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Systems of fertility awareness rely on observation of changes in one or more of the primary fertility signs (basal body temperature, cervical mucus, and cervical position), tracking menstrual cycle length and identifying the fertile window based on this information, or both.
It is not known if historical cultures were aware of what part of the menstrual cycle is most fertile. In the year 388, Augustine of Hippo wrote of periodic abstinence. . Addressing followers of Manichaeism, his former religion, he said, "Is it not you who used to counsel us to observe as much as possible the time when a woman, after her purification, is most likely to conceive, and to abstain ...
The speed of ovulation is periodic and impacts the length of a menstrual cycle. After ovulation, the egg cell travels through the fallopian tube toward the uterus. If fertilization is going to occur, it often happens in the fallopian tube; the fertilized egg can then implant on the uterus's lining.
The topic was not systematically studied, however, for almost another century. In 1948, Erik Odeblad was studying mycoplasms in the female genital tract. During the course of his studies, he noticed that cervical mucus changed in a predictable pattern through the course of a woman's cycle. He continued his study of the cervix. [7]
Ovulation is an important part of the menstrual cycle in female vertebrates where the egg cells are released from the ovaries as part of the ovarian cycle. In female humans ovulation typically occurs near the midpoint in the menstrual cycle and after the follicular phase. Ovulation is stimulated by an increase in luteinizing hormone (LH).
Ovulation occurs ~35 hours after the beginning of the LH surge or ~10 hours following the LH surge. Several days after ovulation, the increasing amount of estrogen produced by the corpus luteum may cause one or two days of fertile cervical mucus, lower basal body temperatures, or both. This is known as a "secondary estrogen surge".
Chance of fertilization by menstrual cycle day relative to ovulation [14] Pregnancy rates for sexual intercourse are highest during the menstrual cycle time from some 5 days before until 1 to 2 days after ovulation. [15] For optimal pregnancy chance, there are recommendations of sexual intercourse every 1 or 2 days, [16] or every 2 or 3 days. [17]
A retroverted uterus (tilted uterus, tipped uterus) is a uterus that is oriented posteriorly, towards the rectum in the back of the body. This is in contrast to the typical uterus, which is oriented forward (slightly "anteverted") toward the bladder, with the anterior part slightly concave.