Lh Surge And Ovulation Pain

Helen asks…

TTC # 1…what do you think my chances are?

For the first several months of trying I just tried to listen to my body…this month I used an OPK…this morning I got a positive LH surge…had intercourse this afternoon…and have had a sharp crampy (ovulation) pain on my right side all evening…so are my chances good? And should we have intercourse again tomorrow?

Pregnancy Advisor’s answers:

When you get a positive LH surge on an OPK, you’re going to ovulate within the next 12-24 hours. I’d suggest have sex for the next 2-3 days. Good luck. =]

Mandy asks…

Could anyone tell me any useful info about routine/treatment about ovarian cysts?

I am a 23-year old female. I just found out today that a have a fairly large cyst on my right ovary. The doctor said people get them all the time and not to be too alarmed. I will be seeing a gynecologist soon. Until then, does anyone know what usual steps are taken concerning ovarian cysts? Pain? Sympoms? Procedures?etc…Thanks!

Pregnancy Advisor’s answers:

Ovarian cysts are products of failed or disordered ovulation.
The cyst may simply collapse and disappear after a month or two, or it may persist and increase in size and discomfort during succeeding months. With each succeeding month’s surge of LH, the cyst swells and stretches the surface membrane, causing pain and possible bleeding at the site. Some cysts may become as large as a golf ball or lemon before discovery.

Don’t let your doctor bully you into birth control pills or surgery. I had my left ovary removed due to a cyst 3 years ago, and I wish I could go back and treat it differently, now that I know better!!

An alternative treatment for ovarian cysts is natural progesterone. The signaling mechanism that shuts off ovulation in one ovary each cycle is the production of progesterone in the other . If sufficient natural progesterone is supplemented prior to ovulation, LH levels are inhibited and both ovaries think the other one has ovulated, so regular ovulation does not occur. Similarly, the high estriol and progesterone levels throughout pregnancy successfully inhibit ovarian activity for nine months.

Therefore, adding natural progesterone from day 10 to day 26 of the cycle suppresses LH and it’s luteinizing effects. Thus the ovarian cyst will not be stimulated and, in the passage of one or two such monthly cycles, will very likely shrink and disappear without further treatment.

Jenny asks…

gsce Biology – question on hormones in the menstrual cycle and such?

Firstly is this correct?
LH – ripens egg
FSH – makes oestrogen get produced
Oestrogen- builds up lining
Progesterone- maintains uterus lining

How does the contraceptive pill regulate the cycle to every 28 days?

What problems can arise from using fertility drugs ?

Pregnancy Advisor’s answers:

The hypothalamus is a part of the brain that regulates various body functions, triggers certain behavioral responses and produces hormones. One in particular, GnRH, increases when estrogen levels are low and this tells the anterior pituitary gland to release LH and FSH into the blood stream.

The rising level of these two hormones stimulates the follicle in the ovary to grow and the ovary itself releases estrogen and progesterone, which in turn causes the lining of the uterus to thicken in preparation of receiving and nourishing a fertilized egg.

The hypothalamus responds to the rise in estrogen by causing the pituitary to release a surge of LH, which causes the follicle to swell, weakens its wall and results in the egg bursting out and heading down the fallopian tube. The follicle cells that remain become the corpus luteum, which secretes progesterone and estrogen for about twelve days to continue thickening the endometrium.

If a fertilized egg is not received, the corpus luteum disintegrates causing the hormone levels (responsible for maintaining the uterine lining) to drop. The endometrium breaks down and results in menstruation. This begins the cycle anew.

If pregnancy does occur, HCG secreted by the newly implanted blastocyst stimulates the corpus luteum to continue producing estrogen and progesterone, preventing the endometrium from breaking down (as it is now needed to nurture and protect the pregnancy).

The most commonly used birth control pills contain a combination of estrogen and progestin. They interrupt the menstrual cycle by maintaining consistent levels of hormones throughout the month. LH and FSH are suppressed. No spike in LH means there is no spike of estrogen to trigger ovulation. When the placebo birth control pills are taken, normally for a week, estrogen and progesterone levels lower and menstruation occurs. Birth control pills also cause thickening of cervical mucus and changes in the uterine lining, making it less hospitable for implantation.

Fertility drugs….can cause unpleasant side effects like nausea, mood swings, hot flashes, headaches and blurred vision. There is an increased risk for conceiving multiples and developing ovarian cysts. Occasionally, women will wind up with Ovarian Hyper-stimulation Syndrome (OHSS) which causes the ovaries to swell and can cause severe pain in the pelvis, abdomen and chest. Others include nausea, vomiting, weight gain and difficulty breathing.

Sandra asks…

someone tell me what they think please??!!?

how long does ovulation pain stay?? I know my ovaries are working double time b/c I am on Clomid. I had my LH Surge on Tuesday, started having ovary pain tues night, really bad yesterday, and then still both are very tender today.. We are TTC.. so we did the BD ‘ing.. just wondering how long it stays.. and if we did conceive wouldnt it stop all together??

Pregnancy Advisor’s answers:

Youre OK, just maybe be a bit hyper-stimmed. Whenever you take a fertility med it can make your ovaries work overtime causing them to swell up. If you made more than one egg (which with Clomid is more than likely…lots of twins born due to Clomid!) than your ovaries are working that much harder. Take it from me, who had IVF and made 19…thats right 19 eggs, drink some gatorade. That will help your fluids, just give your ovaries time to “deflate”. I do hope you are being monitored closely however by your doctor so you dont make too many eggs! Just take it easy for now and gatorade helps. If the pain continues or if you develop a fever contact your doctor!
Oh, and you only actually “ovulate” as in release an egg which would cause the pain for about 12 hours thats it. The extended pain has to be from a bit of hyper-stimulation.
Good luck and Baby dust to you!!!I

Carol asks…

How does ovulation feel?

Pregnancy Advisor’s answers:

For the majority of women there is no “feeling”.. That’s why TTC can be complicated..

However see the following:

Increase in cervical fluid.When you are ovulating, your body increases the amount of cervical fluid. Many women just notice that towards the middle of their cycle they are a bit more moist. This can make sex easier because you usually don’t require lubrication from outside sources. Women also report feeling more sexually attractive and attracted to their mate.

2.Your cervix moves forward.You can easily check the position of your own cervix. Simply wash your hands and stick a finger or two inside your vagina and feel the cervix. When you are not fertile you will notice that your cervix is harder and not open. Your cervix will feel about the consistency of the end of your nose. When you ovulate the cervix is easier to reach, a bit softer and slightly open to receive sperm. At this point your cervix may feel more like your ear lobe.

3.One sided pain during ovulation.This is called mittleschmerz or middle pain. This is an achy feeling arising from the ovary just prior to or during ovulation. Not every woman notices this pain. But if you do experience it is a good clue that you have ovulated.

4.Your basal body temperature shifts. If you are tracking your basal body temperatures you can see where your temperatures shift downwards then suddenly spike upwards. This is also an indication of ovulation. This requires that you take your temperature on a daily basis.

5.You have an LH surge.This one requires testing with ovulation prediction kits (OPK). This involves spending money to purchase test kits that measure the amount of LH in your urine.

Best of luck.

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