The better you understand your unique menstrual cycle, the better you can understand your overall health.

Although the average menstrual cycle is 28 days, a cycle can actually be a few days longer or shorter and still be considered normal. Cycle length can also vary a little from cycle to cycle and still be considered normal.

Hormonal changes in the body trigger each cycle phase: menstrual, proliferative, ovulatory, and luteal. And while your period is the most recognizable phase, the other three are equally important and impact your energy levels, immune system, moods, and sleep patterns differently. Let’s dive in.

What are the menstrual cycle phases?

The body performs different functions throughout the four phases of the menstrual cycle, each of which plays a unique role in the reproductive process:

Proliferative: During the proliferative phase, ovarian follicles (structures in the ovary that each contain a single egg) mature and prime themselves for ovulation. Your hormones perform different functions that are geared toward the goal of producing an egg for fertilization during ovulation, the next phase. Although many follicles start maturing during the proliferative phase, usually only one eventually proves dominant, and becomes the sole egg available during ovulation.

Ovulatory: The ovulatory phase begins as a hormone surge forces the dominant egg to break free from its follicle and nest in a fallopian tube, where it will disintegrate if not fertilized within about 24-36 hours. Ovulation is the only phase in which you can get pregnant. But because sperm can live for up to five days in the reproductive system, if sperm is present in the short time leading up to ovulation, this can also result in conception.

Luteal: Following ovulation, the follicle that released the egg transforms into a corpus luteum, a structure that produces the pregnancy hormone progesterone. Progesterone thickens the lining of the uterus in preparation for a fertilized egg to make its home there for the next nine months. If conception occurs, the corpus luteum continues to produce progesterone to maintain a healthy pregnancy. If the egg is not fertilized, the corpus luteum ceases its progesterone production after about two weeks. This drop in progesterone signals menstruation to begin.

Menstruation: The onset of menstruation is considered to be the start and end of a menstrual cycle, as it signifies the end of an opportunity for fertilization for one egg (and the beginning for millions more). Menstruation is triggered when the corpus luteum of the last cycle’s unfertilized egg ceases to produce progesterone, usually occurring about two weeks after ovulation, causing the uterine lining to shed, along with a bit of blood. The length and intensity of a period varies from person to person and cycle to cycle, but usually lasts between 4-6 days. Once the period stops, the proliferative phase begins again, starting the reproductive process anew.

Reviewed by the Ovia Health Clinical Team

Read more

• The menstrual cycle and your hormones
• Tracking fertility during the proliferative phase
• 5 signs you might be ovulating

Sources

• Mayo Clinic Staff. “Menstrual cycle: What’s normal, what’s not.” Mayo Clinic. Mayo Clinic, 4/16/2013. Web.
• “Patient Fact Sheet: Am I Ovulating?” ASRM. American Society for Reproductive Medicine, 2014. Web.

Are you pregnant or is your period just late? Here’s how to tell

Learn more about actual pregnancy symptoms before you start getting concerned.

The science behind symptoms

Pregnant or not, your body starts releasing progesterone after you ovulate. This hormone keeps getting released and is at its highest point around five to seven days after ovulation. If a woman is pregnant, her body continues to produce progesterone in high amounts to help sustain the pregnancy. If she’s not pregnant, her progesterone levels decrease, and she’ll start her menstrual period.

Thanks also to progesterone, the symptoms of early pregnancy and your period are nearly identical. Cramps, fatigue, dizziness, breast tenderness – all early signs of pregnancy, but also possible signs of your period coming.

What about light spotting a week after ovulation? It could indicate implantation bleeding, but most women don’t experience this symptom and spotting can happen for other reasons.

What about nausea? This symptom is typically attributed to hCG, the pregnancy hormone, but it can be caused by other things, too (including PMS).

In the weeks between ovulation and a pregnancy test, many women “symptom spot”; that is, they take note of certain physical symptoms and think that they are definitely signs of early pregnancy. Is symptom spotting so wrong? Absolutely not, and it can even be kind of fun, as long as you know that only a blood test can tell you for sure if you’re pregnant.

Is there anything I can look for?

Probably the most reliable physical symptom of early pregnancy is a missed period. Noticing that your breasts are getting increasingly sore, or experiencing symptoms that you don’t usually get around the time of your period, are also signs that you could be pregnant. But again, a blood test will be the best way to know for sure.

Final thoughts: things to keep in mind

The bottom line is that without a blood test, it’s nearly impossible to know for sure whether you’re pregnant or experiencing a late period. Even home pregnancy tests can sometimes give a false negative, if taken too early, so it’s really smart to wait to take a test until or after your expected period.

If you’re paying attention to your symptoms, just know that it can get a little stressful for some women. So if you find yourself symptom spotting, try to be aware of how often you do it, and how you feel – does it distract you or stress you out? If it starts to get emotionally taxing for you, look for ways to stop paying attention to your symptoms.

Finally, make sure you’ve scheduled a pregnancy blood test, and keep taking your prenatal vitamins! Whether it’s sooner or later, when you get that BFP, you’ll be glad you did!

Sources

• Mayo Clinic Staff. “Home pregnancy tests: Can you trust the results?” MayoClinic. Mayo Foundation for Medical Education and Research, Dec 2015. Web. Accessed 8/3/17. Available at http://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/home-pregnancy-tests/art-20047940.
• Lori A Bastian, Haywood Brown. “Clinical manifestations and diagnosis of early pregnancy.” UptoDate. UptoDate Inc., Jul 2017. Web. Accessed 8/3/17. Available at https://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-of-early-pregnancy?source=search_result&search=waiting%20for%20pregnancy%20test&selectedTitle=1~150.
• “Morning Sickness: Nausea and Vomiting of Pregnancy.” ACOG. FAQ126 from the American College of Obstetricans and Gynecologists, Dec 2015. Web. Accessed 8/3/17. Available at https://www.acog.org/Patients/FAQs/Morning-Sickness-Nausea-and-Vomiting-of-Pregnancy.

No period, not pregnant: What does it mean?

The rollercoaster of emotions that come with taking a pregnancy test is often stressful, but don’t give up just yet. Here’s what it means to have no period for a while and still not be pregnant.

Reasons why a test could be wrong

Here are a couple reasons why you may have received a false negative.

• Taken before the first missed period: Pregnancy tests work by detecting levels of human chorionic gonadotropin, hCG, a hormone that the body starts to make when an egg has been fertilized. Because the tests look for the presence of this hormone, it is possible that they miss the hormone in the very early stages of pregnancy, mainly in the days leading up to the first missed period. For the most accurate readings, it’s best to wait until at least the missed period, if not a few days after.
• Fluids diluting urine: Yes, you should still be drinking lots of water! But taking a pregnancy test later in the day can sometimes mean that urine is diluted and hCG is more difficult for the test to detect. The hormone levels are highest in the morning too, so for the most accurate results try to take the test as early in the day as possible, preferably right after you wake up.
• Test directions not followed correctly: We don’t mean to suggest that you would miss a step . . . but could you have missed a step? Some tests require waiting a specific amount of time before reading the results. Pregnancy tests also have an expiration date, so we recommend buying new ones as opposed to using old ones that could be in your house.

Final thoughts

Ultimately, it’s always a good idea to read and closely follow the directions on home pregnancy tests, even if you consider yourself a pro by now. There’s also always the possibility that the negative test is accurate, and your period is simply a few days late. Home pregnancy tests are great, but after a positive result, it’s still important to visit your healthcare provider for a blood test to confirm.

Sources

• “Pregnancy test.” MedlinePlus. US National Library of Medicine, Oct 4 2016. https://medlineplus.gov/ency/article/003432.htm.
• Mayo Clinic Staff. “Home pregnancy tests: Can you trust the results?” MayoClinic. Mayo Foundation for Medical Education and Research, Dec 2015. http://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/home-pregnancy-tests/art-20047940.

How to time your pregnancy test properly

Here’s what you should know about this timing – and the science behind our recommendations.

First, understand how home pregnancy tests work

In the earliest stages of pregnancy, a fertilized egg will begin to implant in the uterine lining. This happens around four to six days after conception. Once implantation starts, the placenta starts producing human chorionic gonadotropin (hCG), the pregnancy hormone. Home pregnancy tests work by determining if there is hCG present in urine – and, as you might know, home pregnancy tests ask you to pee to a stick to measure this.

Because hCG doesn’t show up until after implantation begins, if you don’t wait a few days to make sure the embryo has had a chance to implant, there’s the chance of getting a false negative – meaning that the pregnancy test reads as a “negative” even though pregnancy has occured. Implantation usually happens six to twelve days after ovulation, so the absolute earliest that you can test for pregnancy is a week after ovulation. For even more accurate results, it’s preferable to wait a few extra days so that levels of hCG can rise to more detectable levels. Waiting a few days after the first day of a missed period usually guarantees the most accurate results from a home pregnancy test.

Utilize Ovia Health to help with pregnancy testing

When it comes to pregnancy test timing, you probably know it’s best to take it at least one or more days after your next period is due. But your menstrual and ovulation cycle can fluctuate every month, meaning certain days of your cycle might change on a monthly basis and make it harder for you to know exactly when it’s time for you to take a pregnancy test. The US Department of Health and Human Services reports that nearly 20% of individuals who are pregnant get a false negative, because they’ve miscalculated their period or it arrived later than expected that month.

This is where tracking is helpful. Different ovulation symptoms can suggest that you’re in a certain part of your cycle. For example, in the luteal phase, which is when the egg implants and your body starts making the pregnancy hormone, your body releases progesterone, which can affect your moods, breast tenderness, and cervical mucus. Spotting might happen as a sign of implantation bleeding, too. These kinds of symptoms tell Ovia what phase of your cycle you’re in.

When you log your data consistently, Ovia takes all of the information you provide, like your period dates, cervical fluid consistency, basal body temperature, symptoms, and moods, and uses it to predict when you’re ovulating and when is the best time to take a pregnancy test. If Ovia tells you to test on a day that’s different from what you expected, this could be because of natural fluctuations in your cycle, as well as symptoms that suggest to Ovia that you’re at a different day in your cycle than you previously thought.

Other things to consider

Cycles fluctuate month by month, and it can be difficult to know for sure when one phase of your cycle ends and another begins. And if you’re patiently waiting for some positive news, we know you can’t get it soon enough – so we’re here to help. By consistently logging your symptoms and moods, you’re providing Ovia with important information that will help us predict the best – and most accurate – day for you to take a pregnancy test.

Sources

• “Home use tests: Pregnancy.” FDA. US Food and Drug Administration, Jun 5 2016. Web.
• Mayo Clinic Staff. “Home pregnancy tests: Can you trust the results?” MayoClinic. Mayo Foundation for Medical Education and Research, Dec 2 2015. Web.
• Connie Matthiessen. “Week 01 to Week 04 of Pregnancy.” HealthDay. HealthDay, Jan 20 2017. Web.

Here are the TTC acronyms you should know about

AF:

Aunt Flow. Your period.

Thanks for the invite, but my Aunt Flow’s in town. I’m gonna go home and treat her to some wine and reruns.

BBT:

Basal Body Temperature. BBT may spike right before ovulation, so many women track it to help them pinpoint their ovulation.

The very first thing I did this morning was grab my thermometer and take my BBT.

BCP:

Birth Control Pills.

In almost no time after I stopped taking BCP, I was pregnant.

BD:

Baby Dance. Sexual intercourse, usually done on the most fertile days of your cycle. (Can also mean baby dust, which is a phrase you use to wish someone good luck.)

My ovulation test is positive, which makes me want to dance – the BD, that is!

BFN/BFP:

Big Fat Negative/Big Fat Positive (on your pregnancy test).

Every time I buy a pregnancy test, I think about how it could be the one to show the BFP.

BOB:

Baby on the Brain!

I’m having a hard time shopping with BOB. All I can think about is tiny socks and pacifiers, which makes it impossible to keep track of my grocery list.

CD:

Cycle Day. A specific day in your menstrual cycle (or fertility treatment cycle). To track it, start by counting from the first day of your last menstrual cycle.

It varies each cycle, but normally I ovulate on CD 13, or 13 days after the first day of my period.

CM or CF:

Cervical Mucus or Cervical Fluid. Changes in cervical fluid indicate that a woman is at different stages of her cycle.

At the most fertile point of each cycle, my CM is clear and super stretchy.

CP:

Chemical pregnancy. A very early miscarriage.

My doctor recommended that I put off trying again until one cycle after my last CP.

DD:

Darling daughter. A daughter you already have.

DH, DD, and I go on vacation next week.

DH:

Dear husband.

I’m 42 and DH is 43.

DPO:

Days Past Ovulation, or Cycle Date Post Ovulation.

By 7DPO of the TWW, I’m already wondering if every little cramp is a sign of pregnancy.

DS:

Darling son.

It’s a challenge to care for DD and DS while also TTC.

ENDO:

Endometriosis. A chronic disease in which tissue that is supposed to grow in the uterus grows outside of it. Millions of women experience this condition and it can affect fertility.

After getting diagnosed with ENDO, I was able to find a huge and supportive online community of other women who had the same condition.

EWCM:

Egg White Cervical Mucus. When your cervical mucus looks like egg whites, it may mean that you’re at your most fertile point.

Nothing is as exciting as seeing EWCM when TTC!

FMU:

First Morning Urine. Most pregnancy tests require that women take them the very first time they pee in the morning. In the morning, urine typically has the highest concentration of Human Chorionic Gonadotropin, or hCG, an early pregnancy hormone.

I tested with FMU and got a faint BFP.

FP:

Follicular Phase. The phase of the menstrual cycle when follicles mature in the ovary. This phase begins on day 1 of your period, and ends with ovulation.

I’m so excited to try and get pregnant, I just want my FP to be over!

hCG:

Human Chorionic Gonadotropin. A hormone produced during early pregnancy that helps the baby grow.

I had a positive test, which means there was enough hCG in my urine to detect a pregnancy.

HPT:

Home Pregnancy Test. A pregnancy test that you can take at home. This morning my HPT showed a BFP – but I’m going to my doctor’s to take a blood test to confirm.

IUI:

Intrauterine Insemination. A specific kind of fertility treatment where sperm is placed directly into a woman’s uterus during ovulation.

After 2 years of TTC, we’ve decided to try IUI.

IVF:

In Vitro Fertilization. A procedure in which an egg is fertilized in a lab and then implanted.

We went through several rounds of IVF before getting a BFP.

LMP:

Last Menstrual Period. The first day of your last period.

I started my LMP on June 6th.

LPD:

Luteal Phase Defect. If the corpus luteum didn’t form properly, a luteal phase defect may occur, causing a short luteal phase. This can make it hard for a woman to get pregnant.

I’ve been really accurate with my charting, because I suspect I might have LPD and I want to have a lot of information to show my provider.

LSC:

Low Sperm Count. Commonly the cause of male infertility.

A semen analysis showed that my partner has an LSC.

M/C:

Miscarriage.

I got my first BFP a year ago, which ended in a really upsetting MC.

MF:

Male Factor Infertility.

To help with the MF issues, we found an infertility counselor who was covered by our insurance.

NTNP:

Not trying for pregnancy, not preventing pregnancy.

I just stopped taking BCP, so I guess that we’re NTNP.

O or OV:

Ovulation.

I O’ed on CD15 and BD on days 13 and 15.

OPK or OPT:

Ovulation Predictor Kit or Ovulation Predictor Test. These tests tell you when your body has a surge of luteinizing hormone (LH), which indicates the onset of ovulation.

I just got a positive OPK, which means BD as soon as possible!

PCO, PCOS, or PCOD:

Polycystic Ovaries, Polycystic Ovary Syndrome, or Polycystic Ovary Syndrome Disease. A condition in which a woman’s levels of estrogen and progesterone are unbalanced. Women with PCOS develop cysts on their ovaries, and the condition can cause infertility.

My doctor thinks I have PCOS, so I’m waiting to hear back about my blood work.

POAS:

Pee On Stick. Taking a pregnancy test (peeing on a stick), usually at home.

I’m 7DPO and it’s so hard to wait to POAS!

RE:

Reproductive Endocrinologist. A type of fertility specialist.

I’m meeting with an RE tomorrow to go over my fertility test results.

SA:

Semen Analysis. This is a test that providers can use to determine the quality and quantity of a man’s sperm.

The results of his SA show he has low sperm count, low motility, and poor morphology.

SO:

 Significant other.

My SO and I have decided that next month we’ll start TTC.

TWW or 2WW: Two Week Wait. The time period between when you ovulate and can take a pregnancy test.

 just started my TWW and I need to find some ways to distract myself!

TTC:

Trying to Conceive.

I haven’t decided who I want to tell that we’re TTC.

U/S:

Ultrasound.

Our first U/S is scheduled for the end of the month.

Should I take an ovulation test?

However, most ovulation predictor kits are not infallible, and there are positives and negatives to their usage. Ovulation kits are best used alongside other fertility trackers, like Ovia, to make sure you have the best shot at conception.

How they work

Ovulation is triggered by a surge of luteinizing hormone (LH) about 24-36 hours prior to ovulation. OPKs search for the presence of LH in the urine, allowing you to fairly accurately identify the day of ovulation. They range in price from $5-$50, and come in both digital and simple pee-on-a stick forms.

Benefits

There are many benefits to using an ovulation kit, including convenience, availability, and precision. The kits can be purchased in drug stores and online, and are simple to use. They may be less burdensome than other tracking methods that require daily monitoring throughout the month. In comparison to other methods of monitoring ovulation, ovulation kits are generally considered to be more precise, because they are over 97 percent effective in detecting an LH surge.

Drawbacks

On the other hand, OPKs cannot confirm whether or not you’ve actually ovulated and can be far more expensive than other methods, like cervical fluid, basal body temperature, or Ovia(!). The kits often don’t work when fertility drugs are in your system, or on women over 40 who have increased LH levels due to proximity to menopause. Most importantly, ovulation predictor kits only test LH, leaving other important symptoms such as cervical fluid untested, which means that ovulation tests can only tell you about two of the six total fertile window days.

Read more

• Tracking your ovulation and ovulation tests
• What is anovulation?

Sources

• Miller PB, Soules MR. “The usefulness of a urinary LH kit for ovulation prediction during menstrual cycles of normal women.” Obstetrics & Gynecology. 87(1):13-7. Web. Jan-96.
• Roger W. Harms, M.D. “Should I look for any particular ovulation signs if I’m hoping to conceive?” Mayo Clinic. Mayo Clinic, 2/13/2014. Web.

Why might I have tested negative?

One of the most common reasons women test negatively inaccurately is by taking a pregnancy test too early. You may be able to test as early as 10 days after ovulation, but it usually takes an average of 13-15 days after ovulation and fertilization for a pregnancy test to turn positive. Many women test too early, use a test with low sensitivity, or use the test incorrectly, which can lead to false negatives.

Other causes of false negative pregnancy tests include diluted urine, expired tests, improper testing, and ectopic pregnancy. If you test negative but have not gotten your period, make sure to take multiple tests throughout the week, and consult your healthcare provider with further questions.

Getting proper results

Women who do not use fertility and ovulation trackers often miscalculate the date of their next periods, meaning that it is possible they have not missed their period but simply haven’t started it yet. Knowing exactly if and when you’ve ovulated, using Ovia’s tools, can help you avoid false negatives and make sure you take a pregnancy test at the right time.

Five ovulation signs to look for

And if you’re TTC with a partner, being aware of when you’re ovulating can be immensely important – since it’s during your fertile window surrounding ovulation when conception is possible – and let you know whether you’ll want to plan to set aside some time for baby-making. Getting pregnant isn’t always especially easy, but to be able to identify when you’re ovulating can help you on your journey toward pregnancy – and hopefully help you conceive that much faster.

1) Low basal body temperature

Basal body temperature, your lowest body temperature in any given day, tends to dip slightly just prior to ovulation and spike sharply immediately afterwards. If you’ve kept a careful log of your BBT, a dip in temperature is one of the best indicators that ovulation is imminent. The best way to tell if a dip has occurred is by carefully tracking your BBT every morning, and Ovia can help with that!

2) Mittelschmerz pains

Many women notice these “middle pains” on one side of the lower abdomen before and during ovulation. The cause of mittelschmerz is not entirely known, but most doctors believe it has to do with the rupturing follicle that houses the egg. Keep in mind that these are minor pains, and can be confused with period cramps. If major pain occurs consult a doctor immediately.

3) Feeling frisky

Believe it or not, many women report increased sex drive and feelings of excitement and confidence during or just before ovulation. While emotional symptoms are subjective and can be indicative of other bodily situations, being turned on while ovulating is your body’s way of telling you that babies might be on the horizon.

4) Fertile cervical fluid

Ever wondered about the fluids inside your cervix? Produced naturally by your body, cervical fluid starts out dry or thick at the beginning of the cycle, then becomes thin and stretchy while you’re ovulating. To determine if your cervical fluid indicates fertility, insert a clean finger into your vagina and observe the fluid you pick up by rubbing it between your fingers.

5) Positive ovulation tests

Ovulation tests, which search your urine for the presence of the hormone that instructs your ovary to release an egg, are taken by urinating on a cup or test directly. While taking ovulation tests can help let you know when you’re ovulating, relying on them effectively halves your fertile window because they do not notify you of ovulation more than a day or two in advance. As with all of the above signs, ovulation tests work best in conjunction with other ovulation tracking techniques.

Read more

• Tracking during the fertile window
• The effects of travel on ovulation

Sources

• Bruno Scarpa, David B Dunson, Bernardo Colombo. “Cervical mucus secretions on the day of intercourse: An accurate marker of highly fertile days.” European Journal of Obstetrics & Gynecology and Reproductive Biology. Volume 125, Issue 1, Pages 72-78. Web. 3/1/2006.
• Samantha J. Dawson MSc, Kelly D. Suschinsky PhD, Martin L. Lalumiere PhD. “Habituation of Sexual Responses in Men and Women: A Test of the Preparation Hypothesis of Women’s Genital Responses.” The Journal of Sexual Medicine. Volume 10, Issue 4, pages 990-1000. Web. 4/13/2015.
• Stephen R. Pallone, MD and George R. Bergus, MD. “Fertility Awareness-Based Methods: Another Option for Family Planning.” Journal of the American Board of Family Medicine. vol. 22 no. 2 147-157. Web. March-April 2009.
• “Ovulation Detection.” ASRM. American Society for Reproductive Medicine, 2006. Web.

How Ovia can help you check and track your cervical position

Ovia’s algorithms help you check and learn when you’re most (and least) fertile by interpreting the data you track – including moods, cervical mucus, temperature, and the position of your cervix – to give you  a daily fertility score. The more you track, the more accurately Ovia can predict when you’re ovulating.

How does cervical position indicate ovulation?

If you’re ovulating, your cervix will feel high up, making it harder to reach, and it’ll feel soft and open. This openness allows any sperm in the area to enter your uterus and potentially fertilize an egg waiting there. In contrast, your cervix will feel low, hard, and closed when you aren’t in the fertile part of your cycle.

Here’s a quick reference guide to how your cervix may feel during different fertility levels and cycle times, including during pregnancy:

Ovulation

• Position: High (hard to reach)
• Firmness/Texture: Soft (like your lips)
• Openness: Open (tip of your finger can rest in the little divot, more circular)

Fertile window (approaching ovulation)

• Position: Medium
• Firmness: Medium (like your chin)
• Openness: Medium

Not fertile (both follicular phase and luteal phase)

• Position: Low
• Firmness: Hard (like the tip of your nose)
• Openness: Closed (like pinching your fingers)

Pregnant

• Position: High
• Firmness: Soft
• Openness: Closed

How does the fertile cervical position change throughout the menstrual cycle?

As you progress throughout your menstrual cycle, your cervix will undergo changes in position and texture, and the internal os – the opening to your uterus – will open or close depending on the cycle phase.

Menstrual

During the menstrual phase, your os will remain slightly open in order to allow for menstrual blood to flow from your uterine lining, and your cervix will remain relatively lower in your vagina, as well as being firm to the touch.

Proliferative

After you stop menstruating, the internal os will close, cutting off the passageway between your vagina and uterus. Your cervix will begin as firm and low in the proliferative phase, but will rise, and become softer and more moist (just like your cervical fluid) as you approach the fertile window and ovulation. Tracking your cervical position during the proliferative phase can really help you determine when the fertile window is approaching.

Fertile window

When you are fertile, your cervix will rise in your vagina, and become even more soft and moist than it was during the proliferative phase. Your internal os will also open in order to allow sperm cells to travel to your fallopian tubes and waiting egg. The cervix may become so soft and high that you can’t reach it with your finger, and if you do, may seem to blend in with the rest of your vagina. You are probably at your peak fertility when your cervix is at its highest position, and softest.

Luteal phase

In the days after you ovulate, your cervix will move down once again in your vagina, and the internal os will close. Your cervix will also become more firm and distinguishable. If you do not conceive in a cycle, your cervix will transition back to its low, firm menstrual state. However, if you do conceive, you will likely notice your cervix remaining high and soft, though with a closed internal os.

How do I check my cervical position?

There are a few different ways to check your cervical position, but regardless of the technique you use, you should always make sure to wash your hands, and keep your nails trimmed before inserting a finger in your vagina. Some women prefer squatting when checking their cervical position, but most will raise one leg up on to the bathtub ledge or toilet, before inserting a finger into the vagina to check for cervical position, texture, and moistness.

You should keep track of the way your cervix changes throughout the cycle in order to best predict when you might be fertile.