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Cycle monitoring

Monitoring the woman's cycle helps to eventually find possible causes for infertility. Ultrasounds and blood tests give important information about about follicle maturation, ovulation, endometrium growth and luteal phase. The interval from the first day of the menstrual bleeding until the last day before the next one is defined as menstrual cycle.

The monitoring phase

To have a precise overview of the patient's menstrual cycle it is necessary to do 2-3 ultrasound exams, as well as blood tests.

  • The first monitoring is done at the beginning of the cycle. 2-5 days after menstrual bleeding started, the basis hormone analysis is done to examine FSH, LH, estrogen, thyroid hormone and androgene (male hormone) levels. The ultrasound helps to preclude uterine or ovarian pathologies.
  • The second monitoring is done between the 10th and 12th day of the cycle to get information about follicle maturation and ovulation. Shortly before ovulation it is the best time for sexual intercourse because during a woman's fertile days the chances for a pregnancy are the highest. During those days the mucus of the cervix is becoming more fluid and transparent and the cervix canal is widening to let sperm cells  enter more easily.
  • The third monitoring helps to check if ovulation took place and if progesterone levels - which are important for the implantation of the oocyte and the development of a pregnancy - are sufficient. The day after sexual intercourse it is possible to do a so-called “post-coital test” to examine the cervix secretion and it's capacity to transport vital sperm cells to the womb.

The importance of cycle monitoring

The monitoring of a woman's cycle can be useful in several cases:

  • To determine possible causes for menstrual cycle irregularities such as uncommonly short or long cycles,  very intense bleeding or metrorrhagia (intermenstrual bleeding).
  • To determine a woman's fertile phase before ovulation and therefore the best time for sexual intercourse. 1-3 days before ovulation the chances to get pregnant are the highest.
  • To find other possible causes for infertility and eventually establish  a therapy plan for other treatments.
  • To assist other treatments of assisted reproduction such as intrauterine insemination or IVF/ICSI, where ovulation is supported by hormonal stimulation for a better planning and to increase success rates.
  • Our expert team of the Sterignost Vivaneo clinic in Klagenfurt is at your disposal to provide complete information and to establish your individual custom-made therapy plan.