomfort during and immediately following implantation.