The first day of the menstrual bleeding is the beginning of a menstrual cycle. A menstrual cycle lasts approximately 28 days, this cycle may change when menstrual problems occur. At the beginning of this period, the development of eggs is triggered by the hormones released from the pituitary gland in the brain.
When it comes to the middle of the menstrual period (i.e., 14 days after the menstrual bleeding starts), FSH (follicle-stimulating hormone) and estrogen hormone reach the highest levels, Meanwhile, there is also a sudden increase in the secretion of LH hormone from the pituitary gland. This sudden increase in LH hormone (peaking of LH hormone) is the main mechanism that ensures ovulation. After the ovulation process takes place, estrogen, FSH, LH hormones decrease, progesterone hormone begins to increase, and some changes begin to appear in the body.
After ovulation, the follicle containing the egg turns into a cyst called the corpus luteum, and progesterone is released from here. If pregnancy does not occur, progesterone will decrease, and new menstrual bleeding will begin. If pregnancy occurs, progesterone will ensure the continuation of the pregnancy in the uterus and will continue to be secreted without decreasing. As a result, the ovulation process is a complex process involving the brain-hormones-ovary triad.
HOW DO WE KNOW THAT THE OVULATION HAS OCCURED?
We can understand whether ovulation occurs with a progesterone test 1 week before the expected period or LH (luteinizing hormone) analysis in the urine.
In women with ovulation disorders (menstrual problems), menstrual periods are prolonged due to menstrual irregularity. The most common cause of menstrual irregularity is polycystic ovary syndrome.
OVULATION PROBLEMS IN WOMEN
- Ovarian-related causes
- Causes related to the central nervous system (pituitary, hypothalamus)
- Hormonal dysfunction
It should be noted that the leading cause of ovulation problems in women is Polycystic Ovary Syndrome (PCOS).
WHAT CAN BE DONE FOR OVULATION PROBLEMS?
We can follow the egg development and overcome ovulation problems with the treatment we call cracking needles at the appropriate time and size. Spontaneous ovulation can be achieved with lifestyle changes and weight loss, especially in polycystic ovary syndrome.