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lease of the egg (ovulation) becomes imminent,  time a dramatic shift in hormone production oc-  Fertility
            increasing estrogen production liquefies the  curs. The now-empty follicle (referred to as a
            mucus, making it more hospitable to sperm life.  corpus luteum) initiates a surge in progesterone   awareness
               To know whether ovulation is likely to  production (the second important female hor- becomes a
            occur, women observe a changing, developing  mone), which counteracts the effects caused by   special tool
            pattern of mucus culminating in pronounced  rising estrogen. Progesterone activates special
            slippery or lubricative or watery, runny (very  areas in the vaginal walls (the Pockets of Shaw)   to open up
            wet) sensations at the vulva, detected while  that cause a dramatic drying-up sensation at the  conversations
            moving about throughout the day or when  vulva and also turns off any further follicular   between the
            wiping at bathroom visits. (“Fertility Cycle”  development (and release of additional eggs)
            example with mucus descriptions, page 33.)  in that cycle. The changing pattern of mucus   couple that
            Women may also notice visible strings or egg-  leading up to slippery sensations, followed by a  otherwise
            white discharge during this time—another sign  dramatic drying-up sensation confirms the ovu-  might not
            of higher estrogen production. The presence of  latory event. Another substantial confirmation
            this type of visible discharge is not, of itself,  of ovulation is progesterone’s ability to warm   take place.
            indicative of impending ovulation unless it  the body, causing a rise in a woman’s waking
            appears as part of a changing pattern of mucus  (basal) temperature of roughly 0.4°F or more.
            sensations over several days. Note in the same     By monitoring the mucus and temperature
            chart how the pattern of sensations and visible  signs, couples can then interpret these obser-
            mucus changes from moist, thicker and sticky  vations to apply rules for avoiding pregnancy
            (less fertile) to wet, slippery and stringy (more  that mirror the effectiveness the pill delivers,
            fertile).                                 but without any health risks. In addition to
               When the egg ruptures out of the ovary  knowledge of the fertile and infertile windows
            (ovulation), finger-like projections on the Fal-  during the cycle, simple daily observations of
            lopian tube capture the egg, permitting it to  the mucus and temperature signs provide an
            journey toward the uterus. If sperm are present,  abundance of valuable information such as
            conception can occur in the outer one-third of  early detection of pregnancy, accurate due date
            the Fallopian tube, but only within twelve to  calculations, insufficient thyroid function, pro-
            twenty-four hours, as the egg survives for only  gesterone deficiency, inadequate mucus quality
            twelve to twenty-four hours at most. At this same  and medication effects.


































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