Changes in Ovulation and Menstrual Cycle: Your Questions Answered - Obstetrics and Gynecology

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Understanding changes in ovulation and the menstrual cycle can be quite complex, and it's important to consider various factors that can influence these processes. Based on your description, it seems you are experiencing some irregularities in your menstrual cycle and ovulation signs, which can be concerning but are not uncommon.

Firstly, it's essential to understand that the menstrual cycle can be affected by a variety of factors, including stress, hormonal imbalances, lifestyle changes, and even diet. You mentioned that your gynecologist suggested that emotional stress might be contributing to your reduced menstrual flow over the past couple of months. Stress can significantly impact hormonal levels, which in turn can affect ovulation and menstruation.
Regarding your observation of the changes in your cervical mucus during ovulation, it's important to note that the typical "egg white" cervical mucus is a sign of peak fertility and usually occurs around ovulation. However, not everyone experiences the same amount or type of cervical mucus every cycle. Variations can occur due to hormonal fluctuations, hydration levels, and even the time of day. The fact that you are only noticing this mucus during bowel movements could be due to increased pressure in the pelvic area, which may cause the mucus to be expelled at that time.
As for the timing of ovulation, if you are experiencing less cervical mucus than usual and it has been six days since you first noticed this change, it is possible that your ovulation may have been delayed or that your body is experiencing an anovulatory cycle (a cycle where ovulation does not occur). This can happen occasionally and is often not a cause for concern unless it becomes a regular occurrence.
Regarding your menstrual cycle, if your app predicted ovulation and it has not occurred as expected, your period may also be delayed. However, predicting the exact timing of menstruation can be tricky, especially if ovulation is irregular. If ovulation is delayed, it can lead to a delayed period as well.
You also mentioned having had sexual contact with your boyfriend. If you have had two months of lighter periods and have undergone examinations with two gynecologists, it is reasonable to conclude that the likelihood of pregnancy is low, especially if you have had negative pregnancy tests or examinations that ruled out pregnancy. However, if you have concerns about potential pregnancy, it might be worth taking a home pregnancy test or consulting with your healthcare provider for further evaluation.

In summary, while changes in menstrual flow and ovulation signs can be concerning, they are often influenced by various factors, including stress and hormonal changes. If you continue to experience irregularities or have additional concerns, it is advisable to follow up with your healthcare provider for further assessment and guidance. Keeping track of your symptoms, menstrual cycle, and any other changes in your health can provide valuable information for your doctor to help determine the best course of action.