Сбивается цикл менструальный цикл: причины, что делать когда сбивается цикл

Почему в самоизоляции сбивается менструальный цикл?

Начнем с главного. Нахождение на карантине в течение двух месяцев не может спровоцировать изменения в менструальном цикле. Полгода, год в абсолютной изоляции без дневного света и свежего воздуха — да. Самоизоляция в том виде, в котором мы все ее сейчас проходим, — нет.

Кто виноват?

Стресс.

Нестабильное психологическое состояние, тревога и паника, вызванные ситуацией в мире и необходимостью изоляции, действительно могут привести к нарушениям цикла.

Еще один вероятный виновник сбоев — ваш режим. Если в самоизоляции вы стали работать ночью, а спать днем, это приведет к сбою циркадных часов, изменению гормонального фона и, как следствие, дисфункции яичников.

Наконец, менопауза. Если на период самоизоляции пришлось начало климактерического состояния, нарушения цикла тоже объяснимы.

Что делать?

При задержке, как и в «мирное время», перво-наперво делаем тест. Если это не беременность и менструация приходит в течение пяти-семи дней, а у вас ничего не болит и температура не поднимается, ничего дополнительно делать не надо. Нужно посмотреть, что будет в следующем цикле, — переживать об однократном нарушении точно не стоит.

Если в следующем цикле опять происходит сбой, необходимо связаться с гинекологом. Рекомендую для начала в режиме онлайн-консультации. Врач оценит ваше состояние и посоветует, какие анализы сдать, чтобы подготовиться к очному приему.

Сигнал для срочного визита к врачу — острая боль.

Также записаться на прием необходимо, если после задержки выделения все-таки наступили, но чересчур обильные, болезненные и длительные. Или если вы просто нехарактерно плохо себя чувствуете.

Источник: flacon-magazine.com

Мнение эксперта

Морозова Анна Владиславовна Медицинский директор. Акушер-гинеколог, репродуктолог, эндокринолог

90000 Stages of Menstrual Cycle: Menstruation, Ovulation, Hormones, Mor 90001 90002 Each month during the years between puberty and menopause, a woman’s body goes through a number of changes to get it ready for a possible pregnancy. This series of hormone-driven events is called the menstrual cycle. 90003 90002 During each menstrual cycle, an egg develops and is released from the ovaries. The lining of the uterus builds up. If a pregnancy does not happen, the uterine lining sheds during a menstrual period.Then the cycle starts again. 90003 90002 A woman’s menstrual cycle is divided into four phases: 90003 90008 90009 menstrual phase 90010 90009 follicular phase 90010 90009 ovulation phase 90010 90009 luteal phase 90010 90017 90002 The length of each phase can differ from woman to woman, and it can change over time . 90003 90002 The menstrual phase is the first stage of the menstrual cycle. It’s also when you get your period. 90003 90002 This phase starts when an egg from the previous cycle is not fertilized.Because pregnancy has not taken place, levels of the hormones estrogen and progesterone drop. 90003 90002 The thickened lining of your uterus, which would support a pregnancy, is no longer needed, so it sheds through your vagina. During your period, you release a combination of blood, mucus, and tissue from your uterus. 90003 90002 You may have period symptoms like these: 90003 90008 90009 cramps (try these home remedies) 90010 90009 tender breasts 90010 90009 bloating 90010 90009 mood swings 90010 90009 irritability 90010 90009 headaches 90010 90009 tiredness 90010 90009 low back pain 90010 90017 90002 On average , women are in the menstrual phase of their cycle for 3 to 7 days.Some women have longer periods than others. 90003 90002 The follicular phase starts on the first day of your period (so there is some overlap with the menstrual phase) and ends when you ovulate. 90003 90002 It starts when the hypothalamus sends a signal to your pituitary gland to release follicle-stimulating hormone (FSH). This hormone stimulates your ovaries to produce around 5 to 20 small sacs called follicles. Each follicle contains an immature egg. 90003 90002 Only the healthiest egg will eventually mature.(On rare occasions, a woman may have two eggs mature.) The rest of the follicles will be reabsorbed into your body. 90003 90002 The maturing follicle sets off a surge in estrogen that thickens the lining of your uterus. This creates a nutrient-rich environment for an embryo to grow. 90003 90002 The average follicular phase lasts for about 16 days. It can range from 11 to 27 days, depending on your cycle. 90003 90002 Rising estrogen levels during the follicular phase trigger your pituitary gland to release luteinizing hormone (LH).This is what starts the process of ovulation. 90003 90002 Ovulation is when your ovary releases a mature egg. The egg travels down the fallopian tube toward the uterus to be fertilized by sperm. 90003 90002 The ovulation phase is the only time during your menstrual cycle when you can get pregnant. You can tell that you’re ovulating by symptoms like these: 90003 90002 Ovulation happens at around day 14 if you have a 28-day cycle — right in the middle of your menstrual cycle. It lasts about 24 hours.After a day, the egg will die or dissolve if it is not fertilized. 90003 90066 90067 Did you know? 90068 Because sperm can live up to five days, pregnancy can occur if a woman has sex as much as five days prior to ovulation. 90069 90002 After the follicle releases its egg, it changes into the corpus luteum. This structure releases hormones, mainly progesterone and some estrogen. The rise in hormones keeps your uterine lining thick and ready for a fertilized egg to implant. 90003 90002 If you do get pregnant, your body will produce human chorionic gonadotropin (hCG).This is the hormone pregnancy tests detect. It helps maintain the corpus luteum and keeps the uterine lining thick. 90003 90002 If you do not get pregnant, the corpus luteum will shrink away and be resorbed. This leads to decreased levels of estrogen and progesterone, which causes the onset of your period. The uterine lining will shed during your period. 90003 90002 During this phase, if you do not get pregnant, you may experience symptoms of premenstrual syndrome (PMS). These include: 90003 90008 90009 bloating 90010 90009 breast swelling, pain, or tenderness 90010 90009 mood changes 90010 90009 headache 90010 90009 weight gain 90010 90009 changes in sexual desire 90010 90009 food cravings 90010 90009 trouble sleeping 90010 90017 90002 The luteal phase lasts for 11 to 17 days.The average length is 14 days. 90003 90002 Every woman’s menstrual cycle is different. Some women get their period at the same time each month. Others are more irregular. Some women bleed more heavily or for a longer number of days than others. 90003 90002 Your menstrual cycle can also change during certain times of your life. For example, it can get more irregular as you get close to menopause. 90003 90002 One way to find out if you’re having any issues with your menstrual cycle is to track your periods.Write down when they start and end. Also record any changes to the amount or number of days you bleed, and whether you have spotting between periods. 90003 90002 Any of these things can alter your menstrual cycle: 90003 90008 90009 90067 Birth control 90068 90067. 90068 The birth control pill may make your periods shorter and lighter. While on some pills, you will not get a period at all. 90010 90009 90067 Pregnancy 90068 90067. 90068 Your periods should stop during pregnancy. Missed periods are one of the most obvious first signs that you’re pregnant.90010 90009 90067 Polycystic ovary syndrome (PCOS) 90068 90067. 90068 This hormonal imbalance prevents an egg from developing normally in the ovaries. PCOS causes irregular menstrual cycles and missed periods. 90010 90009 90067 Uterine fibroids 90068 90067. 90068 These noncancerous growths in your uterus can make your periods longer and heavier than usual. 90010 90009 90067 Eating disorders 90068 90067. 90068 Anorexia, bulimia, and other eating disorders can disrupt your menstrual cycle and make your periods stop.90010 90017 90002 Here are a few signs of a problem with your menstrual cycle: 90003 90008 90009 You’ve skipped periods, or your periods have stopped entirely. 90010 90009 Your periods are irregular. 90010 90009 You bleed for more than seven days. 90010 90009 Your periods are less than 21 days or more than 35 days apart. 90010 90009 You bleed between periods (heavier than spotting). 90010 90017 90002 If you have these or other problems with your menstrual cycle or periods, talk to your healthcare provider.90003 90002 Every woman’s menstrual cycle is different. What’s normal for you might not be normal for someone else. 90003 90002 It’s important to get familiar with your cycle — including when you get your periods and how long they last. Be alert for any changes, and report them to your healthcare provider. 90003.90000 Menstrual cycle: What’s normal, what’s not 90001 90002 Menstrual cycle: What’s normal, what’s not 90003 90004 90005 Your menstrual cycle can say a lot about your health. Understand how to start tracking your menstrual cycle and what to do about irregularities. 90006 90007 By Mayo Clinic Staff 90005 Do you know when your last menstrual period began or how long it lasted? If not, it might be time to start paying attention. 90006 90005 Tracking your menstrual cycles can help you understand what’s normal for you, time ovulation and identify important changes — such as a missed period or unpredictable menstrual bleeding.While menstrual cycle irregularities usually are not serious, sometimes they can signal health problems. 90006 90012 What’s the menstrual cycle? 90013 90005 The menstrual cycle is the monthly series of changes a woman’s body goes through in preparation for the possibility of pregnancy. Each month, one of the ovaries releases an egg — a process called ovulation. At the same time, hormonal changes prepare the uterus for pregnancy. If ovulation takes place and the egg is not fertilized, the lining of the uterus sheds through the vagina.This is a menstrual period. 90006 90012 What’s normal? 90013 90005 The menstrual cycle, which is counted from the first day of one period to the first day of the next, is not the same for every woman. Menstrual flow might occur every 21 to 35 days and last two to seven days. For the first few years after menstruation begins, long cycles are common. However, menstrual cycles tend to shorten and become more regular as you age. 90006 90005 Your menstrual cycle might be regular — about the same length every month — or somewhat irregular, and your period might be light or heavy, painful or pain-free, long or short, and still be considered normal.Within a broad range, «normal» is what’s normal for you. 90006 90005 Keep in mind that use of certain types of contraception, such as extended-cycle birth control pills and intrauterine devices (IUDs), will alter your menstrual cycle. Talk to your health care provider about what to expect. 90006 90005 When you get close to menopause, your cycle might become irregular again. However, because the risk of uterine cancer increases as you age, discuss any irregular bleeding around menopause with your health care provider.90006 90012 How can I track my menstrual cycle? 90013 90005 To find out what’s normal for you, start keeping a record of your menstrual cycle on a calendar. Begin by tracking your start date every month for several months in a row to identify the regularity of your periods. 90006 90005 If you’re concerned about your periods, then also make note of the following every month: 90006 90032 90033 90034 End date. 90035 How long does your period typically last? Is it longer or shorter than usual? 90036 90033 90034 Flow.90035 Record the heaviness of your flow. Does it seem lighter or heavier than usual? How often do you need to change your sanitary protection? Have you passed any blood clots? 90036 90033 90034 Abnormal bleeding. 90035 Are you bleeding in between periods? 90036 90033 90034 Pain. 90035 Describe any pain associated with your period. Does the pain feel worse than usual? 90036 90033 90034 Other changes. 90035 Have you experienced any changes in mood or behavior? Did anything new happen around the time of change in your periods? 90036 90053 90012 What causes menstrual cycle irregularities? 90013 90005 Menstrual cycle irregularities can have many different causes, including: 90006 90032 90033 90034 Pregnancy or breast-feeding.90035 A missed period can be an early sign of pregnancy. Breast-feeding typically delays the return of menstruation after pregnancy. 90036 90033 90034 Eating disorders, extreme weight loss or excessive exercising. 90035 Eating disorders — such as anorexia nervosa — extreme weight loss and increased physical activity can disrupt menstruation. 90036 90033 90034 Polycystic ovary syndrome (PCOS). 90035 Women with this common endocrine system disorder may have irregular periods as well as enlarged ovaries that contain small collections of fluid — called follicles — located in each ovary as seen during an ultrasound exam.90036 90033 90034 Premature ovarian failure. 90035 Premature ovarian failure refers to the loss of normal ovarian function before age 40. Women who have premature ovarian failure — also known as primary ovarian insufficiency — might have irregular or occasional periods for years. 90036 90033 90034 Pelvic inflammatory disease (PID). 90035 This infection of the reproductive organs can cause irregular menstrual bleeding. 90036 90033 90034 Uterine fibroids. 90035 Uterine fibroids are noncancerous growths of the uterus.They can cause heavy menstrual periods and prolonged menstrual periods. 90036 90053 90012 What can I do to prevent menstrual irregularities? 90013 90005 For some women, use of birth control pills can help regulate menstrual cycles. Treatment for any underlying problems, such as an eating disorder, also might help. However, some menstrual irregularities can not be prevented. 90006 90005 In addition, consult your health care provider if: 90006 90032 90033 Your periods suddenly stop for more than 90 days — and you’re not pregnant 90036 90033 Your periods become erratic after having been regular 90036 90033 You bleed for more than seven days 90036 90033 You bleed more heavily than usual or soak through more than one pad or tampon every hour or two 90036 90033 Your periods are less than 21 days or more than 35 days apart 90036 90033 You bleed between periods 90036 90033 You develop severe pain during your period 90036 90033 You suddenly get a fever and feel sick after using tampons 90036 90053 90005 If you have questions or concerns about your menstrual cycle, talk to your health care provider.90006 June 13, 2019 Show references 90110 90033 Kaunitz A, et al. Approach to abnormal uterine bleeding in nonpregnant reproductive-age women. https://www.uptodate.com/contents/search. Accessed March 22, 2019. 90036 90033 Welt C, et al. Evaluation of the menstrual cycle and timing of ovulation. https://www.uptodate.com/contents/search. Accessed March 22, 2019. 90036 90033 Barrett KE, et al. Reproductive development & function of the female reproductive system.In: Ganong’s Review of Medical Physiology. 26th ed. New York, N.Y .: McGraw-Hill Education; 2019. https://accessmedicine.mhmedical.com. Accessed March 22, 2019. 90036 90033 Hammer GD, et al. Disorders of the female reproductive tract. In: Pathophysiology of Disease: An Introduction to Clinical Medicine. 8th ed. New York, N.Y .: McGraw-Hill Education; 2019. https://accessmedicine.mhmedical.com. Accessed March 22, 2019. 90036 90033 Melmed S, et al. Physiology and pathology of the female reproductive axis.In: Williams Textbook of Endocrinology. 13th ed. Philadelphia, Pa .: Elsevier; 2016. https://www.clinicalkey.com. Accessed March 22, 2019. 90036 90121 See more In-depth 90005 . 90006.90000 Stages of the Menstrual Cycle: Menstruation, Ovulation, and More 90001 90002 Created for Greatist by the experts at Healthline. Read more 90003 90002 We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process. 90003 90002 Did you know the menstrual cycle does not end when the bleeding stops? While you’re counting down the days until you can live free of a tampon or Diva cup, the ovaries and uterus are prepping for more behind-the-scenes acrobatics.90003 90008 90002 90010 There are four phases of the menstrual cycle: 90003 90012 90013 90014 menstrual phase 90015 90014 follicular phase 90015 90014 ovulation phase 90015 90014 luteal phase 90015 90022 90002 The length of each phase varies from person to person and can change over time. Let’s dive a bit deeper into what happens during each of these phases. 90003 90002 The menstrual cycle kicks off with everyone’s favorite part: the shedding of the uterine lining. When an egg from the last menstrual cycle has not been fertilized (meaning no baby on board), then the menstrual phase begins.90003 90002 During this period (literally!), Estrogen and progesterone levels drop in the body. 90003 90002 Without the formation of a fetus, your uterus does not need the thickened lining that develops throughout the month. So, like any smart, independent bodily organ, it kicks it to the curb by shedding it through the vagina. The result is your bloody period. 90003 90002 This process generally takes about 3 to 7 days, but varies from person to person. Using certain types of birth control can also impact period length and symptoms.90003 90002 Here’s what you might experience during this phase: 90003 90013 90014 cramps 90015 90014 sore or tender breasts 90015 90014 fatigue or tiredness 90015 90014 bloating 90015 90014 headaches 90015 90014 lower back pain 90015 90014 mood changes 90015 90022 90002 Everyone’s different symptoms can vary widely . If you experience extreme period discomfort, talk to your doc. 90003 90002 The follicular phase overlaps with the menstrual phase and begins on the first day of your period.90003 90002 This phase starts when the hypothalamus, a region of the brain responsible for hormone release, sends a signal to the pituitary gland to release follicle-stimulating hormone (FSH). 90003 90002 Next, the hormone «instructs» the ovaries to make small sacs (aka follicles). Inside each follicle lies a tiny, immature egg. 90003 90002 Only one egg of the pack will typically reach maturity. In rare cases, two eggs might mature. The leftover follicles are reabsorbed into the body. 90003 90002 The healthy follicle leads to an estrogen spike that thickens the lining of the uterus, creating a nutrient-rich environment for an embryo to grow.This phase typically lasts from 11 to 27 days, or an average of about 16 days. 90003 90002 Ovulation signals to your body that it’s baby-making time. This happens when hormonal changes tell the ovaries to release a mature egg. 90003 90002 Though it’s typically part of the menstrual cycle in peeps of reproductive age without fertility issues, it sometimes does not happen at all. Other times, it happens twice in a cycle (which makes tracking this 90066 ish 90067 tricky). 90003 90002 Whether you want to get pregnant or are avoiding it, here are some ways to tell if you’re ovulating: 90003 90013 90014 90073 Your basal temp has risen slightly.90074 Your basal temperature refers to your «normal» body temperature. Keeping tabs on it takes patience but can help pinpoint peak fertility. In order to boost accuracy, you’ll need to take your basal temp every morning at the same time before you get out of bed (with a basal temperature thermometer). This is part of the Fertility Awareness Method (FAM), which some use to plan or prevent pregnancy. Typically, you’re most fertile 2 to 3 days before your temp rises. 90015 90014 90073 You have thicker discharge.90074 If your discharge has taken on an egg-white texture with a white or yellow color, you’re probably pretty fertile. Low-fertility fluid is much less viscous and usually clear. 90015 90014 90073 You’re cramping. 90074 Unfortunately, cramps are not always limited to the menstrual phase. Ovulation cramping, also called mittelschmerz, can last anywhere from minutes to days. It happens about 2 weeks before your period, or mid-cycle. 90015 90014 90073 Your luteinizing hormone (LH) levels surge.90074 During ovulation, your body starts producing more of the fertility hormone LH. Just like pregnancy tests, you can take an ovulation test to measure yours — they come in pee sticks, strips, and digital varieties. When the hormone peaks, you’re within 24 to 36 hours of ovulation range. 90015 90022 90008 90002 90073 FYI: 90074 90003 90012 90002 Sperm can survive in the body for up to 5 days, so you’re not necessarily protected from pregnancy if you have sex outside of the ovulation phase.To avoid pregnancy, always use birth control. 90003 90002 Once the follicle releases an egg, it transforms into the corpus luteum (a cell mass that forms in an ovary and produces progesterone and estrogen). This hormone boost keeps the uterine lining thick and primed for a fertilized egg. 90003 90002 If you get pregnant, your body produces human chorionic gonadotropin (hCG), which pregnancy tests detect. If you do not get pregnant, the corpus luteum reabsorbs into the body and hormones level out again.90003 90002 This process is known as the luteal phase and it lasts about 11 to 17 days, with an average length of 14 days. Then, your period begins. 90003 90002 If you’re not pregnant, you might have some symptoms of premenstrual syndrome (PMS). 90003 90002 PMS symptoms include: 90003 90013 90014 bloating 90015 90014 headache 90015 90014 mood changes 90015 90014 sexual appetite changes 90015 90014 sleep trouble 90015 90014 food cravings 90015 90014 weight gain 90015 90022 90002 There are several factors that can impact a regular menstrual cycle, including : 90003 90013 90014 90073 Physical activity.90074 Regular heavy exercise might cause missed periods. 90015 90014 90073 The pill. 90074 While the pill typically makes periods more regular, it may take a few months. If you do not take it consistently, it can also cause spotting. 90015 90014 90073 Prescription drugs. 90074 Certain prescription drugs, like thyroid medication, antipsychotics, or steroids can impact your cycle. 90015 90014 90073 Stress. 90074 Surges in stress can sometimes lead to irregular or missed periods. 90015 90014 90073 Smoking.90074 Smoking can impact the levels of progesterone, estrogen, and testosterone in the body, which could mess with your cycle. 90015 90014 90073 Weight. 90074 Fluctuating weight might impact your menstrual cycle. Significant weight loss can lower estrogen levels, while weight gain can increase it. 90015 90022 90002 While no two menstrual cycles are alike, significant abnormalities or changes may require medical attention. 90003 90002 Here are a few signs a trip to the doctor is in order: 90003 90013 90014 90073 Irregular or absent periods.90074 Periods are considered irregular when they happen over 38 days apart or less than 24 days apart. Use a period app or a regular old calendar to ensure you’re on track. 90015 90014 90073 Very painful cramps. 90074 Though it’s no fun, a little bit of cramping is normal. If your cramps feel debilitating or extreme, though, talk to your doctor. Severe cramps might signal the presence of endometriosis. 90015 90014 90073 A persistent, heavy flow. 90074 Some people have light flows; others bleed a lot.In general, though, if you need to change a tampon within 2 hours, your menstrual cup every 2 to 4 hours, or have blood clots larger than a quarter, seek support. Heavy bleeding could signal PCOS. 90015 90014 90073 Extreme fatigue. 90074 If you feel a little sore and sluggish during your period, you’re definitely not alone. If your cycle causes debilitating fatigue though, it might be a sign of anemia or another issue. 90015 90022 90013 90014 There are four menstrual cycle phases: menstrual, follicular, ovulation, and luteal.90015 90014 Fertility tracking can serve as a useful way to help you get pregnant. 90015 90014 While conception happens during the ovulation phase, fertility tracking is not enough to prevent conception. 90015 90014 If your menstrual cycle is irregular, talk to your doctor — it could be the sign of an underlying issue. 90015 90014 If you feel extreme pain during your period, always consult a medical professional. 90015 90022.90000 Periods and fertility in the menstrual cycle 90001 90002 90003 The length of the menstrual cycle varies from woman to woman, but the average is to have periods every 28 days. Regular cycles that are longer or shorter than this, from 21 to 40 days, are normal. 90004 90005 90002 «The menstrual cycle is the time from the first day of a woman’s period to the day before her next period,» says Toni Belfield, a specialist in sexual health information, and a trained fertility awareness teacher.90005 90002 «Girls can start their periods anywhere from age 10 upwards, but the average is around 12 years,» says Belfield. «The average age for the menopause (when periods stop) in this country is 50 to 55.» 90005 90002 Between the ages of 12 and 52, a woman will have around 480 periods, or fewer if she has any pregnancies. 90005 90002 Read more about starting periods. 90005 90014 What happens during the menstrual cycle? 90015 90002 To understand the menstrual cycle, it helps to know about the reproductive organs inside a woman’s body.These are: 90005 90018 90019 2 ovaries — where eggs are stored, developed and released 90020 90019 the womb (uterus) — where a fertilised egg implants and a baby develops 90020 90019 the fallopian tubes — two thin tubes that connect the ovaries to the womb 90020 90019 the cervix — the entrance to the womb from the vagina 90020 90019 the vagina 90020 90029 90002 The menstrual cycle is controlled by hormones. In each cycle, rising levels of the hormone oestrogen cause the ovary to develop and release an egg (ovulation).The womb lining also starts to thicken. 90005 90002 In the second half of the cycle, the hormone progesterone helps the womb to prepare for implantation of a developing embryo. 90005 90002 The egg travels down the fallopian tubes. If pregnancy does not occur, the egg is reabsorbed into the body. Levels of oestrogen and progesterone fall, and the womb lining comes away and leaves the body as a period (the menstrual flow). 90005 90002 The time from the release of an egg to the start of a period is around 10 to 16 days.90005 90002 Watch an animation about how the menstrual cycle works. 90005 90002 Media last reviewed: 21 October 2017 90041 Media review due: 21 October 2020 90005 90014 What are periods? 90015 90002 A period is made up of blood and the womb lining. The first day of a woman’s period is day 1 of the menstrual cycle. 90005 90002 «Periods last around 2 to 7 days, and women lose about 3 to 5 tablespoons of blood in a period,» says Belfield.90005 90002 Some women bleed more heavily than this, but help is available if heavy periods are a problem. 90005 90002 Find out about treatments for heavy periods. 90005 90014 What happens during ovulation? 90015 90002 Ovulation is the release of an egg from the ovaries. A woman is born with all her eggs. 90005 90002 Once she starts her periods, 1 egg develops and is released during each menstrual cycle. After ovulation, the egg lives for 24 hours.90005 90002 Pregnancy happens if a man’s sperm meet and fertilise the egg. Sperm can survive in the fallopian tubes for up to 7 days after sex. 90005 90002 Occasionally, more than 1 egg is released during ovulation. If more than 1 egg is fertilised it can lead to a multiple pregnancy, such as twins. 90005 90002 A woman can not get pregnant if ovulation does not occur. Some methods of hormonal contraception — such as the combined pill, the contraceptive patch and the contraceptive injection — work by stopping ovulation.90005 90014 When are you most fertile? 90015 90002 «Theoretically, there’s only a short time when women can get pregnant, and that is the time around ovulation,» says Belfield. 90005 90002 It’s difficult to pinpoint exactly when ovulation happens but in most women, it happens around 10 to 16 days before the next period. 90005 90002 «It’s not accurate to say that all women are fertile on day 14 of the menstrual cycle,» says Belfield.This might be true for women who have a regular, 28-day cycle, but it will not apply to women whose cycles are shorter or longer. 90005 90002 For more information on fertility awareness, see the FPA guide to natural family planning. 90005 90014 Normal vaginal secretions 90015 90002 Vaginal secretions (sometimes called vaginal discharge) change during the menstrual cycle. Around the time of ovulation, they become thinner and stretchy, a bit like raw egg white.90005 90002 See your GP if you are concerned about a change in your vaginal discharge. 90005 90002 Read more about getting pregnant, fertility and period problems. 90005 90002 Page last reviewed: 5 August 2019 90041 Next review due: 5 August дві тисячі двадцять дві 90005 .