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PCOS, Fertility & Reproductive Health Women's Health
Published: June 10, 2025
Last Updated: October 20, 2026

When an ovary releases an egg, ovulation takes place. In a typical 28-day menstrual cycle, ovulation often occurs around day 14, although the timing varies from person to person and from cycle to cycle. You can estimate ovulation using a menstrual calendar, cervical mucus observations, basal body temperature tracking, or an ovulation prediction kit.

Understanding ovulation can help you identify your fertile window, plan a pregnancy, or better understand your menstrual cycle.

This article is part of PCOS, Fertility & Reproductive Health

What Is Ovulation?

Ovulation is the stage of the menstrual cycle when one of the ovaries releases a mature egg. After its release, the egg travels through the fallopian tube, where it may meet sperm and become fertilized.

In a typical 28-day cycle, ovulation often occurs around day 14. However, not everyone has a 28-day cycle, and ovulation does not always happen on the same day each month.

Hormonal changes regulate ovulation and prepare the body for a possible pregnancy.

Your Menstrual Cycle and Ovulation

Ovulation is controlled by hormones that coordinate the development and release of an egg.

At the beginning of the process, the hypothalamus releases gonadotropin-releasing hormone (GnRH), which signals the pituitary gland to release follicle-stimulating hormone (FSH).

FSH helps follicles in the ovaries develop. Each follicle contains an immature egg, and usually one follicle becomes dominant and continues maturing.

As the cycle progresses, rising estrogen levels help trigger a surge in luteinizing hormone (LH). This LH surge causes the ovary to release the mature egg, resulting in ovulation.

After ovulation, the remaining follicle produces progesterone, which helps prepare the uterine lining for a possible pregnancy.

Hormonal conditions such as polycystic ovary syndrome (PCOS) can affect normal ovulation and make menstrual cycles irregular. Women who frequently experience missed periods or difficulty predicting ovulation should consider consulting a healthcare professional.

Ovulation, pregnancy and conception

Ovulation, pregnancy and conception

After ovulation, the released egg travels through the fallopian tube. If sperm reaches the egg and fertilizes it, the fertilized egg begins dividing as it travels toward the uterus.

Several days later, the developing embryo may attach to the uterine lining in a process called implantation. Hormonal changes help maintain the uterine lining and support early pregnancy.

If pregnancy does not occur, hormone levels eventually fall, and the uterine lining sheds during menstruation.

A missed period can be an early sign of pregnancy, particularly for someone with regular cycles. However, a pregnancy test is the most practical way to check for pregnancy.

When Do Women Ovulate?

In a typical 28-day menstrual cycle, ovulation often occurs around day 14. More generally, ovulation usually occurs approximately 14 days before the next menstrual period begins.

For example, someone with a 32-day cycle might ovulate around day 18, while someone with a 24-day cycle might ovulate around day 10. These are estimates rather than guarantees.

Tracking your menstrual cycle with a calendar or phone app for several months can help you recognize patterns and estimate your likely ovulation date.

Women who are planning a pregnancy and need personalized guidance can discuss their menstrual cycle and fertility goals with a specialist at a clinic such as Oasis Fertility.

How Long Does Ovulation Last?

The egg typically remains capable of being fertilized for about 12–24 hours after ovulation.

Sperm can survive in the female reproductive tract for up to approximately five days under favorable conditions. As a result, the fertile window generally includes the five days before ovulation and the day of ovulation.

Having sex during this window can increase the chances of conception, particularly during the one or two days before ovulation and around the day it occurs.

How Can You Tell If You Are Ovulating?

Ovulation can be difficult to identify because some people experience noticeable symptoms while others experience none. Combining more than one tracking method may provide a better estimate than relying on a single method.

1. Menstrual Cycle Tracking

Record the first day of each period and track your cycle length over several months. This can help you identify patterns and estimate when ovulation may occur.

However, cycle tracking is less reliable when periods are irregular, including for some women with PCOS.

2. The Calendar Method

The calendar method uses previous menstrual cycles to estimate the fertile window.

One traditional approach is to record at least six cycles, subtract 18 days from the shortest cycle to estimate the beginning of the fertile window, and subtract 11 days from the longest cycle to estimate its end.

For example, if your shortest cycle is 28 days and your longest is 31 days, the estimated fertile window would be approximately days 10–20.

This method provides a broad estimate, not a precise prediction of ovulation. It should not be relied on alone to prevent pregnancy.

3. Cervical Mucus Changes

Cervical mucus changes throughout the menstrual cycle in response to hormones.

Before ovulation, it may be thicker, cloudy, or sticky. As ovulation approaches, it often becomes clearer, wetter, more slippery, and stretchier, resembling raw egg white.

This type of mucus helps sperm move through the reproductive tract. Observing these changes can help you recognize days when conception is more likely.

4. Basal Body Temperature

Basal body temperature is your body’s resting temperature immediately after waking up.

Following ovulation, progesterone typically causes a small temperature increase, often around 0.2–0.5°C, although the change varies.

Measure your temperature every morning before getting out of bed and record the results over several cycles. A sustained rise can help confirm that ovulation probably occurred, but it is generally more useful for identifying past ovulation than predicting it in advance.

5. Ovulation Prediction Kits

Ovulation prediction kits are available for home use and detect luteinizing hormone (LH) in urine.

An LH surge usually occurs before ovulation, and a positive test often indicates that ovulation may happen within approximately 24–36 hours. However, a positive result does not guarantee that an egg will be released.

Some people with PCOS may have elevated or fluctuating LH levels, which can make ovulation prediction kits harder to interpret.

What Are the Symptoms of Ovulation?

Not everyone experiences ovulation symptoms. When symptoms do occur, they may include:

  • Breast tenderness: Hormonal changes can cause temporary sensitivity.
  • Bloating: Some people notice mild abdominal bloating around ovulation.
  • Mild pelvic pain: Brief discomfort on one side of the lower abdomen may occur, sometimes called mittelschmerz.
  • Light spotting: A small amount of spotting may occur in some individuals.
  • Changes in cervical mucus: Discharge may become clear, slippery, and stretchy.
  • Increased sex drive: Some people notice changes in sexual desire.
  • Mood or appetite changes: Hormonal fluctuations may influence how some people feel.
  • Changes in smell or taste sensitivity: Some individuals report changes, although these are not reliable indicators of ovulation.

Symptoms alone cannot confirm ovulation. Severe or persistent pelvic pain, heavy bleeding, or other concerning symptoms should be assessed by a healthcare professional.

How Many Days During Ovulation Can You Get Pregnant?

Pregnancy is possible during the fertile window, which generally includes the five days before ovulation and the day of ovulation.

This is because sperm may survive for several days, whereas the egg usually remains viable for only 12–24 hours after release.

If you are trying to conceive, having sex every one to two days during the fertile window can help maximize the opportunity for sperm to meet the egg.

If you have irregular cycles or have been trying to conceive without success, a healthcare professional can help assess ovulation and discuss appropriate fertility options. In some cases, fertility treatment may be recommended.

Is It Possible to Ovulate and Miss Your Period?

Yes, although the circumstances matter.

If ovulation occurs and pregnancy does not follow, menstruation usually begins about two weeks later. However, cycle timing can vary, and changes in hormones or the uterine lining can sometimes affect bleeding.

Pregnancy can also occur after ovulation, in which case the expected period may not arrive.

Conversely, bleeding that appears to be a period does not always mean ovulation occurred. Some people experience bleeding during cycles in which ovulation does not take place.

If you repeatedly miss periods, experience unusually irregular cycles, or suspect that you are not ovulating, consult a healthcare professional to identify the cause.

Can Medication Help With Ovulation?

Yes. Certain fertility medications can help stimulate ovulation in people who have difficulty releasing eggs regularly.

Treatment depends on the underlying cause of ovulation problems, medical history, and whether pregnancy is the goal. For some women with PCOS-related infertility, a clinician may recommend medication to induce ovulation.

Do not take fertility medication without medical supervision, as treatment may require monitoring for side effects and multiple pregnancy risks.

Conclusion

Ovulation is an important stage of the menstrual cycle and plays a central role in natural conception. Although it often occurs around day 14 in a 28-day cycle, the exact timing varies from person to person.

Menstrual tracking, cervical mucus observations, basal body temperature, and ovulation prediction kits can help estimate the fertile window. Using multiple methods may improve your understanding of your cycle, but no tracking method guarantees an exact ovulation date.

If your periods are irregular, you suspect that you are not ovulating, or you are experiencing difficulty conceiving, speak with a qualified healthcare professional. Understanding your cycle and receiving appropriate guidance can help you make informed decisions about reproductive health and family planning.

For individuals exploring fertility support, Oasis Fertility is another resource to learn about fertility services and treatment options.