Age 32 – Entire Cycle
This is the cervix of a 32 year old non-binary person who has never given birth before. They are trying to conceive through intrauterine insemination, or IUI, so it is important to understand the cervix and changes in fertility during the menstrual cycle. They did not attempt an IUI during this photographed cycle. They have had HPV, discovered by an abnormal pap smear. A colposcopy and cone biopsy were performed and the following pap was normal/clear.
They do not use hormonal or barrier birth control and use a Diva Cup to catch menstrual fluid during their period.
On average, their cycles are about 28 days long and this cycle was 29 days. They had an LH surge on day 16 (determined by a home ovulation test) and estimated ovulation was day 17. After day 18, their partner/photographer noted that their cervix was harder to locate – perhaps angled or deeper in the vagina.
Age 32 – Day 1
Red blood flowing from os & pooling on speculum bill; os is soft and open
Age 32 – Day 2
Red blood flowing from os & pooling on speculum, os is open to release blood
Age 32 – Day 3
Dark red blood and small clot at os
Age 32 – Day 5
Os appears closed, white vaginal cell slough visible on cervix
Age 32 – Day 6
Creamy cervical fluid visible at os
Age 32 – Day 7
No cervical fluid
Age 32 – Day 8
No cervical fluid
Age 32 – Day 9
No Cervical fluid
Age 32 – Day 10
Some tacky cervical fluid
Age 32 – Day 11
Os is beginning to open, cervical fluid is lotiony
Age 32 – Day 12
Creamy white cervical fluid flowing from os
Age 32 – Day 13
Os continues to open’ cervical fluid is more clear & lubricative, indicating approaching ovulation
Age 32 – Day 14
Os is very open with clear cervical fluid & bubbles at os
Age 32 – Day 15
Os is open and cervical fluid is white and clear covering cervix
Age 32 – Day 16
Os is open, cervical fluid is clear & white
Age 32 – Day 17
Os is open and cervical fluid is copious and creamy & clear at os; LH surge from home ovulation test
Age 32 – Day 18
Os is angled down; cervix is covered with white-streaked egg-white cervical fluid, indicating peak fertility
Age 32 – Day 19
Os is closing, luteal mucous is white and tacky, drying up from ovulation suspected yesterday
Age 32 – Day 20
Os appears closed , luteal mucous is tacky covering os
Age 32 – Day 21
Cervix covered with tacky luteal mucous
Age 32 – Day 22
Almost no luteal mucous visible
Age 32 – Day 23
Age 32 – Day 24
Age 32 – Day 25
No luteal mucous visible, small spot of blood on cervix likely from scrape of speculum
Age 32 – Day 26
Age 32 – Day 29
Some premenstrual spotting and creamy luteal fluid; os beginning to open approaching menstruation
Age 32 – Day 28
Dark red spot of blood exiting os; some pink premenstrual spotting fluid on cervix