Josie and Mucus Cycle

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    3 Louise Kirk 2009

    You can see all sorts of lovely liquids there, just ready to feed the baby, until suddenly,

    whoosh! The follicle disintegrates, the progesterone levels in the blood drop

    dramatically, and the lining of the womb begins to be shed. Theres the period all over

    again.

    Its very interesting, Mummy, Josie said, craning over the drawing. But you

    were going to tell me about mucus. Does that come from all those glands?

    A good question, but actually it doesnt. It comes from the cervix. Can you tell

    me what the cervix is?

    I know you said you

    have to look after it, replied

    Josie, thinking hard. You said

    it was something like the

    gateway of the uterus.

    It is. You can see it

    here in the diagram. Its

    actually part of the uterus and

    joins the uterus to the top of the

    vagina. Its a bit like a tube and

    measures about 1 inches

    long. Its made of lots of

    expandable material becausewhen a baby is born it has to

    stretch from being only about

    an inch in diameter to being

    wide enough to let the baby out.

    Can you see all those wiggly folds? she went on. Theyre called cryptsand

    inside the crypts there are hundreds of glands which produce the mucus I was talking

    about. They dont only produce one kind of mucus there are lots of different kinds.

    The scientists are still discovering quite how many and what it all does. Anyway, Im

    going to keep it very simple and talk about the two basic types.

    She continued drawing round her diagram.

    Most of the time the cervix produces mucus which looks like this. She pointed

    to her right-hand diagram. Can you see that it is made up of blocks designed to keep

    things out? That protects the uterus from germs, and it also prevents any of the mans

    sperm reaching the uterus and the tubes.

    Figure 3: Cervix and its mucus

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    4 Louise Kirk 2009

    Oh, said Josie. Does that mean that most of the time you cant have a baby?

    Well, the time of possible conception, when the mans sperm and the womans

    egg can join to become a new cell, is much shorter than that. You should be able to

    work it out from what I told you last time.

    Josie thought hard.

    Ill give you a clue, her mum ventured. How long does the egg live in the

    tube after ovulation if it hasnt been fertilised?

    Umm, 24 hours? Josie asked.

    Well done. Up to 24 hours and usually nearer 12. So that means that the actual

    moment of conception, when the mans sperm and the womans egg join together, can

    only take place within 12-24 hours each month. But nature has extended the period oftime when an act of intercourse can lead to conception by something else. What else do

    you think it could be?

    Alice looked really puzzled at this. Cant think! she said after a bit.

    If you want to make sure that you catch a bus, and you only know roughly

    when it will arrive, what do you do? her mother asked.

    Alice shrugged and said, Arrive early and hang around, I suppose.

    If sperm arrive early, thats exactly what they do. They hang around and wait

    for the egg. But theyre only able to do that round about the time that the bus is

    expected, i.e. that the precious egg is

    released. Normally, the sperm die pretty

    quickly in the vagina, but round the time

    of ovulation they can live for several days.

    The reason they can do that is because of

    this other kind of mucus.

    Josie looked again at the seconddiagram. Wow, Mum. Its completely

    different! Isnt nature clever? And does

    the sperm travel up all those channels?

    Yes, it does. So the mucus acts

    like a biological valve, open round the time of ovulation and closed at other times.

    When oestrogen levels are high it opens, and when they are low it closes.

    Figure 4: Picture of fertile cervical mucus under

    microscope

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    5 Louise Kirk 2009

    Mum, if you can only start a baby for such a short time each month, why does

    everybody talk about using contraception? Josie asked.

    Her mum met Josies inquiring look. There are various reasons, but I suspect

    the main one is that most people dont realise how clearly the body works and how easy

    it is to read its language. Your dad and I only discovered about it recently and we were

    so impressed with what wed learnt that we made it our business to discover as much as

    we could. Now, we want you and your brother and sister to know and respect the

    full beauty of your bodies from the beginning.

    Josies mum paused and smiled. Your generation is much luckier than mine

    was. You see, a lot of the science has only been discovered quite recently, and even then

    it hasnt been widely taught.

    She looked down again at the diagrams in front of her. When youre older Ill

    teach you how to read all your fertility. But for today its enough to remember that there

    are two main types of mucus. One nourishes and helps the sperm along, and the other

    blocks it. Theres another big difference. The barrier mucus stays where it is in the

    cervix. You wont be aware that its there. But the stringy mucus the mucus which

    looks after the sperm drips down through the vagina and is clearly visible on the

    outside of the body. It appears as a sticky discharge, a bit like white of egg. Sometimes

    its like a gluey white lump. Youll come to recognise it. When I was young, nobody

    ever told me about it. I remember seeing it and thinking there must be something wrong

    with me! I thought I must have tape worms (I didnt know what they were either)!

    When you see it, youll know its a pretty good clue that you can expect a period in

    about a fortnights time youll get to know your own pattern.

    Josie looked up at her mum and gave her a big hug. Thanks, Mum, she said.

    You know, youre the best mum in all the world!

    Diagrams with amended captions taken fromReproductive Anatomy and Physiology for the Natural Family Planning

    Practitioner, Thomas W. Hilgers, m.d. (Creighton University), 1981 with kind permission of the author.