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Овуляция – это выход зрелой яйцеклетки из главного (доминантного фолликула). В норме овуляция происходит примерно в середине цикла (например, при двадцативосьмидневном цикле овуляция будет на четырнадцатый день). Однако следует учитывать не только продолжительность менструального цикла (при более длинном овуляция будет позднее, и, наоборот, при коротком цикле раньше), но и другие обстоятельство, которые способны повлиять на выход яйцеклетки из яичника (стрессы, инфекционные заболевания, смена климата и многое другое). То есть, овуляция может вообще не наступить, или произойти раньше или позже.
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Овуляция происходит под действием половых гормонов. Эстрогены вызывают созревание фолликулов в яичнике, к середине цикла происходит массивный выброс лютеинизирующего гормона, под влиянием которого доминантный фолликул разрывается и освобождает яйцеклетку, готовую к оплодотворению. Для того чтобы зачатие произошло, яйцеклетке необходимо попасть в маточную трубу, где она встретится со сперматозоидом. Именно поэтому дата овуляции считается наиболее благоприятной для зачатия.
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Но необходимо учитывать и тот факт, что продолжительность жизни яйцеклетки всего 24 часа (максимум 48), а сперматозоидов около семи дней.
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Нередко женщина самостоятельно может определить произошедшую овуляцию. В это время появляются ноющие боли в одном или обоих яичниках, небольшие кровянистые выделения, а влагалищная слизь становится тягучей и по виду напоминает сырой яичный белок, усиливается половое влечение.
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И также необходимо помнить о том, что регулярный овуляционный ритм может меняться после аборта в течение трех месяцев, в послеродовом периоде в течение двенадцати месяцев и после сорока лет, когда функции яичников истощаются.
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