Tech Info New Brochure A/W 28/2/03 11:55 am Page 1 Unipath Ltd, Bedford MK44 3UP, UK. Clearblue, Unipath and the Unipath Research Logo are Registered Trademarks. Technical Information Most effective home ovulation test kit 28/2/03 11:55 am Page 3 Ovulation Ovulation is the process of an egg being released from one of the two ovaries in the female reproductive tract. This process is under the control of a number of hormones. These hormones ensure Hormone Concentration Tech Info New Brochure A/W Ovulation LH Peak Estrogen Rise that an egg is released from the 13 14 12 15 Day of Ovulation ovaries at the time in the cycle when the uterus is ready for implantation, Clearblue Ovulation Test – How does the Clearblue Technical Information Ovulation Test work? Unipath, the manufacturer of the The Clearblue Ovulation Test is a fast Clearblue Ovulation Test, pioneered and easy to use method of detecting the rapid immunoassay technology the LH surge in urine. By comparing that revolutionised home testing with the blue lines in the test stick window, the development of the first ever, women can identify when their LH surge one-step pregnancy test, Clearblue, occurs. This provides women with: and the first ever one step ovulation • Clear results in just 3 minutes • Easy to read single window to make Detecting the Most Fertile Days test, Clearplan. From its leading edge Research has shown that it is possible research facilities in Bedford, the Knowing when you are going to ovulate for a woman to conceive during 6 days Research and Development team have helps to time intercourse to increase of her cycle and this is known as the improved the Clearplan One step the chances of getting pregnant. The Fertile Period (1). However, she is more Ovulation test, with the development Clearblue® Ovulation Test helps women likely to conceive on just 2 of these of the Clearblue Ovulation Test. to pinpoint the most fertile days in their days, known as the Peak Fertile Period. cycle by testing for a sudden increase The Peak Fertile Period is the day Clinical research has shown that the Because Clearblue Ovulation Test in Luteinising Hormone (LH). before ovulation and the day of surge in luteinising hormone (LH) provides women with seven test sticks, ovulation itself. preceded ovulation by 24-36 hours . it is the Most Effective Ovulation Test, In practice the LH surge was found to increasing the chances of detecting should fertilisation take place. During each cycle a follicle develops in (2) be a better predicator of ovulation the LH surge. As most women do not • than peak LH levels (3). have 28 day cycles, the additional test egg is sufficiently developed, a surge of LH from the pituitary gland prompts the release of the egg from the ovary – ‘ovulation’. Ovulation usually occurs within 24-36 hours of the LH surge. The empty follicle remains in the variable, but is typically 3- 5 days. Sperm survival is dependent on the type and quantity of the mucus within the cervix, and the quality of the sperm itself. ovary and is known as the corpus This was supported by ultrasound studies more likely, than the five sticks offered of follicle rupture which confirmed that by other tests. the LH surge detected in urine occurs approximatley 24-36 hours before The Clearblue Ovulation Test is a rapid ovulation (4,5). This was consistent with ‘sandwich’ assay where an absorbent the detection of LH surge in blood (4,5). sampler collects urine directly from the urine stream. The LH molecule is bound LH is rapidly excreted into urine, and by two antibodies specific for LH. One luteum. The corpus luteum continues Predicting when ovulation might occur simultaneous serum and urine samples antibody is attached to blue latex to release progesterone and estrogen. is critical for those women actively obtained on the day of the LH surge particles and the other antibody is trying to conceive. The Clearblue support this (2). Therefore, in individuals immobilised in the test stick strip, in a Ovulation generally occurs between Ovulation Test helps women to with normal renal function levels of line within the test stick window (2a). the 11th and 17th day of the menstrual pinpoint the two most fertile days in LH in urine rapidly reflect those in The two antibodies bind to a different cycle. However this can vary from one their cycle. peripheral blood as measured by part of the LH molecule, so they can radioimmunoassay (6,7). (see table below) attach in sequence and form a woman to another, and from one cycle Reference line 2a Positive test – start Urine LH in urine flows through the test 2b Positive test – finish Blue latex particle bound to anti-β LH antibody Blue latex particle bound to anti-β LH antibody anti-α LH antibody anti-control antibody Result window Surge line sticks make detecting the LH surge to to 24 hours after ovulation. • The lifespan of sperm which is more Surge line the LH surge The fertile period is affected by: detected in blood and urine. When the Absorbent sampler • A test they can use at any time of day • 99% accurate* at detecting egg. As it develops the cells in the follicle secrete estrogen, which can be 1 comparing lines easier the ovary, which contains the developing The lifespan of the egg, which is up How the Clearblue Ovulation Test Works 3 Reference line Negative test Urine anti-control antibody Result window Reference line Clearblue Ovulation Test – surge has been detected, and this Clinical Support spontaneous or induced ovulation, indicates that conception is most There have been many publications Unipath’s ovulation test detected likely if intercourse occurs during the supporting the use of Unipath’s ovulation the LH surge an average of 2 days next 1-2 days. test kit, both at home and in the clinic. in advance of the basal body to another. The average length of the ‘sandwich’. Increasing amounts of LH menstrual cycle is 28 days, but this can cause the blue ‘surge’ line to become • In a laboratory study of 235 menstrual vary from woman to woman and most women have cycles between 23 Serum and 35 days. Urine *Based on laboratory testing of urine samples. Basal Level Peak Level stronger (2b). A reference line will form cycles Unipath’s ovulation test kit 5-26mlU/ml 25-200mlU/ml when the test is run correctly, even if accurately determined the LH surge there is no LH in the urine (3). If the in 99% of cycles when compared LH surge line is similar to or darker to radioimmunoassay (7). 6-13mlU/ml 50-200mlU/ml References: 1. Wilcox A.J., Weinberg C.R., Baird D.D. Timing of sexual intercourse in relation to ovulation. N. Engl. J. Med. 333, 1517-21, 1995 2. World Health Organisation. Fertil Steril 1983; 39:647-654 3. Corsan GH, Ghazi D, Kemmann E. Fertil Steril 1990; 53: 591-601 • In a study of 82 patients with than the reference line then the LH 4. Bourne TH, Hagstom H-G, Hawin M, Bosetsean B, Granby S, Harinbergoh L, Collins WP. Fertil and Steril 1996; 65: 753-758 5. Miller PB, Soules MR. Obstet Gynecol 1996; 87: 13-17 6. Collins WP, Branch CM, Collins PO, Sallam HN. Int J Fertil 1981; 26: 196-202 temperature change (BBT) and 3 days in advance of detectable ultrasound changes. Clomiphene citrate induction did not affect the reliability of the test (8). 7. Testart J, Frydman R. Fertil Steril 1982; 37: 50-53 8. Pungetti D, Mastrantoni M, Ecari U, Lenzi M. Contraccezione Fertilita Sessualita: 1994; 21: 2-11
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