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First
of all, menstruation is not exactly 'bleeding'. The bloody discharge
is Endometrium [uterine lining] that had built up during the previous
cycle, along with about 2.5 ounces of blood and other fluids.
Endometrium provides an excellent environment for the implantation
of a fertilized Ovum [egg]. If implantation never happen, level
of a hormone known as Progesterone will drop and this will cause
the Endometrium to be unsustainable, it is then shed away in the
process of menstruation. Therefore, no conception is possible
during menstruation as all the unfertilized elements are being
disposed during this stage.

Low level of Progesterone, which is causing
the menstruation process is also responsible for the secretion
of another important hormone by the Pituitary Gland known as Follicle-Stimulating
Hormone (FSH), and this part of the cycle is also known as Follicular
Phase. FSH stimulates the Ovary to develop Follicles to begin
development of another Ovum during the new cycle and it is during
the development of the new Ovum, another hormone known as Estrogen
is secreted and as the level of this hormone increases, your body
will build up Endometrium again in anticipation of implantation
by a fertilized Ovum during the new cycle.
The
reason why you remain Infertile after menstruation is because
Ovulation will only occur, normally after a few days following
the secretion of Cervical Mucus [CM] which is absent throughout
Phase 1 but it is absolutely essential for the Sperm to live for
4 - 5 days in order to fertilize the Ovum. Sperm can only survive
for a few hours otherwise.
By the end of menstruation, Gonadotropin
Releasing Hormone [GnRH] triggers the release of Luteinizing Hormone
[LH] by the Pituitary Gland. The LH works with Follicle-Stimulating
Hormone [FSH] that has been released since the start of the cycle
to cause the Ovarian Follicles to grow even more rapidly. Generally,
one Follicle will outpace the rest in development. The Dominant
Follicle will eventually be released in the process of Ovulation.
With the continued growth of the
Dominant Follicle, its outer cells secrete even more Estrogen.
The increase in Estrogen is responsible for the rebuilding of
Endometrium lining, which had been shed during the previous Menstruation.
The increased Estrogen will cause the glands around Cervix to
secrete Cervical Mucus [CM] and normally, the CM will appear in
relatively small amount at first. It is thick and tacky, cloudy
and most of the time, yellowish in color. Most obvious of all
is perhaps its elastic characteristics; it is hardly stretchable
and will break up easily. As level of Estrogen increases further,
it will become clearer and eventually resembling raw egg white.
By then, the CM will
be relatively abundant in volume, its texture will become very
watery and slippery and it will be highly stretchable in nature.
CM serves several purposes in human reproduction:
-
as a natural
Lubricant to facilitate sexual intercourse,
-
provides Nutrients
for Sperm to live for up to 4-5 days and,
-
provides Sperm
with a Conductive Environment to travel to the Fallopian Tubes
4)
CM is the principal
element enabling conception to take place. Without its presence,
Sperm would die within a few hours.
High level of Estrogen which used to suppress
the production of Follicle-Stimulating Hormone (FSH) and Luteinizing
Hormone (LH) initially, will eventually trigger a surge in LH
production by the Pituitary Gland as well as reduce the release
of FSH. This surge will produce about 6 to 10 times more than
the normal amount of LH and it will typically occur within 12-36
hours before Ovulation. High level of LH is easily detectable
by Ovulation Predictor Kit [OPK] and Electronic Fertility Monitoring
Device [EFMD] to predict peak fertility. The combination of decreased
FSH coupled with high level of LH will cause the Dominant Follicle
to stop producing Estrogen. At the same time, the drop in Estrogen
and the surge in LH will cause Cervical Mucus [CM] to dry up quickly.
The whole process will normally take place within hours after
Ovulation. Under the influence of LH and FSH, Ovarian Follicle
will begin to swell and eventually rupture in the process of Ovulation,
ejecting Ovum into the abdominal cavity where it is picked up
by Cilia and swept into the Fallopian Tubes. Some women may feel
this swelling and rupture as a sharp pain or more precisely, a
twinge in their lower abdomen and usually on the right side. This
phenomenon is also known as ‘Mittelschmerz’. Some woman may also
experience a small amount of bleeding at this juncture. About
a quarter of all woman are estimated to experience this convenient
and accurate indicator of Ovulation, however, some may experience
a much less precise nature with no sudden onset in the form of
a ‘twinge’. While some may experience a dull ache, which may persist
for a day or longer, this may or may not indicate an Ovulation
and as such, observation on other ovulatory symptoms are highly
recommended.
Not only Ovulation is spurred on by
high level of LH, Follicle Cells are also being transformed into
Leuteinizng Cells known as Corpus Luteum. The cells will attach
themselves to the interior of the ovarian wall and under the influence
of LH, the cells will secrete large amount of Progesterone, which
will cause a perceptible Thermal Shift, a phenomenon monitored
by the system and when detected, the Thermal Shift will serve
as a positive indication that an Ovulation has occurred.
For approximately two weeks
after Ovulation, Progesterone is released by Corpus Luteum [used
to be Ovarian Follicle prior to the transformation] while it is
attached to the ovarian wall. Progesterone causes Endometrium
to remain conducive to the implantation of a fertilized Ovum,
it will also cause your body temperature to rise perceptibly,
typically at 0.4°F or 0.2°C and within 24 hours after Ovulation
and it will reach a level that is high enough to prevent the Ovaries
from releasing another Ovum. It will also cause Estrogen level
to drop and this will result in the drying up of Cervical Mucus
[CM]. This particular period of the Fertility Cycle is known as
Luteal Phase, its length is usually quite consistent as it is
not affected by external factors such as stress.
Fertilization
takes place when a single Sperm unites with Ovum in the Fallopian
Tube, a new single cell known as Zygote is the union of these
two Gametes. First order of the business for the Zygote after
the implantation is to secrete hCG (Human Chorionic Gonadotropin).
This particular hormone will cause the Corpus Luteum to continue
to secrete Progesterone, which is essential to maintain the Endometrium
built up and to prevent menstruation as well as miscarriage. Within
7-10 days after the fertilization, Zygote will implant itself
into the Endometrium.
In the event fertilization is
not successful, progesterone levels will drop and menstruation
will start all over again ...
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