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Finally, calendar-based methods assume that all bleeding is true menstruation. However, mid-cycle or anovulatory bleeding can be caused by a number of factors. [35] Incorrectly identifying bleeding as menstruation will cause the method's calculations to be incorrect. [19]
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".
Diagram illustrating how the uterus lining builds up and breaks down during the menstrual cycle Menstruation (also known as a period, among other colloquial terms) is the regular discharge of blood and mucosal tissue from the inner lining of the uterus through the vagina. The menstrual cycle is characterized by the rise and fall of hormones. Menstruation is triggered by falling progesterone ...
Pregnancy tests are not accurate until 1–2 weeks after ovulation. Knowing an estimated date of ovulation can prevent a woman from getting false negative results due to testing too early. Also, 18 consecutive days of elevated temperatures means a woman is almost certainly pregnant. [61]
A CycleBeads birth control chain, used for a rough estimate of fertility based on days since menstruation. CycleBeads is a visual tool that was developed by the Institute for Reproductive Health at Georgetown University. This device helps women use the Standard Days Method, a fertility awareness-based family planning method.