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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 about 109 hours after the start of follicle growth. Estrogen peaks at about 11 am on the day of proestrus. Between then and midnight there is a surge in progesterone, luteinizing hormone and follicle-stimulating hormone, and ovulation occurs at about 4 am on the next estrus day. The following day, metestrus, is called early ...
There is also considerable variability in this interval, with a 95% prediction interval of the ovulation of 9 to 20 days after menstruation even for an average woman who has a mean LMP-to-ovulation time of 14.6. [32] In a reference group representing all women, the 95% prediction interval of the LMP-to-ovulation is 8.2 to 20.5 days. [31]
Cycles in which ovulation does not occur (anovulation) are common in girls who have just begun menstruating and in women around menopause. During the first two years following menarche, ovulation is absent in around half of cycles. Five years after menarche, ovulation occurs in around 75% of cycles and this reaches 80% in the following years. [62]
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]
The postpartum period also referred to as the puerperium, is the postnatal period that begins immediately after delivery and extends for about six weeks. [60] During this period, the mother's body begins the return to pre-pregnancy conditions that includes changes in hormone levels and uterus size.