Timing of ovulation in spontaneous and induced cycles

Int J Gynaecol Obstet. 1990 Aug;32(4):369-75. doi: 10.1016/0020-7292(90)90115-2.

Abstract

We studied 30 spontaneous cycles, 30 cycles induced with clomiphene citrate, and 30 cycles induced with human menopausal gonadotropin-human chorionic gonadotropin to evaluate the pattern of the following parameters and their predictive value in timing ovulation: basal body temperature; cervical mucus; mean follicular diameter; serum LH and 17-beta-estradiol; and urinary LH. Compared with the spontaneous cycles, in the cycles induced with clomiphene citrate the cervical score was significantly lower on the 4 days preceding ovulation, serum LH was higher in the early follicular phase, and serum 17-beta-estradiol was significantly higher in the pharmacologically treated cycles. The highest predictive values in all groups of cycles were obtained by considering the following combinations of parameters: serum 17-beta-estradiol and LH concentrations; mean follicular diameter as shown by ultrasonography and urinary LH as determined by a rapid method.

MeSH terms

  • Adult
  • Body Temperature / physiology
  • Cervix Uteri / physiology
  • Clomiphene / therapeutic use
  • Estradiol / blood
  • Female
  • Humans
  • Luteinizing Hormone / analysis
  • Menotropins / therapeutic use
  • Ovary / diagnostic imaging
  • Ovulation / physiology*
  • Ovulation Induction*
  • Progesterone / blood
  • Ultrasonography

Substances

  • Clomiphene
  • Progesterone
  • Estradiol
  • Menotropins
  • Luteinizing Hormone