OUVLATION
Normally, one of the ovaries releases a single
mature egg every month. Women may experience pain or abdominal
discomfort at the time of ovulation and occasionally have some
slight vaginal bleeding. The presence or regular periods, premenstrual
tension and period pains usually indicate that the menstrual cycles
are ovualtory. Eggs are stored in the ovaries in a very immature
form. In this state they are not capable of being fertilized by
a sperm until they undergo a maturing process which culminated
in their release from the ovary at the time of ovulation. Egg
maturation & ovulation are stimulated by two hormones and luteinzing
hormone. These two hormones must be produced in appropriate amounts
through out the monthly cycle for normal ovulation to occur.
After ovulation has occurred, the follicle from which the egg
has been released forms a cystic structure called the corpus luetum.
This structure is responsible for producing progesterone in the
second half of the cycle. Most women who fail to ovate or whose
ovulation is abnormal usually have a disturbance in their menstrual
pattern. This disturbance may take the form of complete lack of
periods (amentorrhoea), irregular or delayed periods (oligomenorrhoea)
or occasionally a shortened cycle due to a defect in the second
part (luteal phase) of the cycle.
Abnormal ovulation:
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abnormalities of ovulation may appear in several forms. Menstrual
cycles shorter than 21 days or longer than 35 days are often associated
with the absence of ovulation. In addition, patients may skip
menstrual periods for time intervals of three months or more and
this called oligomenorrhoea or infrequent periods. If the periods
stop entirely, such a condition is called a menorrhoea
Many hormonal system work together to produce regular menstrual
periods, and the blood levels of the hormones that make up these
system need to be tested in order to determine the reason for
the ovulatory disorder. .
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