Reports on an Article* from the Reproductive Biology Research
Unit at the University of Saskatchewan
comment by
Professor-Emeritus James B. Brown
M.Sc. Ph.D. D.Sc. F.R.A.C.O.G. |
* "A new model for ovarian follicular development during the
human menstrual cycle", Fertility Sterility, July
6, 2003
Waves of anovulatory ovarian activity as described by the Saskatchewan
study were documented by hormone assays and published in the scientific
literature during the late 1950s and early 1960s. Their existence
has been known to the Billings Ovulation Method for more than 40
years and rules have been developed to allow for it.
The woman observes patches of mucus associated with each wave of
follicular activity and is taught to distinguish these patches from
true ovulation, which is associated with a more definite increasing
mucus pattern followed by the Peak symptom. This distinction is
important because confusion between the two events could lead to
mistakes in timing ovulation and this applies both to the avoidance
and achievement of pregnancy.
Thus, the facts revealed in the Saskatchewan study are absolutely
correct, we are grateful to the authors for reminding the world
that the waves exist and we ask them to continue with their studies.
There are more interesting phenomena to discover.
However, their interpretation that their findings indicate that
fertile ovulations can occur more than once on different days during
the menstrual cycle is grossly in error. From observing the millions
of women using natural methods of family planning and from the daily
study of approximately 10,000 ovarian cycles in a large spectrum
of women we can state that once ovulation has occurred another ovulation
cannot occur in the interval to the next menstrual bleed.
The Saskatchewan study confirmed this in that all the women released
only one egg during the study cycle and the only two who appeared
to ovulate more than once had abnormal (infertile) cycles. This
is also our experience. The problem is to define the day of ovulation
correctly and it should be stated that conception could not occur
in such abnormal cycles and that they are an important cause of
infertility.
The emphasis in the report on the assumed possibility that more
than one fertile ovulation can occur on different days during a
menstrual cycle reflects the unwarranted hostility of the authors,
the Journal and the current official opinion to natural family planning.
It also demonstrates that preconceived ideas obtained from assisted
reproduction technology applied to infertile women are poor indicators
of normal reproductive mechanisms compared with the study of normally
fertile women using natural family planning.
Reference: "The Continuum"
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