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A woman whose menstrual cycles ranged in length from 30 to 36 days would be estimated to be infertile for the first 11 days of her cycle (30-19=11), to be fertile on days 12–25, and to resume infertility on day 26 (36-10=26). When used to avoid pregnancy, such fertility awareness-based methods have a typical-use failure rate of 25% per year. [18]
The Standard Days Method identifies days 8-19 of cycle for women with cycles between 26 and 32 days long, as the potential fertile window. This formula is based on computer analysis of 7,500 menstrual cycles and takes into account cycle length, the timing of ovulation, the variation of the timing of ovulation from one cycle to the next, as well ...
The days in which a woman is most fertile can be calculated based on the date of the last menstrual period and the length of a typical menstrual cycle. [4] The few days surrounding ovulation (from approximately days 10 to 18 of a 28-day cycle), constitute the most fertile phase.
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Most commonly, the Pearl Index is used to calculate effectiveness rates, but some studies use decrement tables. [42] The failure rate of fertility awareness varies widely depending on the system used to identify fertile days, the instructional method, and the population being studied.
Most commonly, spermatozoa live only one to three days in the presence of fertile mucus, with survival up to five days being rare. The possibility of pregnancy from sperm survival longer than five days has been compared to "the chances of winning a huge lottery." [4] Menstruation will occur about 2 weeks after ovulation.
Ovulation occurs ~35 hours after the beginning of the LH surge or ~10 hours following the LH surge. Several days after ovulation, the increasing amount of estrogen produced by the corpus luteum may cause one or two days of fertile cervical mucus, lower basal body temperatures, or both. This is known as a "secondary estrogen surge".
Methods of identifying infertile days have been known since antiquity, but scientific knowledge gained during the past century has increased the number and variety of methods. Various methods can be used and the Symptothermal method has achieved success rates over 99% if used properly. [33]
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