From Hormones to Ovulation, Signs You Might Be Naturally Fertile

By Dr. Meghana Nyapathi, Cluster Head - Reproductive Medicine, Milann Fertilityl, Bengaluru

Fertility isn’t just about getting pregnant,it also reflects your hormones, nutrition, and overall well-being. But, many women often ignore or miss simple signs of their body.  At times , women find it difficult to identify when they ovulate or recognize the natural cues of their reproductive health. A 2023 study published in the Indian Journal of Community Medicine revealed that over 60% of Indian women had low fertility awareness.  

Understanding the subtle signs that the human body gives out on a regular basis is crucial.  The following are the six main indicators that you might be naturally fertile.

● Women having regular menstrual cycles:

The physiological process by which one of your ovaries releases an egg is called ovulation, and it usually happens 14 days before to your next period.  Following its release, the egg passes through the fallopian tube, where sperm can fertilise it and this leads to pregnancy.  The egg disintegrates 24 hrs post ovulation if fertilisation is unsuccessful, and your menstrual cycle continues with the onset of the period. The menstrual cycle normally lasts between 26 and 35 days, with ovulation usually taking place approximately 14 days before the next period.  Regular cycles indicate that your hormones are in balance and that the ovaries are regularly releasing eggs.  About 20% of Indian women experience irregular cycles, which might be a sign of PCOS, thyroid imbalance, or stress, all of which can disrupt ovulation.

● Understanding possible ovulation symptoms:

Around the middle of the  cycle, you might notice a dull ache in your lower belly, a bit of bloating, or even a sudden burst of energy. These are your body’s gentle hints that ovulation is happening,  a phase doctors call mittelschmerz, which simply means “middle pain” in German. It’s your ovary releasing an egg, and a key moment if you’re trying to conceive. Nearly 8 in 10 women experience these subtle signs.

● The changes in Cervical mucus

As you get closer to ovulation, you might notice a change in your vaginal discharge, it becomes clear, slippery, and stretchy, almost like egg whites. This is your body’s way of helping sperm move easily and stay alive longer, making it the perfect time for conception. If your discharge feels dry or sticky instead at all times, or discolouredit could be your body’s signal that you’re not in your fertile phase yet, or that your hormones need a little attention.

● What healthy skin and hair describes

If your skin feels clear and your hair looks healthy and shiny, it’s often a sign that your hormones are well balanced. But if you’re struggling with frequent breakouts, hair loss, or noticing extra facial hair, your body might be trying to tell you something. These changes can happen when male hormones (androgens) rise, which is common in PCOS, a condition that affects about one in five Indian women and can make it harder to get pregnant.

● What does stable weight and active metabolism tell you about

Keeping your weight in a healthy range helps your hormones stay balanced and supports regular ovulation. If you’re underweight, your body might not produce enough reproductive hormones. On the other hand, carrying extra weight can affect insulin levels and make ovulation less regular. Studies show that even a small weight gain, about five BMI points can lower your chances of getting pregnant by nearly 25%.

● Minimal Premenstrual Syndrome (PMS) or Menstrual Pain

It’s normal to feel a little discomfort before your period, but very painful cramps or heavy bleeding can be a warning sign. Conditions like endometriosis , fibroids,or even endometrial polyps which affect about 1 in 10 women, can make it harder to conceive. Smooth, manageable cycles usually mean your hormones are in good balance.

When a couple tries to conceive for 12 months but fails, and most importantly ,after trying for even just 6 months , if the woman is over 35 years, they should consult a fertility specialist. Because, early intervention can help to identify underlying issues quickly and help to get improved outcomes.

Fertility is also one of the factors that decides your body's internal equilibrium.  Therefore, by understanding these signs women can safeguard their reproductive health and make educated decisions by being aware of these covert indicators and getting prompt medical attention before it's too late.

(Views are personal)