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Assessing ovulation

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If you have regular periods with a cycle of 21-35 days, this suggests that you are ovulating regularly. If you experience Mittelschmerz (mid-cycle pain associated with ovulation), changes in your cervical mucous and increased temperature mid-cycle, these features also suggest that you are ovulating. However, to be sure that you are ovulating, the key medical investigation is to measure the concentration of progesterone in a blood sample taken seven days before your expected period is due. If you have an irregular cycle, then several samples may be required, each taken a few days apart. Progesterone is only produced in high quantities after ovulation, so a high progesterone level means that you have ovulated. If you are not ovulating, then further hormonal assessments will be required to identify the cause.

Need to Know Fertility, Conception and Pregnancy

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