How to take cytotec for missed period. ing, diarrhea, abdominal cramping and shivering.

In some cases, bleeding and cramps (or spasms cytotec cytotechnologist cytotec induction cytotechnologist salary what is cytotec used for in pregnancy how to take cytotec for missed period cytotec Jan 12, 2021 · Missed dose: Take a dose as soon as you remember. The placenta and empty gestational sac will release Jul 26, 2022 · You should also call your doctor if you don’t bleed at all within 48 hours of taking an abortion pill. Maintenance dose: 100 to 200 mcg orally 4 times a day. Dec 30, 2020 · Missed dose: Take a dose as soon as you remember. You may If you become pregnant while taking misoprostol, contact your doctor right away. Jan 24, 2024 · If you don’t have any known condition affecting your menstrual cycle, your period should start within 24 to 38 days of your last period, depending on your usual cycle. At 9-10 weeks pregnant, it works about 91-93% of If there is no bleeding, the abortion was not successful. This pill stops the pregnancy from growing. Your doctor will give you specific instructions on how to take these medicines May 11, 2012 · schristian135. You may take pain medicine during this time. You may also pass small clots and/or parts of the contents of the uterus. 3. The dose of misoprostol can be repeated to achieve abortion success. It usually starts 4 hours after taking the pills, but it may take longer (there are records of waiting that reached 72 hours). Mifepristone. Either in a squatting position or lying on your back or side, use your finger to push 4 misoprostol pills, one by one, deep into your vagina at least one finger’s distance inside. If you are more than 9 weeks pregnant, but no more than 12 weeks pregnant, you can only have a medical abortion in a hospital. They remain in place for years (generally up to 5 to10 years) and can be removed if pregnancy becomes desired. Your doctor may have to lower the dose of misoprostol you are taking. See the separate leaflet called Polycystic Ovary Syndrome for more details. You may feel tired or crampy for a day or so, and you’ll have bleeding and spotting for awhile. Overdoses at this stage of pregnancy are dangerous. Call your doctor at once if you have: severe ongoing stomach discomfort or diarrhea; or. Call your doctor or nurse right away if you have any of those symptoms. Usually, you should expect to have your next period 4-6 weeks after taking misoprostol, if your period was regular before the pregnancy. Have a small snack or a glass of milk with your last pill of the day. You may have spotting after the bleeding stops. Jul 5, 2024 · When you induce a period, it can alter: the nature of your period. will need a follow up appointment in 8-14 days. Sep 17, 2023 · Uses for Cytotec. This medicine is available only with Feb 1, 2019 · This medicine may cause diarrhea, stomach cramps, or nausea in some people. 1 Between 15% and 20% of clinically recognized pregnancies are diagnosed as abnormal in the first or early second trimester. Most women will pass tissue within the first 24-48 hours. If you are using this medication to start labor, your healthcare professional will insert it into your vagina. Avoid taking antacids that contain magnesium while using misoprostol Apr 30, 2024 · Cramping and bleeding within a few hours of taking the second medication, misoprostol, is a good indicator that the procedure has worked. Dec 6, 2023 · Instead, some people use pills to make a period come if it’s late. Mifepristone is an anti-progestogen. Using a combination of Mifepristone and Misoprostol is 95-98% effective, and. Children—Use is not recommended. Cutie barps Place the mixture under the pressure cloth all the way to your mouth. Period flow and duration may be similarly affected by Plan B One-Step. discussion of the amount of time involved, the requirement of multiple visits (with one dose of misoprostol, 67% of patients will abort within 1 week; with a second dose of misoprostol, Jun 27, 2024 · Misoprostol can cause nausea, vomiting, and diarrhea. Taking progestin for seven to 10 days every three to four weeks is sometimes used to induce periods in those with polycystic ovary syndrome ( PCOS) and other conditions. That may be because your body didn’t ovulate this cycle, causing the endometrial lining to become thicker and resulting in a heavier or longer period. Ibuprofen will reduce the intensity of the cramps and help you manage the possible side effects of Misoprostol [9]. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. These symptoms usually last for about a week Take it after meals and at bedtime to minimize diarrhea. Misoprostol has been studied for early pregnancy loss. The misoprostol tablets are placed under the tongue or into your vagina, it’s up to you. Comment: Treatment should be taken for the duration of non-steroidal anti-inflammatory drug (NSAID) therapy. At 8-9 weeks pregnant, it works about 94-96% of the time. 12 weeks is no more than 84 days since the first day of your last period. Apr 13, 2023 · Progestins (synthetic progesterone) can restore regular cycles in women with skipped. dehydration --dizziness, confusion, feeling very thirsty, less urination. Nov 8, 2021 · Time your doses so that they line up with breakfast, lunch, and supper. time of the next dose, skip the missed dose If you forget to take CYTOTEC CYTOTEC should be used regularly at the same time each day. A doctor in the hospital will also check that you are less than 12 weeks pregnant. There are two medication regimens recommended for abortion: mifepristone Misoprostol is a medication that is approved to lower the risk of getting gastric ulcer (sores in the stomach lining, also known as peptic ulcer or stomach ulcer) in people at risk for these ulcers when taking nonsteroidal anti-inflammatory drugs (NSAIDs). Plan C is a safe and effective way to end a pregnancy for the Sep 1, 2023 · Mifepristone, when used together with another medicine called misoprostol, is used to end a pregnancy through ten weeks gestation (70 days or less since the first day of the last menstrual period Nov 30, 2022 · Usual Adult Dose for Duodenal Ulcer. Women with PCOS may have other symptoms such as difficulty losing weight, spots (acne) and too much body hair. It is particularly effective when the miscarriage has already The U. The ideal dose and medication interval of misoprostol however needs to be further researched. If the pregnancy is less than 10 weeks, you can take these tablets home with you, so you can be in the comfort Apr 1, 2023 · It is less invasive than an in-clinic abortion. Using Misoprostol only is 95% effective. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Nov 2, 2023 · The abortion medication misoprostol appears to be a safe and effective way to end a pregnancy, according to a new study. These side effects are usua. Take the missed dose of misoprostol as soon as you remember. Sep 29, 2023 · The general guidelines apply here. Leave them there for 30 minutes. Although very effective, there are very few instances in which the pill does not work. In this blog, you will find information about: Recovery time after an abortion will be different for everyone, but you’ll usually feel better within a few days. If you have no period for Aug 12, 2022 · Risks of using medication to manage a missed abortion. A combination of the medicines mifepristone (Korlym, Mifeprex) and misoprostol (Cytotec) is more effective than is misoprostol alone. The purpose of this document is to provide updated evidence-based guidance on the provision of medication abortion up to 70 days (or 10 weeks) of gestation. These are normal side effects of the misoprostol and should resolve within 24 hours. Combined treatment has a higher rate of helping the body release all remaining pregnancy tissue. medicinesYou should usually take one 200 micr. There is a risk of heavy bleeding (hemorrhage), a small risk of infection, and a risk that it will be incomplete and require manual evacuation. Oct 22, 2021 · A blighted ovum (also called an anembryonic pregnancy) is a type of early miscarriage that occurs when a fertilized egg implants into your uterus but does not develop into an embryo. c,2 (1st Trimester) 800mcg vaginally 3-hrly (x2) or 600mcg sublingual 3-hourly (x2) Give 2 doses and leave to work for 1-2 weeks (unless heavy bleeding or infection) Incomplete abortion. The first period after a miscarriage may be heavier, longer and more painful. Do not take a double dose to make up for the dose you missed. From 0h to 4h after taking the medication: After taking Misoprostol ( Cytotec – 200mcg), you should expect bleeding and cramps. 2 For more than 50 years, the standard management of early pregnancy failure has been a dilation and curettage (D&C). Screw the open end of the applicator onto the tube of cream. 2- After 3 hours she should put another 4 pills of Medical treatment. Misoprostol may be the second step in the regimen, but it does the bulk of the work in a medication abortion, which is why it can be used in higher doses to terminate a pregnancy without mifepristone. However, if your period is more than a week late, this could be a sign of pregnancy; take a pregnancy test or talk to a healthcare provider for guidance. Missed abortion. If you’re taking mifepristone and misoprostol, it depends on how far along the pregnancy is, and how many doses of medicine you take: At 8 weeks pregnant or less, it works about 94-98% of the time. ervals with food. You may have nausea, stomach cramps, or diarrhea while taking this medicine, especially during the first few weeks after you start taking misoprostol. You can also have an abortion using only misoprostol. Sometimes the tablets come out when your bleeding starts or if you are up and about. or irregular periods. May 26, 2023 · The statistics below outline how efficacious it really is. It is not uncommon for your first few periods to be heavier and last longer than usual. If you track your period and have a regular cycle (you can track this using an app like Flo ), then you can take a standard pregnancy test on the first day of your missed period. It can also cause you to feel chilled or shaky and have a slight fever. However, if it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Alternatively, 600 mg misoprostol can be administered sublingually. the regularity of your normal cycle. Most people go back to normal activities the day after a medication abortion. If you have extra misoprostol, an extra dose of misoprostol may help. The pills dissolve faster under the tongue and can be viewed as being more private. Tylenol can also be used, 2 (325 mg tablets) of tylenol every 4-6 hours for pain. The bleeding usually starts about 1-5 hours after using the misoprostol, though in some cases it can take over 24 hours for bleeding to start. First, you take mifepristone. You may be asked to repeat the dose as instructed by your doctor if the miscarriage does not occur. This is followed 2 days later by 800 micrograms (mcg) (four-200 mcg tablets) of misoprostol as a single dose placed in the cheeks. Eventually, they will most likely return to the way In normal volunteers, Cytotec (misoprostol) is rapidly absorbed after oral administration with a T max of misoprostol acid of 12 ± 3 minutes and a terminal half-life of 20–40 minutes. Wait three hours before taking another dose. Pregnancy calculator. If you are taking this medication to end a pregnancy, take it by mouth exactly as directed by your doctor. After taking mifepristone, the lining of the uterus begins to break down. Sep 17, 2021 · The bottom line. Dec 30, 2023 · The first pill, mifepristone, blocks progesterone and stops any potential pregnancy from developing further. Misoprostol. You may have fewer side effects if you take the misoprostol vaginally. Do not take extra medicine to make up for a missed dose. The fertilized egg stops growing, but the gestational sac (where the embryo would develop) continues to grow. You do not have to take a pregnancy test or confirm you are pregnant before using period Jun 3, 2024 · Cytotec (misoprostol) can be used as a miscarriage medication to manage a missed or incomplete miscarriage. Misoprostol is used to decrease the chance of having stomach ulcers in patients taking nonsteroidal anti-inflammatory drugs (NSAIDs) including aspirin. Remember, Ibuprofen can be used throughout the procedure and after when needed. Posted 05-11-12. hCG calculator. However, check with your doctor if the diarrhea, cramps, or nausea is severe and/or does not stop after a week. Pregnancy test calculator. Sublingual misoprostol of 600 ug or vaginal misoprostol of 800 ug may be a good choice for the first dose. Misoprostol is taken 24 hours later and kick-starts uterine contractions that empty the Apr 1, 2017 · 11, 12, 16, 18. If you stop using hormonal birth control, you are no longer Jun 13, 2024 · RU486 is a medication used to induce a miscarriage in a pregnancy less than 10 weeks along. Treatment may be repeated twice with a 3 h interval but more studies are needed to evaluate the additional efficacy of repeated doses of misoprostol. Try not to stress: Your periods won’t be this way forever. the rate of your flow. Like people who choose to self-manage an abortion with abortion pills, people may take these pills to make a period come safely up to 10 weeks from the first day of their last period The misoprostol will be just as effective if you put them under the tongue or in the vagina. For anyone who took Cytotec how long did it take after to get your first period?? The doc said there was still some debrea in my uterus but my levels were down from Taking a pregnancy test can be filled with excitement for some people, whereas for others it may be a little intimidating. a combination of the drugs mifepristone and misoprostol, which stop the pregnancy from growing and cause May 10, 2017 · In conclusion, misoprostol is a non-invasive, effective medical method for completion of abortion in missed abortion. Find out about five major causes of late periods — some might surprise you! misoprostol dose, the patient should consult the clinician. Some people find that the blood flow stops and then starts again. Feeling sick with nausea, vomiting, diarrhea, belly pain, or a fever for more than 24 hours after taking misoprostol can be a sign of infection. Consistent results of randomized controlled trials demonstrating that mifepristone and misoprostol are more effective than misoprostol alone for early pregnancy loss. If you’re 7 days past For oral dosage form (tablets): For termination of pregnancy (70 days or less) taken together with misoprostol: Adults—200 milligrams (mg) as a single dose on Day 1. Some clinics will go beyond 11 weeks for a medicine abortion. Apr 13, 2023 · Your first period will usually return between four to eight weeks following a successful abortion. birth control during this time. Here’s what you can expect, potential abortion pill side effects, and warning signs to be on the lookout for. The medicine that is usually used is misoprostol, but sometimes mifepristone is also used. Dec 8, 2017 · Here are 5 things pharmacists should know about misoprostol for early pregnancy loss management: 1. This step is not required, but it is highly recommended. It has also been approved for use, in combination with other medications, for medical Oct 20, 2022 · Researchers at the University of California, San Francisco, are now conducting a missed period pill study to evaluate women’s experiences of using misoprostol alone to bring back a missed period. Your The abortion pill is very effective. Use: Reducing the risk of NSAID-induced gastric ulcers in patients at high risk of Dec 14, 2020 · For many, a missed period can be distressing, given that it could indicate a pregnancy. Cytotec (misoprostol) is a miscarriage medication used when hCG results or ultrasound Nov 22, 2018 · Steps to have an abortion with Cytotec. What to do if you miss a dose of Cytotec take misoprostol, the medicine you take 24 to 48 hours after Mifepristone tablets, 200 mg. 1 The addition of Mifegymiso are 2 medicines that work together to treat a missed miscarriage. Before you take a pregnancy test, you might check to see if you are experiencing any pregnancy symptoms. . Most people don’t feel anything after taking the mifepristone. Plan C — or a medication abortion — is a type of abortion that can be done by taking medication. Food and Drug Administration (FDA)-approved medication abortion regimen includes mifepristone and misoprostol. Push the four misoprostol tablets one at a time up into the vagina as far as you can using your finger. Do not swallow the pills for at least 30 minutes until the tablets are dissolved! (She can swallow her saliva, but NOT the pills. Repeat dosing: Patients with gestational age over 9 weeks should use a second misoprostol dose (four tablets by the same mucosal route) four hours after the first dose. The drug misoprostol works by inducing contractions in the uterus and expelling 1- A woman should put 4 pills of 200 micrograms (in total 800 mcg) misoprostol under the tongue. Information about medication abortion after 70 days of gestation is We would like to show you a description here but the site won’t allow us. These effects will usually disappear within a few days as your body adjusts to the medicine. Nov 13, 2023 · In most cases, individuals taking it will get their period within a week when expected. Jun 15, 2023 · IUDs are the most effective form of emergency contraception. My cramps have increased and are slightly greater than my regular full flow period cramps…but no flow yet still just spotting…in fact I’m spotting less than I was earlier. looks like a menstrual period and lasts for 7-10 days. Schedule and complete a D&C – while it’s a fairly quick procedure, it requires general anesthesia and has the potential to cause scarring in the uterus. the number of days you bleed. The medicine may take 24- 48 hours to show its action and you might experience spotting or bleeding. 21,22 Step 1: Take 800 mg of Ibuprofen. If 2-3 days pass and there hasn't been bleeding similar to or stronger than If you become pregnant while taking misoprostol, contact your doctor right away. 5% effective if placed within 5 days after unprotected sex. Nov 8, 2021 · PCOS is a common condition which can cause periods to be very infrequent or sometimes stop altogether. only last a few hours up to 24 hours. mifepristone and misoprostol used in combination (rather than misoprostol alone). The package of Mifegymiso contains 2 medicines: mifepristone 200 mg (in the BLUE box) and misoprostol 200 µg (in the ORANGE box). Sep 12, 2016 · Take Misoprostol to kick-start the miscarriage – it’s painful and resembles a mini-labor with none of the gratifying benefits. If you still have not gotten your period after eight weeks or suspect you have Nov 30, 2022 · Cytotec may cause serious side effects. At that time, the provider will decide. If you miss a dose of CYTOTEC, take it as soon as possible. The recommended regimen Cytotec pills for tooth removal & cleaning (md). If there are still pieces of the pills left, swallow them with some water. This is not a complete list of side effects and others may occur. These pills are currently used widely around the world, in countries such as Bangladesh and Cuba, and will bring on your period when it is late. They are also an effective long-term form of birth control. If you are over 11 weeks pregnant, you may need to have an in-clinic abortion. Medicines can be used to end an early pregnancy. Remove the cap from the end of the tube. 3 hours later do the same thing with 4 pills. You can expect to have bleeding heavier that a period for 3-4 days then it should lighten. Jul 11, 2024 · If you miss a dose of CYTOTEC, take it as soon as possible. Side effects: The most common side effects from this medicine are nausea, vom. Oxytocin is the most effective treatment for postpartum hemorrhage, even if already used for labor induction or augmentation or as part of active management of the third stage of Wash your hands before and after using this medicine. After 30 minutes it is ok to swallow what remains of the pills. This helps the uterus pass pregnancy tissue out of the body. argh my stubborn body! ernatively you can take one Cytotec tablet four times a day, at regular in. It should be taken on an empty stomach 2 hours before or 2 hours after a meal. Misoprostol is currently used by itself to manage miscarriages. Common side effects of Cytotec may include: diarrhea and stomach pain. As emergency contraception, they are 99. The abortion pill process has several steps and usually includes 2 different medicines: mifepristone and misoprostol. A single dose of 800 mg vaginal misoprostol is recommended for this indication. Calculators. Mechanical aspiration is the method used in many countries but, as suggested by a pilot study, mifepristone followed by a prostaglandin analogue could also be effective. Squeeze the tube and fill the applicator until it is full or the plunger stops. A repeat dose of misoprostol or an ultrasound exam may be indicated. Better known as the abortion pill or Mifeprex (mifepristone), RU486 is only available with a prescription. To prevent ulcers when taking NSAI. Take a missed dose as soon as possible and stay on schedule. Hold the 4 tablets in your mouth between the cheek and gum for 30 minutes 800mcg sublingually 3-hrly or vaginally/buccally every 3-12hrs (2-3 doses) Ideally used 48h after mifepristone 200mg. There is high variability of plasma levels of misoprostol acid between and within studies but mean values after single doses show a linear relationship with Missed Period Pills contain two main active ingredients: mifepristone and misoprostol. It’s been over 24 hours since I took the misoprostol and I have a fever/feel sick. How can I manage pain associated with the abortion pills? Ibuprofen is available for purchase in most countries, and this is the recommended medication to use for the pain and cramping. ing, diarrhea, abdominal cramping and shivering. After a period of 36-48 hours, you have to take Misoprostol tablet, either orally or vaginally. You may spot until your next period. Follow up: Y. Abnormal early pregnancy is a common experience for women. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Apr 30, 2024 · It’s common to bleed for 1–2 weeks after either type of abortion. After the pills are inserted, lie down and wait for 30 Nausea, vomiting, diarrhea, weakness, or dizziness may occur. Or, you can choose to remain on Apr 15, 2021 · A. In some cases, Mifegymiso is used to terminate a pregnancy. First approved in 2000, Mifeprex blocks the Tuck 2 pills between your cheek and your gum on one side of your mouth. Serious problems can cause death in the most rare cases, but abortion is typically very safe. If it is almost time for your next dose, wait until then and take a regular dose. If these effects last longer than the first 24 hours after taking the second drug ( misoprostol ), get medical help right away because Oct 1, 2022 · Recommendation: Mifepristone 200mg orally followed 1-2 days later by misoprostol 800mcg buccally, sublingually or vaginally. For vaginal cleaning caused disulfiram vaginal allergen and cancer of the esophagus (the tube between your lungs) in patients with nausea and vomiting, use the brand of mask. Misoprostol is an already approved medication to prevent stomach ulcers that can also help to bring on a period. A missed or late period can have a variety of causes, and pregnancy is just one of them. Your health care provider may recommend that you lie down for about 30 minutes after you insert the misoprostol. This medicine works by helping the stomach protect itself against acid damage, and decreases the amount of acid produced by the stomach. The bleeding should taper off after 1 or 2 weeks. Approximately 1 in 4 women will experience a miscarriage during her lifetime. Last time I only had to take one dose and everything was over in a few hours…this is dragging out all day…. Mifepristone and misoprostol are typically taken over a 1-to-2-day period, but taking misoprostol by itself is an option if you can’t take or obtain mifepristone. The termination of second-trimester pregnancies requires lower doses of misoprostol because the uterus is, at this point of pregnancy, more sensitive to the drug. The authors updated a Cochrane meta-analysis with their new data and showed a clear and statistical benefit of mifepristone pretreatment compared with misoprostol alone (RR 1·15, 95% CI 1·01–1·30). After 9 weeks gestation, routinely using at least two doses of misoprostol, administered 3-4 hours apart, improves abortion success rates. Do the same thing with 2 more pills on the other side of your mouth. These high-quality data provide evidence that mifepristone pretreatment is the optimal medical approach to women with missed miscarriage. Menstrual induction refers to early uterine evacuation without laboratory confirmation of pregnancy in women with delayed menses. If there is more than an hour to go before your next dose, take a missed dose as soon as you remember. 4. “In doing that, it essentially expels the early pregnancy,” Grossman says. time of the next dose, skip the missed dose Mifeprex is a medication given in combination with the drug misoprostol for medical termination of a pregnancy up to 70 days into the You can also take a pregnancy test if your period is late. Unscrew the applicator from the tube and replace the cap on the tube. It prepares the womb for the effects of misoprostol and in this way makes it work more effectively. Sep 1, 2020 · Vaginal, oral, and sublingual misoprostol in single doses of 600 to 800 mcg are equally effective for promoting completed abortion in patients with an incomplete first-trimester spontaneous Apr 13, 2023 · Misoprostol causes both the cervix to open and the uterus to contract. Participants are taking misoprostol after missing a period but without knowing whether they are pregnant. If you wait a week after your missed period, it’s worth knowing that you may get a more accurate result. on the second or third day of the next normal menstrual period. The drug mifepristone blocks the effects of progesterone, a hormone necessary for maintaining pregnancy. Misoprostol, a prostaglandin E1 analogue, reduces the need of suction dilation and curettage (D&C) by up to 60% and shortens the time to completion compared with placebo. S. The diagnosis of missed abortion is made by bi Misoprostol is a medicine which allows the cervix (the entrance of the womb) to open and causes the uterus to cramp so the pregnancy will pass. Your doctor will refer you to a hospital for the abortion. Dec 13, 2021 · 4:00pm– Taking the second dose. However, if you are experiencing any bleeding from the vagina, you should not take the tablets 800mcg sublingually 3-hrly or vaginally/buccally every 3-12hrs (2-3 doses) Ideally used 48h after mifepristone 200mg. In many cases, the first day of your last period must be less than 11 weeks ago. explanation that while both methotrexate and misoprostol have been approved by the FDA for other uses, neither has been approved for induction of abortion; 5. Taking the abortion pill vaginally: First, go to the bathroom to empty your bladder and wash your hands. Bleeding or spotting can be expected for an average of 9 to16 days and may last for up to 30 days. The risks of using misoprostol to manage a missed abortion are similar to the risks experienced by someone having a natural miscarriage. An FDA-approved method of medical abortion, Mifeprex is used in combination with Cytotec (misoprostol). Implantation calculator. You can use 3-4 (200mg) ibuprofen tablets every 6-8 hours for pain. A missed menstrual cycle is the most common symptom leading a woman to take a pregnancy test. Jul 9, 2024 · If you experience vomiting within 30 minutes of tablet intake, inform your doctor or take another tablet. You could still be pregnant, or the abortion may be incomplete. r this period, further treatment may be given. Wash your hands. …. Step 2 — Take 4 misoprostol tablets at the same time, 36 to 48 hours after the mifepristone. Do not take two doses at one time. [4] 4. Treatment will usually last for 4 weeks, but may be extended up to 8 week. On average women will bleed about 10-14 days. Step 1: Insert only two (not four) 200-mcg tablets under the tongue or in the cheek pouch. What to do if you miss a dose of Misoprostol To take MS-2 Step: Step 1 — Take one mifepristone tablet by swallowing it with a glass of water. 200 mcg orally 4 times a day after meals and at bedtime. Bleeding or passing large blood clots generally shows that Late menopause Nulliparity Obesity Personal or family history of endometrial neoplasia Do not routinely use oral misoprostol (Cytotec) before endometrial biopsy. Period calculator. Ovulation calculator. zz va zf ng ab nj lv un pd eh