Author: VA Womens Health

Signs and Symptoms of Ovulation: What Should You Watch For?

Understanding ovulation can be an important part of caring for your reproductive health — whether you are actively trying to conceive, hoping to avoid pregnancy, or simply want to better understand your menstrual cycle.

Ovulation plays a central role in fertility, hormone balance, and cycle regularity. Learning to recognize common ovulation signs can help you better anticipate your fertile window, identify patterns in your cycle, and know when to seek guidance from your OB/GYN.

What Is Ovulation?

Ovulation is the point in your menstrual cycle when one ovary releases a mature egg. Once released, the egg travels into the fallopian tube, where it can be fertilized for approximately 12 to 24 hours.

Sperm, however, can survive in the reproductive tract for up to five days, which is why pregnancy can occur even if intercourse happens several days before ovulation. This combination creates what’s known as the fertile window — typically the five days leading up to ovulation and the day of ovulation itself.

While the average menstrual cycle is often described as 28 days, cycle length varies widely from woman to woman and can even change from month to month. Ovulation generally occurs about 14 days before your next period begins, regardless of total cycle length.

Because cycles aren’t always predictable, many women rely on physical signs and tracking methods to help identify when ovulation is approaching.

Why Knowing Your Ovulation Timing Matters

For women trying to become pregnant, having intercourse during the fertile window significantly increases the chance of conception. For those wishing to avoid pregnancy, understanding ovulation timing can help inform decisions about abstinence or contraceptive use.

Even outside of family planning, recognizing ovulation patterns can offer valuable insight into hormonal health and cycle regularity.

Common Signs of Ovulation

Many women experience noticeable physical changes as ovulation approaches. These signs can vary in intensity — or may not occur every cycle — but common indicators include:

Changes in Cervical Mucus

As ovulation nears, cervical mucus often becomes clear, slippery, and stretchy, resembling raw egg whites. This type of cervical fluid helps sperm travel more easily and signals peak fertility.

Changes in Basal Body Temperature

Tracking your basal body temperature — your temperature first thing in the morning before getting out of bed — can help identify ovulation patterns over time. Many women notice a slight dip in temperature followed by a sustained rise after ovulation has occurred.

Because the temperature increase happens after ovulation, this method is most useful for understanding cycle patterns rather than predicting ovulation in real time.

Other Possible Ovulation Symptoms

  • Mild pelvic pain or cramping on one side (known as mittelschmerz)
  • Breast tenderness
  • Light spotting
  • Bloating
  • Increased libido
  • Heightened sense of smell or taste
  • Subtle mood changes
  • Changes in cervical position or firmness

Not all women experience these symptoms, and their presence — or absence — does not necessarily indicate a problem.

Ovulation Predictor Kits and Tracking Tools

If tracking physical signs feels overwhelming, ovulation predictor kits (OPKs) are widely available and can help detect hormonal changes that signal ovulation. Many women also use cycle-tracking apps or calendars to monitor patterns over time.

No single method is perfect, and combining approaches often provides the most accurate picture.

When to Talk With Your OB/GYN

Ovulation timing can vary significantly, and it’s normal for cycles to change throughout different stages of life. However, if you’re having difficulty identifying your fertile window, experiencing irregular cycles, or struggling to conceive, your OB/GYN can help evaluate what may be affecting ovulation and discuss next steps.

If you have questions about ovulation, need help tracking your cycle, or are concerned about fertility, contact our OB/GYN specialists at Virginia Women’s Health Associates, in Reston. We’re happy to guide you through the right information for you.

Frequently Asked Questions About Ovulation

How do I know when I am ovulating?

Ovulation often comes with physical signs such as changes in cervical mucus, mild pelvic cramping, or increased libido. Some women also track basal body temperature or use ovulation predictor kits to help identify their fertile window.

How long does ovulation last?

Ovulation itself lasts about 12 to 24 hours, which is how long the egg can be fertilized after it is released. However, sperm can live in the reproductive tract for up to five days, making the fertile window longer than ovulation alone.

When is the fertile window?

The fertile window typically includes the five days before ovulation and the day of ovulation. This is the time when pregnancy is most likely to occur if intercourse happens.

Can I ovulate at a different time each month?

Yes. Ovulation timing can vary from cycle to cycle, especially if your cycles are irregular or affected by stress, illness, travel, or hormonal changes. This variability is common and normal for many women.

Do ovulation symptoms mean I am fertile?

Ovulation symptoms often indicate increased fertility, but they are not a guarantee. Some women ovulate without noticeable symptoms, while others experience signs without ovulation occurring that cycle.

When should I see my OB/GYN about ovulation concerns?

You should contact us at  Virginia Women’s Health Associates, at (703) 435-2555 if you have irregular cycles, difficulty identifying your fertile window, or concerns about fertility. We can help evaluate ovulation patterns and discuss personalized guidance or next steps.

The Impact of Pregnancy Loss: Learning to Heal Emotionally & Physically

Pregnancy loss is an upending event that no one could possibly prepare for. It’s extremely challenging to describe, talk about, and navigate. Remember you’re traversing a grief experience, with some days that feel manageable and other days that don’t.

The emotional impact can be as formidable (if not more so) than the physical one. Hormones, lack of sleep, depression, and exhaustion can intensify an already devastating period in your life. But even if you feel all alone on this path, you most certainly are not.

This guide offers supportive, gentle insight into what recovery may look like and how you can take steps toward both emotional and physical healing.

Navigating a Wide Range of Emotions

Miscarriage can bring so many feelings to the surface: sadness, guilt, numbness, anger, confusion, blame, or even a sense of being outside of reality. All reactions are valid. Every person processes loss differently, and there is no “right” timeline or expression of grief.

Many women describe miscarriage as a layered experience that is not just the loss of a pregnancy, but also the loss of many hopes, plans, and the future they imagined. Add to that: partners who share in your grief may be dealing with it in different ways, which can make communication and connection difficult but all the more important.

If you’re struggling with mixed or unexpected emotions, know this: Nothing you’re feeling is wrong, and support is available.

Physical Healing After Miscarriage

Your body needs time to recover after a pregnancy loss. Physical healing often depends on how far along the pregnancy was and whether medical treatment was needed. Common physical experiences may include:

  • Cramping or mild abdominal discomfort
  • Light to moderate bleeding for a few days or weeks
  • Breast tenderness
  • Fatigue
  • Hormonal shifts that may affect mood

Most women can return to normal activities in a few days, but your provider may recommend avoiding intercourse or tampon use until bleeding has stopped and the uterus has healed. Follow-up appointments are essential to ensure recovery is progressing normally.

If you experience heavy bleeding, fever, worsening pain, or a foul-smelling discharge, contact your provider right away, as these could be signs of complications.

Prioritizing Your Mental & Emotional Well-Being

Emotional recovery often takes longer than physical recovery. Here are compassionate ways to support your mental health:

Give yourself permission to grieve

This loss is real, and it’s important to work through all your feelings. Allowing yourself space to cry, rest, or reflect is part of your healing process.

Lean on your support system

Talking to a partner, trusted friend, family member, or faith leader can help ease the emotional weight.

Seek professional guidance when needed

Therapists, counselors, and support groups can offer tools to navigate grief, anxiety, or depression. If sadness feels overwhelming or persistent, reach out — you deserve help and understanding.

Practice gentle self-care

Rest, nourish your body, get fresh air, and avoid pushing yourself too quickly. Healing is not linear, and small acts of care can make a meaningful difference.

Communicate with your doctor

Your gynecologist can help you understand what happened, discuss pregnancy planning for the future if and when you’re ready, and provide reassurance during this vulnerable time.

Seeking Additional Support After Miscarriage

It’s totally normal for emotions to ebb and flow after pregnancy loss, but some feelings may become heavier than you can carry alone. Allow yourself the support that meets the moment.

Reach out to a healthcare provider or mental health professional if you experience:

  • Persistent sadness, hopelessness, or emotional numbness
  • Intense anxiety or panic
  • Trouble sleeping or eating
  • Difficulty completing daily tasks
  • Thoughts of harming yourself or not wanting to continue

If You Are in Crisis or Need Immediate Help

If you ever feel unable to stay safe or are worried you might harm yourself, please seek help right away. You can:

  • Call your local emergency number (such as 911 in the United States).
  • If you’re in the U.S., call or text 988, the Suicide & Crisis Lifeline.
  • If you’re outside the U.S., find your local hotline HERE.
  • Go to the nearest emergency department or urgent care center.
  • Contact a trusted friend, partner, or family member and let them know you need help.

You are not alone, even in your darkest moments. Reaching out is a brave, important step toward safety and healing — it’s a sign of strength, not weakness, to ask for help.

Look to Us for Compassion and Support

Miscarriage is a deeply personal and emotional experience. Healing is absolutely possible, but it takes time, patience, and support from people who care about your well-being. If you’re recovering from pregnancy loss, remember to be gentle and patient with yourself. Lean on your support system, and work closely with your gynecologist to understand your physical and emotional needs.

Help and hope are always available, so please reach out to our care team at  Virginia Women’s Health Associates, at (703) 435-2555 to talk more. We’re here for you!

Birth Control Effects on Mood, Memory, and Mental Health: Watching for Changes and What to Do

Understanding Birth Control and Mood Changes

Many women start birth control for pregnancy prevention, lighter periods, or help with hormonal symptoms. But it’s also common to wonder how it might affect your mood, your emotions, and even your memory. While every woman’s body responds differently, understanding the connection between hormones and mental health can help you choose a method that feels right for you.

Let’s break down what we know about birth control mood changes, the difference between hormonal and non-hormonal options, and how to track your emotional health while using contraception.

Hormonal vs. Non-Hormonal Birth Control: What’s the Difference?

Hormonal Methods

These include:

  • Combination pill (estrogen + progestin)
  • Progestin-only pill
  • Patch
  • Vaginal ring
  • Hormonal implant
  • Hormonal IUD

Hormonal methods prevent ovulation and regulate your reproductive cycle by altering levels of estrogen and/or progesterone, both of which influence mood, stress response, sleep, and libido.

Non-Hormonal Methods

These include:

  • Copper IUD
  • Condoms
  • Diaphragm
  • Cervical cap
  • Fertility awareness methods

Because these methods do not affect hormone levels, they may be a better fit for people sensitive to hormonal shifts or those who have experienced emotional side effects with hormonal birth control.

What Does Research Say About Mood and Birth Control?

Studies show a wide range of outcomes: Some people report improved mood, while others notice increased anxiety, irritability, or sadness. Recent research has also explored links between contraception and depression, but results remain mixed and depend heavily on the individual, the dose, and the method.

Key findings from recent studies include:

  • Some individuals are more sensitive to hormonal fluctuations and may notice emotional changes shortly after starting a new method.
  • Progestin-only methods appear more likely to be associated with mood-related side effects in some users.
  • Others experience emotional stability because hormonal birth control reduces PMS symptoms, cramps, and cycle-related mood swings.

Bottom line: Your personal hormone sensitivity plays a major role, and your response may not match someone else’s.

Common Emotional and Cognitive Side Effects of Birth Control

Not everyone experiences side effects while on birth control, but the following are most commonly reported:

Mood Swings

Shifts in estrogen and progesterone can affect serotonin and dopamine, the brain chemicals that influence mood.

Anxiety or Irritability

Some people feel more on edge or emotionally reactive during the adjustment period (typically the first 1–3 months).

Lower Libido

Hormonal changes can temporarily decrease sexual desire, especially with certain progestin-heavy methods.

Brain Fog or Memory Changes

While research is limited, some users report mild memory lapses or difficulty concentrating, often described as “mental haze.”

These experiences are real, but they’re also highly individual. What’s normal for one person may be uncommon for another.

Tracking Your Mood and Emotional Health

If you’re concerned about contraception affecting your emotions, tracking patterns can help you and your OB-GYN understand what’s happening.

Try:

  • A daily mood journal
  • Cycle tracking apps with a “mood” category
  • Noting sleep patterns, stress levels, and lifestyle changes
  • Writing down when new symptoms started

Tracking helps distinguish whether symptoms are due to birth control or unrelated factors like stress, work, relationships, or PMS.

When to Consider Switching Birth Control

You may want to talk to your OB-GYN about switching methods if you experience:

  • Persistent low mood or anxiety
  • Significant changes in libido
  • Difficulty concentrating or worsening brain fog
  • Emotional symptoms that interfere with daily life
  • Side effects that do not improve after 2–3 months

Sometimes a lower dose, a different hormone formulation, or switching to a non-hormonal method can resolve unwanted effects. Your OB-GYN is here to help.

Finding the Right Method for Your Body and Mind

Understanding hormonal birth control side effects, especially when it comes to mood and mental well-being, empowers you to make informed choices. If you’re noticing emotional or cognitive changes, you’re not imagining them.

A conversation with your OB-GYN can help you explore options, adjust your method, or find a better fit for your body and your mind. Remember: You don’t have to live with adverse effects or symptoms related to your birth control. Reach out to our team today at Virginia Women’s Health Associates, at (703) 435-2555 to learn more!

Why You’re Always Tired: Could It Be a Hormonal Imbalance?

Everyone feels tired from time to time. But if you’re constantly exhausted no matter how much sleep you get, it may be a sign that something deeper is going on. One of the most overlooked causes of chronic fatigue in women is a hormonal imbalance.

Hormones are powerful chemical messengers that regulate everything from energy and mood to sleep, metabolism, and even body temperature. When they’re even slightly out of balance, it can leave you dragging through the day, wondering why your usual healthy habits aren’t making a difference.

Let’s look at how hormones influence your energy — and what you can do if fatigue has become your “new normal.”

Common Hormones That Impact Energy Levels

Several hormones directly affect how energized—or drained—you feel:

  • Thyroid hormones: An underactive thyroid (hypothyroidism) slows your metabolism, often causing fatigue, weight gain, and brain fog.
  • Cortisol: Known as the “stress hormone,” cortisol helps regulate energy throughout the day. Chronic stress or adrenal dysfunction can throw levels off balance, leaving you feeling wired one moment and depleted the next.
  • Estrogen & progesterone: These reproductive hormones fluctuate during the menstrual cycle, perimenopause, and menopause, impacting sleep quality, stamina, and mood.
  • Insulin: Poor blood sugar regulation and insulin resistance can trigger midday crashes, cravings, and energy swings.

Signs Your Fatigue Could Be Hormone-Related

Hormonal fatigue rarely comes alone. You may notice additional signs such as:

  • Feeling exhausted despite 7-8 hours of sleep
  • Low motivation, brain fog, or difficulty concentrating
  • Mood swings, anxiety, or irritability
  • Unexplained weight gain or difficulty losing weight
  • Irregular periods or worsening PMS
  • Sensitivity to cold, hair thinning, or low libido

If these symptoms sound familiar, it’s worth exploring whether your hormones could be playing a role.

How Hormones Affect You at Different Life Stages

Hormonal shifts look different at each stage of a woman’s life:

  • Young adults: Conditions like PCOS (polycystic ovary syndrome) or thyroid disorders may cause persistent fatigue early in adulthood.
  • Midlife women: Perimenopause brings fluctuating estrogen and progesterone, which can disrupt sleep, mood, and energy.
  • Postpartum: After childbirth, estrogen levels drop dramatically, and thyroid changes are common. Fatigue may last beyond the typical “new mom tiredness.”
  • Menopause: Declining estrogen often contributes to poor sleep, hot flashes, joint discomfort, and brain fog.

How a GYN Expert Can Help

If fatigue feels chronic, unexplained, or disruptive, a women’s health specialist can help uncover the root cause. At your visit, your provider may recommend:

  • Hormone bloodwork to check thyroid, estrogen, progesterone, and cortisol levels
  • Thyroid and metabolic panels to look for imbalances
  • A detailed review of your symptoms in the context of your menstrual history, stress levels, and lifestyle
  • Additional testing to rule out other common causes of fatigue, such as anemia, vitamin deficiencies, or autoimmune conditions

Treatment Options for Hormonal Imbalances

The encouraging news? Hormonal imbalances are treatable. Depending on your needs, treatment may include:

  • Lifestyle adjustments: nutrition support, exercise, stress reduction, and better sleep hygiene
  • Hormone therapy: such as hormone replacement for menopause or thyroid medication for hypothyroidism
  • Supplements or targeted therapies: recommended by your provider for adrenal support or menstrual cycle regulation
  • Ongoing monitoring: to adjust treatment as your body and hormones change over time

Every plan should be personalized. What works for one woman may not work for another, which is why working with a knowledgeable provider is so important.

A Whole-Person Approach to Your Health

If you’re tired of feeling tired, don’t ignore the signals. Extreme fatigue isn’t a normal part of getting older or being busy, so it may be your body’s way of telling you something is out of balance.

At Virginia Women’s Health Associates, we take a whole-person approach to women’s health. That means looking at your hormones, lifestyle, and overall wellness together. With the right testing, treatment, and support, it’s absolutely possible to restore your energy and feel like yourself again.

Schedule a consultation with us today at (703) 435-2555 to take the first step toward better energy, balance, and health.

What to Expect During a Hysteroscopy: A Simple Guide for Women

If your doctor has recommended a hysteroscopy, you may have questions—or feel a little nervous. That’s completely normal! The good news is that this procedure is safe, quick, and minimally invasive, and it can provide helpful answers and effective treatment for many uterine concerns.

Here’s what you need to know about why hysteroscopy is done, what to expect at each step, and how to prepare for a smooth experience.

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What Causes Irregular Periods? Top 5 Reasons and When to Worry

Your period doesn’t always follow a perfect schedule, and for many people, that’s normal. But when your cycle becomes unpredictable, extra long (or short), or unusually heavy or light, it may leave you wondering what’s going on.

Here are the top 5 most common causes of irregular periods, plus when it’s time to check in with a gynecologist.

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Breaking Down the Myths: What You Should Know About Vaginal Health

When it comes to vaginal health, misinformation is everywhere—from outdated advice passed down through generations to misleading social media posts and product marketing. Unfortunately, these myths can lead to confusion, unnecessary worry, or even harmful hygiene habits.

Understanding the truth about your body isn’t just empowering—it’s essential to your overall health and well-being. Below, we break down some of the most common myths about vaginal health and replace them with clear, evidence-based facts.

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Hormonal Changes in Your 30s, 40s, and 50s: What to Expect and How to Manage Symptoms

Hormones play a major role in everything from mood and energy to metabolism, sleep, and reproductive health. As you move through your 30s, 40s, and 50s, your body undergoes natural hormonal changes—and understanding what’s happening can help you feel more empowered and prepared.

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The Five Main Types of Gynecologic Cancers and How They’re Treated

When thinking about the main types of gynecologic cancers, the most important factor for women is to “know your normal.” Signs and symptoms can be different for each woman, so if you are aware of what is normal for you, it will be easier to spot any changes and catch problems early. With that thought in mind let’s discuss the five main types of gynecologic cancers and how they are treated.

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Understanding Menstrual Migraines: Causes and Symptoms

As if women don’t have enough pre-menstrual issues to deal with like bloating and irritability, now you are hit with menstrual migraines. All these unfortunate maladies are caused by those pesky female hormones. If you are a new victim or have been wondering about these especially painful headaches, keep reading. We will help with understanding menstrual migraines, including causes and symptoms.

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