Understanding your menstrual cycle: A key to enhancing fertility

Written in association with: Dr Irfana Koita
Published:
Edited by: Kate Forristal

For those aspiring to conceive, a comprehensive understanding of the menstrual cycle is indispensable. It transcends being a monthly inconvenience, unfolding as a nuanced and intricate process that profoundly influences fertility.

 

From the onset of menstruation to ovulation and beyond, the menstrual cycle orchestrates a sequence of hormonal changes, meticulously preparing the body for the prospect of pregnancy. In her latest online article, Dr Irfana Koita gives us her insights.

Harnessing the power of menstrual cycle awareness

Unlocking the potential to conceive is empowered by a keen awareness of your menstrual cycle. By acquainting yourself with its phases, monitoring your ovulation window, and recognising fertility indicators, you can strategically optimise your chances of successful conception.

 

Unveiling the unique phases of your menstrual cycle

It's imperative to acknowledge that each woman's cycle is distinctive, with various factors impacting fertility. Embrace this understanding, stay informed, and, if challenges persist, seek personalised guidance from healthcare providers or a fertility consultant on your fertility journey.

 

Exploring the phases of the menstrual cycle menstrual phase:

Initiating the cycle, this phase involves the shedding of the uterine lining, lasting 3-7 days. Hormone levels, notably oestrogen and progesterone, remain low during this period.

 

Follicular phase: Following menstruation, the pituitary gland secretes hormones, stimulating the ovaries to produce follicles. Oestrogen levels rise, preparing the uterine lining for potential implantation.

 

Ovulation: Around day 14 in a 28-day cycle, an egg is released from an ovary. Oestrogen peaks, triggering a surge in luteinising hormone (LH), facilitating the egg's release.

 

Luteal phase: Post-ovulation, the ruptured follicle transforms into the corpus luteum, producing progesterone to ready the uterus for potential pregnancy. If fertilisation doesn't occur, hormone levels drop, leading to the shedding of the uterine lining and the commencement of a new menstrual cycle (approximately 28 days, but variations exist).

 

Factors influencing fertility and menstrual health

Lifestyle choices: Diet, exercise, stress levels, and sleep patterns significantly impact hormonal balance and the menstrual cycle. Prioritise a well-rounded lifestyle, including balanced nutrition, moderate exercise, and 7-8 hours of restful sleep nightly.

 

Age: Fertility naturally declines with age, especially after 35, attributed to a decrease in the number and quality of eggs. For an indication of fertility status, an AMH at-home test kit is available.

 

Underlying health conditions: Conditions like PCOS, endometriosis, thyroid disorders, and others can affect menstrual regularity and fertility. Consult with your GP or a fertility specialist if you have these conditions and encounter challenges in conception.

 

Navigating the path with professional guidance

In instances of conception challenges or irregular cycles, seeking advice from healthcare professionals or fertility specialists is recommended. IVF matters can conduct tests, assess hormonal levels, and offer tailored advice to enhance fertility during the journey to conceive.

 

Dr Irfana Koita is a respected fertility specialist. You can schedule an appointment with Dr Koita on her Top Doctors profile.

By Dr Irfana Koita
Fertility specialist

Dr Irfana Koita is an expert fertility specialist in London who specialises in fertility diagnostics, egg freezing, IVF, preimplantation genetic diagnoses, polycystic ovaries and endometriosis. She also treats patients with fibroids and experiencing recurrent miscarriage. Dr Koita is a fertility consultant at IVF Matters Fertility Clinic, where she is also a director.

Since achieving her medical degree from Grant Medical College in 1998, she has gained over 18 years of experience as a fertility specialist. She trained at King's College Hospital London NHS Trust and has achieved both membership and fellowship of the Royal College of Obstetricians and Gynaecologists (RCOG). She also holds a Master's in Healthcare Leadership from the prestigious Cornell University.

Dr Koita is the founder and director of IVF Matters, the UK's first online fertility clinic. She offers both video consultations and in-person consultations within the clinic at Harley Street and Canary Wharf, London for all fertility issues. Throughout her career, she has arranged numerous events spreading awareness of fertility issues and empowering women. Her health advice has been featured in The Times, Daily Mail and Grazia.

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