Anovulation and Irregular Cycles

Anovulation and Irregular Cycles

No two females are the same.  Women have cycles that vary.  It is dependent on if she is an adolescent girl, just coming off the pill, breastfeeding, or is approaching menopause.

chart


A Typical Cycle

In what is considered a “normal” cycle, the release of the egg occurs in a predictable pattern.  After your menses, “under the influence of rising estrogen, you’ll usually have several days of no cervical fluid, building up to progressively wetter fertile-quality cervical fluid (103)”.  After the egg is released the cervical fluid will dry quickly. Then the pattern starts again.

Different Phases of Anovulation

Adolescence

The average age of American girls to begin menstruation is 12 to 14 years old. At this age, the onset of menses may not be due to the release of an egg.

One of the characteristics of cycles in teenage girls is the fluctuation of the estrogen cycles.  Therefore the cycle of a teenager is not predictable. The distance between menses and duration may vary, with some anovulatory cycles in between.

Breastfeeding

When breastfeeding “on demand” a woman may not have menses for months.  Every time the baby is breastfed the hormones that trigger ovulation are triggered. But, in order for it to work, the baby must feed regularly when baby indicates hunger (no supplementation).

A woman could go a year or more without a change in temperature, experiencing the same cervical fluid.  The reason that she would not see the good kind of cervical fluid, at first, is that prolactin will lower the estrogen levels and keep the fertile quality cervical fluid from being produced. The trick here is, to be able to notice if there is any change in the cervical fluid, which will indicate that ovulation is soon to resume.

Premenopause

Premenopause occurs prior to Menopause, when all ovulation and menses cease. It often will last for years. During this time, her cycles may start to be very different than usual. At first, the cycles may shorten because of more frequent ovulations and shorter luteal phases. As time goes on, the length of the cycles increases as the number of ovulations become more infrequent.  Finally the cycles end altogether.  If the woman is 40 or older and she has had no menses for a year or more, she is said to be in Menopause.

Other Major Causes of Anovulation

Illness

Normally, illnesses do not affect your cycle.  When illness affects your cycle depends upon the phase of your cycle you are in when you become ill, if before ovulation it may delay or cause no ovulation to occur… If after ovulation, it will rarely cause any problems.

A fever will not affect your ability to chart or interpret it.  There are other fertility signs. Not only that, you can still tell whether the temperature affected your cycle in either delaying or preventing the cycle.

Travel 

Travel is notorious for causing an effect on the cycle.  Some women do manage to be regular like clock-work despite traveling.

Your body may interpret traveling as a stressor.  Some women may find that they have an extended cycle while others do not ovulate at all…in fact stop menstruating altogether.  Despite all this, and the fun of travel, you will find charting using all three signs is beneficial to notate the ambiguities.  

Exercise

Heads up!  Strenuous exercise is a well-known cycle buster!  It can delay or stop ovulation.  Exercise mostly affects competitive athletes with low body fat ratios.  For women, it is mostly those who are runners swimmers, gymnasts, and ballet dancers that have issues.  But metabolism, thyroid, and diet must be ruled out first.

Weight Loss or Gain

To maintain normal ovulatory cycles, a woman’s body weight should be a minimum of 20% body fat.  This is in order to have the body store estrogen and to allow for androgen conversion into to the kind of estrogen necessary for ovulation.

Women who are extremely thin, especially those with anorexia, tend to have their menses stop.  This is due to not having enough estrogen to cause ovulation.

Stress

Long cycles are often caused by stress. Stresses can be either psychological or physical. Stress tends to delay ovulation rather than cause an earlier ovulation cycle. Therefore, the later the ovulation occurs the cycle becomes longer. If stress is severe it can cause ovulation to stop altogether.

Medical Conditions

A variety of medical conditions can cause menses to cease.  These are:

  • Elevated prolactin
  • Pituitary gland problems
  • Polycystic ovarian syndrome

A common and useful way to determine the cause of anovulation is with a Progesterone Withdrawal Test.
NOTE:

For both breastfeeding and Premenopause, the use of FAM as your contraception method can be tricky.

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Maintaining Gynecological Health – Part 2

chart
An example of “charting”

Ovulatory Spotting

Light bleeding may occur right around ovulation in some women. It is not only normal, but an indicator for fertility, a sign that tells where the woman is in her cycle. It results from a sudden drop in estrogen, just before ovulation.  It occurs more in long-cycles.

Anovulary Bleeding and Spotting

Once in a while an egg is not released.  It could be due to the estrogen not reaching the level for the egg to release. When this happens the drop in estrogen will cause light bleeding.

For women over 40, the cause is a decreased sensitivity to FSH and LH hormones. This would result in these women not ovulating.  The progesterone level is not able to sustain the lining and some spotting or bleeding may occur.

The way to know if actual ovulation did occur, is to chart the temperature. As a reminder: the temperature pattern is: low before ovulation, followed by the high temperature after.

Implantation Spotting

So when a woman notices spotting rather than bleeding a week after her temperature shifts she might want to consider a pregnancy test.  This may be an indication of “implantation spotting”, because as the egg burrows into the lining of the uterus, a bit of spotting may occur. If temperatures remain high for another 18 days or more, this is an indication that the corpus luteum is viable.

Breastfeeding Spotting

After the initial flow of birth has stopped, some women may have some bleeding about six weeks postpartum.  This is due to the withdrawal of hormones that were high during pregnancy.

Also there may be a fluctuation of hormones while breastfeeding because of the needs of the baby. The temporary imbalance of hormones may cause women who breastfeed a few anovulatory spotting.

Other times

  • After office procedures
  • While on the pill
  • Or during postmenopausal hormone replacement therapy

 

 

 

 

 

 

 

 

 

 

 

Hokṡiyuhab Oti

Donna Duncan, CBE / HHP / CHt / Reiki Master
http://hoksiyuhaboti.com
rosebudcbe@gmail.com
402-389-2183

 

Effects of Marijuana

marijuana

Marijuana: Effects on the Mother

Prolonged use may lead to apathy, lack of energy, lack of desire to work or be productive, diminished concentration, poor personal hygiene, preoccupation with marijuana – the amotivational syndrome

Effects on the fetus

Marijuana can easily cross into the placenta, and causes increased levels of carbon monoxide in the mother’s blood, reducing the level of oxygen to the fetus.

With more states legalizing the sale of Marijuana, there are more users. Those that smoke or exposure to the smoke from their significant others who smoke, Need to be aware of the effect on the unborn fetus.

Issues

One issue with Marijuana use, is that often it has other street drugs combined with the plant itself. Or additional THC is added to compound the effects. These two, and other contaminants can create the issues that will be discussed regarding the development of the fetus, and the later development of the fetus through early childhood.

There have been few definitive studies conducted on humans as to the effects of Marijuana on the fetus. “A new study in animals suggests that children who are exposed to marijuana in the womb may suffer from a variety of long-term problems even if they aren’t born with obvious birth defects.”

One of the components of Marijuana, that the researchers call WIN, has shown an effect in studies conducted on lab rats. Although, not causing birth defects, Marijuana does cause memory loss and inability to learn. “Researchers say they also found that WIN interfered with the release of a brain transmitter called glutamate, a key chemical associated with learning and memory processing.”

An Italian research team found that marijuana caused a disruption from “chemical and electrical processes in the brain during gestation (Bhattacharya)” in lab rats. The effects the study indicates, can be confounded by smoking, wealth, and urban living.

Even second-hand Marijuana smoke can affect the unborn fetus. It can cause your baby to be born premature, and have a lower birth weight, both are risks for the baby. Studies are few and far between, due to the risks involved on the fetus. “In the very few studies available, there appears to be an increase in the incidence of premature labor and low birthweight. In cases in which pot had been tainted with a stimulant (cocaine, for example), there was an increased risk for dangerously fast labors (less than three hours) and for placental abruption (separation of the placenta from the uterine wall)” states Dr. David Barrera.

Observation has shown that “…babies born to women who abused marijuana during their pregnancies display altered responses to visual stimuli, increased tremulousness (trembling or shaking), and a high-pitched cry — any of which may indicate neurological problems in development”. Later in the child’s development these children have a lack of problem-solving skills, and poor memory.

Based on a study conducted by University of Utah School of Medicine, Salt Lake City, and colleagues in the Eunice K. Shriver National Institute of Child Health and Human Development, babies born to smokers of Marijuana are two times more likely to have stillborn babies.

REFERENCES:

Bhattacharya, Shaoni. Marijuana use in pregnancy damages kids’ learning. 25 March 2003 http://www.newscientist.com/article/dn3543-marijuana-use-in-pregnancy-damages-kids-learning.html#.VQWPAeGgZ-8

Hackethal, Veronica MD. Smoking Pot May Double Risk for Stillbirth. http://www.medscape.com/viewarticle/817503 Medscape Medical News. December 9, 2013

Herbert, Clare. I’m pregnant and my partner smokes weed. Will it affect our baby? http://www.babycentre.co.uk/x1043727/im-pregnant-and-my-partner-smokes-weed-will-it-affect-our-baby#ixzz3USuXGKAG November 2014

How could marijuana use affect your unborn baby? http://www.pregnancyandbaby.com/pregnancy/articles/937071/secondhand-toke-marijuana-pregnancy

Traumatic Birth Part 1

Many things come up during the labor and birthing of a baby. These may or may not be emergency-level events. A woman in labor is focused on the process they are involved in: birth. The woman may not be aware of what is discussed around them, or the things happening that may alter their ideals of the “perfect”  birth.

doula at work

Here are some things that may occur:

  • Slow dilation of the cervix
  • Labor stalling
  • Movement of the baby stops
  • Blood pressure of the mother rises

Often doctors in the hospital will want to intervene. The remedies may be interventions that you really do not need.

These interventions could possibly be:

  • Monitors
  • IV insertion
  • Inducing labor (Pitocin)
  • Or even the decision to have a c-Section (read my blog post on this here: )

The first two can be alleviated by using gravity (walking, dancing, leaning forward onto the labor bed with feet on the floor and doing squats). Usually stressors or nervousness are the cause. With Labor stalling, if already dilated 6-7cm, it could very well be a natural stall while going into the next stage of labor.

Remember: Babies are birthed when they are READY. Not on some sort of perceived time schedule.

If the baby stops movement, inform your doctor. You can use “kick counts” as a method to monitor movements if you are concerned. In active labor, the baby tends to move in a spiral as baby moves into birthing position.

Blood pressure issues could be gestational diabetes, or just stress. The cause needs to be found. bvcIt is a symptom of pre-eclampsia but if you were not having signs of this condition and diagnosed in pregnancy (which is why prenatal visits are essential) then it may be something else. Here is suggested reading for you to understand the seriousness of this condition: https://www.acog.org/Patients/FAQs/Preeclampsia-and-High-Blood-Pressure-During-Pregnancy

So now we move onto the second part of this discussion.

A Good Question

[republished from December posting and updated]

c-section-delivery
Pixabay Free Photo

Mortality rates are rising in the United States.  It’s true especially for women of color [Birthing Mortality]. This has been steadily rising even as some states have lowered C-Section rates are starting to lower in some states [C-Section Rates MAP].

What needs to happen, in order to fix a broken system? Your probably wondering what I mean by a broken system. I am talking about the care of women, and especially birthing.

In a nation that has been considered “advanced” we are so far behind the eight-ball that it becomes shameful. Our C-Section rates were seriously through-the-roof, and although some improvement has been made, the United States is still higher than most “civilized” countries! The average being around 31%.

Along  with that outrageous number of c-Sections are the ever-climbing mortality rates of women in birth, predominately women of color. This is shameful in a country that is supposed to be “advanced”!

On top of both high c-Section rates, and high mortality rates for birthing, is the across-the-racial-board birth trauma. It should NEVER happen! But, we have nurses and doctors who force women into procedures, who intimidate and threaten.

The media (film and television) makes it seem that birth is both dangerous and extremely painful. When that consciousness is embedded in the psyche of women, and you have a medical field that relies on mechanical means to monitor births… the stage is set.

We have normalized bad birthing practices, and outdated concepts about birth.

That is without discussing the current political scenarios…

The next few blogs will address the history behind, and the current information about birthing in the United States. The outdated concepts surrounding birth practices need debunking. The normalization of bad birthing practices needs to have a light shown upon it, in order to make it STOP.

It is time to become educated,

Get angry,

and create a change!

A Good Question

What needs to happen, in order to fix a broken system? Your probably wondering what I mean by a broken system. I am talking about the care of women, and especially birthing.

In a nation that has been considered “advanced” we are so far behind the eight-ball that it becomes shameful. Our c-Section rates were seriously through-the-roof, and although some improvement has been made, the United States is still higher than most “civilized” countries! The average being around 31%.

Along  with that outrageous number of c-Sections are the ever-climbing mortality rates of women in birth, predominately women of color. This is shameful in a country that is supposed to be “advanced”!

On top of both high c-Section rates, and high mortality rates for birthing, is the across-the-racial-board birth trauma. It should NEVER happen! But, we have nurses and doctors who force women into procedures, who intimidate and threaten.

The media (film and television) makes it seem that birth is both dangerous and extremely painful. When that consciousness is embedded in the psyche of women, and you have a medical field that relies on mechanical means to monitor births… the stage is set. We have normalized bad birthing practices, and outdated concepts about birth.

That is without discussing the current political scenarios.

The next few blogs will address the history behind, and the current information about birthing in the United States. The outdated concepts surrounding birth practices need debunking. The normalization of bad birthing practices needs to have a light shown upon it, in order to make it STOP.

It is time to become educated,

get angry,

and create a change!

NOTE: I am still doing research, the next two topics are valuable as well, and allows me time to get things done.

Also published at my sister site: Hoksiyuhab Oti

How to Maintain Your Gynecological Health

Women tend to leave all the charting of our gynecological health in the hands of our doctors, no one at all.  We can, and we should, and we need to keep our own records for ourselves, at home.

This would entail a few moments a day, at most, of inputting information. I will be creating a down-loadable blank chart you can use for this purpose.

Much of what we see in our charts at the doctor’s office, may seem to be a problem, only because we women do not understand or are not taught about normal feminine health. We can understand them better when we see what would be our “true” gynecological conditions.

These would be:

  • Vaginal infections
  • Abnormal bleeding
  • Premenstrual syndrome
  • Breast lumps
  • Endometriosis
  • PCOS[i]
  • Nabothian (cervical) cysts

“…charting enables a woman to understand her body in a practical way (Wescheler, 230)”. A woman who charts every day is so aware of what is normal for her own body, that she can actually assist her doctor in determining what is not normal based upon her symptoms. Keeping the chart of her menstruation cycle assists In well-being, and working with the doctor.

Normal Healthy Cervical Fluid VS. Real Vaginal Infections

We live in a culture that advertises douche and sprays for vaginal “discharge” giving women the idea that they are “dirty” all the time. Douching and sprays only act to confuse the identity of healthy cervical fluid and what would be a real infection.

Wescheler explains in her book, that doctors say you don’t need either. On a talk show she watched, she says that the doctor stated that the infections from these products were “…enough to send his children to college (Wescheler , 231)”. Then there is also the yeast infection products that women self-diagnose and take every month for a “recurring” problem.

But, using the chart, detection of an actual infection will be easier, and discovered earlier. You can get treatment before discomfort sets in.  Secretions mid-month are normal, but late in the month may indicate infection.

Symptoms of Vaginal Infections That Can Be Distinguished from Normal Cervical Fluid

Once you have routinely charted your normal cervical fluid, an infection can be distinguished by the unpleasant symptoms that set them apart from what is normal.  Vaginal infections can range from STIs (See: The Effects of Sexually Transmitted Infections on Pregnancy) to a variety of forms of Vaginitis and of course the generic “yeast infection”.

  • Abnormal discharge
  • Itching, stinging, swelling, and redness
  • Unpleasant odor
  • Blisters, warts, and chancre sores


Avoiding Infections

Besides the consequences of douching, you should not wear clothing that is damp or too tight, as these create an unhealthy vaginal environment. Also you should wear cotton underwear, or at least cotton crotch underwear as these allow your body to breathe.

Normal VS Abnormal Bleeding

Normal menstruation lasts about five days and usually will follow a pattern, here are two variations:

Light –>  heavy –> medium –> light –> very light
Heavy –> heavy –> medium –> medium –> light

Also, some women may spot (ordinarily brownish) or bleed at other times in their cycle besides actual menstruation. Spotting is one of the most misunderstood aspects of a woman’s cycle. A common mistake is to assume any type of bleeding episode is menstruation.  True menstruation occurs after ovulation, about 12 to 16 days after.  Any other type of bleeding is either anovulatory bleeding, what is considered normal spotting, or is symptomatic of a problem.

 

[i] Polycystic Ovary Syndrome
Based upon: Weschler, Toni.  Taking Charge of Your Fertility.  Rev. (2006) William Morrow.