WOMENS-HEALTH Messages for August, 1999: Re: a comment and a question......... :o)

Re: a comment and a question......... :o)

From: William D. McIntosh, MD (anonymous@obgyn.net)
Wed, 4 Aug 1999 11:27:27 -0500 (CDT)

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At Wed, 4 Aug 1999, Cheryl wrote: >
>Hi!
>I am NOT asking for a diagnosis, or anything on this. Just trying to
>learn how to track my menstrual cycle and figure out what phase I am in
>and when. Had questions about the recent hormonal bloodwork I had
>drawn, so I posted here, hoping someone would reply and help out.
>Question: How do dr's figure out, when hormonal bloodwork is drawn, in
>which phase the woman was in when she had it drawn? Specifically for
>tests that allow for follicular, mid-cycle, and luteal phases. Is it
>crucial to know when ovulation occurs to come up with this information?
>And, what are the symptoms of ovulation, if any? I have been told that
>some experience a sharp pain in the ovary area, while some others also
>experience a thick, white vaginal discharge. Correct me if I am wrong
>on this one.
>I am trying to learn how to do this, as I said. I want to know my
>cycles well enough to be able to best tell at what point I am in. The
>only way to learn is to ask questions. So, that's what I am doing.
>Sorry for being so persistent, but I do not understand this all that
>well, and want to learn. Any replies will be greatly appreciated!!
>Thank You!! Cheryl :o)

In general, we use the patient's last menstrual period to date the tests, and if the results are congruent, then OK, and if not, then you have to look harder. Sometimes, we even use hormones to cycle a patient, and put her in the place that we want.

Some women can tell when they ovulate, but most cannot reliably. The cervical mucus of ovulation is clear, thin, and elastic.

-- William D. McIntosh, MD, FACOG Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

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