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Physiological states of amenorrhoea are most commonly seen during pregnancy and lactation (breastfeeding). [1] Amenorrhoea is a symptom with many potential causes. [2] Primary amenorrhea is defined as an absence of secondary sexual characteristics by age 13 with no menarche or normal secondary sexual characteristics but no menarche by 15 years ...
As there is no progesterone in the anovulatory cycle, bleeding is caused by the inability of estrogen—which needs to be present to stimulate the endometrium in the first place—to support a growing endometrium. Anovulatory bleeding is hence termed 'estrogen breakthrough bleeding'.
FHA accounts for around 10–15% of all cases of anovulation. Weight loss or anorexia can lead to FHA by causing a hormonal imbalance, leading to irregular ovulation (dysovulation). It is possible that this mechanism evolved to protect the mother's health. A pregnancy where the mother is weak could pose a risk to the baby's and mother's health.
Ovulation is an important part of the menstrual cycle in female vertebrates where the egg cells are released from the ovaries as part of the ovarian cycle. In female humans ovulation typically occurs near the midpoint in the menstrual cycle and after the follicular phase. Ovulation is stimulated by an increase in luteinizing hormone (LH).
A positive ovulation predictor kit result is usually followed by ovulation within 12–36 hours. Saliva microscopes, when correctly used, can detect ferning structures in the saliva that precede ovulation. Ferning is usually detected beginning three days before ovulation, and continuing until ovulation has occurred. During this window, ferning ...
Diagram illustrating how the uterus lining builds up and breaks down during the menstrual cycle Menstruation (also known as a period, among other colloquial terms) is the regular discharge of blood and mucosal tissue from the inner lining of the uterus through the vagina. The menstrual cycle is characterized by the rise and fall of hormones. Menstruation is triggered by falling progesterone ...
Regular ovulation is usually indicated by predictable and consistent intervals between menses, and predictable and consistent patterns of flow (e.g., heaviness or cramping). Continuing ovulation typically requires a body fat percentage of at least 22%. [11] An anthropological term for this state of potential fertility is nubility. [citation needed]
When used to avoid pregnancy, the standard days method has been estimated [22] to have perfect-use efficacy of 95% and typical-use efficacy of 88%. [ 20 ] [ 21 ] These figures are based on a 2002 study in Bolivia, Peru, and the Philippines of women of reproductive age having menstrual cycles between 26 and 32 days, [ 20 ] [ 23 ] : 505 and on a ...