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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 :-
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.