Ovulation is the release of a mature egg from its developing follicle in the outer layer of the ovary. This usually occurs approximately 14 days before the next menstrual period (the 14th day of a 28-day cycle).
About 25% of women experiencing infertility have problems with ovulation. The issue may lie in an inability to produce fully mature eggs or failure to release an egg at all (called anovulation).
Follicle Growth and Ovulation
In a normal menstrual cycle, a tiny pea-size bubble called a follicle forms on the ovary containing an egg. If the follicle is measured the day before ovulation, it is about 20mm in diameter (about 1 inch) and it will produce a lot of estrogen (estradiol specifically).
We perform ultrasounds to monitor for size and blood tests to monitor hormone levels 2-3 times per week during every treatment cycle in order to determine just the right moment to either have intercourse at home (Relations) or come into the office for Intrauterine Insemination (IUI).