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Each woman has a unique and distinctive menstrual pattern that’s not necessarily comparable with any other woman’s cycle. Menstrual flow and cycle patterns, the inner hormonal balance and a woman's chance of having a successful ovulation all are closely related and it is rightly said that a normally menstruating woman usually possesses a good fertility score.

Your ovaries produce eggs and sex hormones.These ovarian hormones — along with other body hormones — help mature eggs, getting them ready to be released and to finally to get fertilized by sperm. A matured egg  erupts from the ovary in the mid-cycle period and if there is no provision for fertilization, it is reflected as bleeding at the end of your cycle. If this complex process is interrupted by any factors, there will be the cessation of ovulation as well as irregular menstrual bleeding.

Thus, as a back calculation, if you have a regular and normal menstrual pattern, you can usually be considered to be a normally ovulating woman.

But how do you know whether your menstrual pattern or flow is normal?

Please check the following points and ensure the absence of all of them in your menstrual calendar.

  1. Bleeding between periods.
  2. Bleeding after sex.
  3. Your bleeding-days persist more than eight days or less than three days.
  4. Your cycle length is less than 24 days or more than 38 days.
  5. Periodic bleeding is regular but profuse (requiring more than five pads a day or needing to change pads within three hours or at night).

Then what are the causes of abnormal menstrual bleeding? The list is immense and obviously out of the scope of this discussion. The causes range from obesity, hormonal imbalances due to cystic ovaries, thyroid disorders, uterine polyps or tumors or even due to some medications you are taking. Often no cause can be detected and there it can be termed as dysfunctional uterine bleeding.

However, an abnormal menstrual bleeding is often associated with anovulation and infertility. You primarily need to regularize your period, to achieve an ovulation and as well as a successful pregnancy.                                                                

 Certain hormonal tests are there along with an ultrasound of your lower abdomen to look for any problems in your uterus and both sided ovaries. A transvaginal ultrasound is often helpful to detect whether  you are ovulating or not when done in the mid-cycle period. Thyroid, prolactin, FSH, and LH are different hormones in your body that regulate menstruation and ovulation in a balanced state and need to be measured if you are having some form of abnormal menstrual bleeding along with anovulation. 

Finally, I must suggest you to lead a  healthy lifestyle by doing regular exercise and achieving an optimum body weight. Medications are there. Some are hormones like progesterone, which can regularize your cycle. If you are suspected of having polycystic ovaries, you may need some oral antidiabetic drugs which can work marvelously. Ovulation induction or initiation of ovulation inside you by clomiphene citrate is another option which can trigger ovum production from your ovaries as well as can regularize your cycle. But as mentioned previously, you have to go through a few tests to rule out any other causes before opting for any above-mentioned drugs.


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