Women's Health
|
December 30, 2024

Understanding Egg White Discharge: Your Ovulation Guide

Written By
Dr. Jaime Cloyd ND
Medically Reviewed by
Updated On
January 9, 2025

Whether you're tracking fertility as a method of contraception or because you're trying to conceive, monitoring the myriad of signs your body provides can feel like deciphering a complex code. Cervical mucus is one biomarker used as a natural fertility awareness method, helping women to determine their fertile window. Egg white discharge commonly occurs a few days before ovulation, signaling peak fertility.

This guide will help you identify ovulation discharge and understand its role in reproductive health.

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What Is Ovulation Discharge?

Ovulation discharge, commonly referred to as "egg white cervical mucus" (EWCM), is a natural fluid produced by the cervix during ovulation. Its primary purpose is to facilitate the movement of sperm through the cervical canal so that they can travel to the fallopian tubes, enhancing the chances of fertilization. This discharge is a clear sign that your body is in its most fertile phase, typically occurring midway through your menstrual cycle.

Definition and Causes

Cervical mucus is a fluid produced by the cervix and released into the vagina. Its consistency changes throughout the menstrual cycle under the influence of hormones, primarily estrogen and progesterone. 

A healthy menstrual cycle averages 28 days and is broken up into four phases:

  • Menstruation: Beginning with the first day of your period, when the lining of the uterus is shed as blood. This phase typically lasts about five days. 
  • Follicular Phase: This phase usually occurs from days 1-14 of your cycle. 
  • Ovulation: The release of a mature egg, which usually occurs around day 14. This is triggered by a surge in estrogen and LH hormones. 
  • Luteal Phase: This phase usually occurs from days 14-28 of your cycle. 

Cervical mucus changes align with the menstrual cycle. For people with a 28-day menstrual cycle, cervical mucus follows this general pattern:

  • Days 1-5: menstruation
  • Days 5-7: dry and sticky
  • Days 8-10: sticky, wet, and cloudy
  • Days 11-14: clear, wet, and slippery (EWCM)
  • Days 15-28: cervical fluid dries up, appearing cloudy, sticky, and dry again

Egg White Discharge

The estrogen peak that occurs before ovulation makes the cervix produce copious amounts of EWCM. Ovulation discharge is often characterized by its egg-white consistency because it appears clear, stretchy, viscous, and slippery. These qualities create a favorable medium for sperm, providing both nourishment and protection as they travel toward the egg. 

Cervical mucus observation is a reliable method for identifying the fertile window. The fertile window is the time during a woman's menstrual cycle when she is most likely to become pregnant. This period typically includes the five days leading up to ovulation and the day of ovulation itself.

Studies have found that EWCM highly correlates with accurate determination of the fertile window and ovulation. For example, one study found that tracking EWCM identified 96% of fertile days and 88% of the exact ovulation day.

Ovulation Discharge vs Pregnancy Discharge

Ovulation discharge and pregnancy discharge differ in their characteristics and underlying physiological causes.

Differences in Texture and Consistency

Ovulation discharge is clear, slippery, and stretchy, resembling raw egg whites. It is highly elastic and can be stretched between the fingers. This consistency is due to the high water content and the presence of gel-forming proteins called mucins, which peak around mid-cycle.

Healthy vaginal discharge, called leukorrhea, is common in pregnancy. During pregnancy, hormonal shifts cause the body to increase blood flow to the uterus and vagina and produce more discharge.   

Compared to ovulatory cervical mucus, leukorrhea is less elastic. It is thin and clear or milky white in color. It functions to protect the vaginal canal from infections

Timing and Hormonal Context

Ovulation discharge is expected to occur in the middle of the menstrual cycle (days 11-14 in a 28-day cycle). The discharge peaks just before ovulation due to the surge in estrogen levels and functions to facilitate sperm transport and fertilization. 

Discharge during pregnancy begins shortly after conception and implantation and continues throughout pregnancy. It is normal for the discharge to increase in volume through the three trimesters of pregnancy.

The Role of Discharge in Fertility and Conception

Distinct cervical mucus patterns enable women to effectively track their fertility, offering a natural method for family planning by identifying the optimal times for intercourse.

Fertility Awareness and Cervical Mucus

The fertility awareness method (FAM) is a natural approach to managing reproductive health. It involves tracking and interpreting various signs of fertility throughout the menstrual cycle. By monitoring biological indicators, women can identify their fertile and non-fertile periods, which can be used to achieve or prevent pregnancy. 

To track cervical mucus, gently insert one or two clean fingers (i.e., the index or middle finger) into your vagina to reach the cervix. Wipe the mucus from the cervix and note its qualities, including color, clarity, texture, and stretchiness. These qualities can be recorded in a fertility chart or a dedicated FAM app. EWCM indicates peak fertility, whereas scant, sticky, or dry mucus suggests lower fertility.

Cervical mucus tracking can be made more effective when combined with other FAM models, such as measuring basal body temperature (BBT). 

Variations and What They Mean

Variations in vaginal discharge can signal different health conditions. A sudden change in color, odor, or consistency might indicate an infection or hormonal imbalance. Women are encouraged to consult their healthcare provider if they experience any of the following symptoms:

  • Vaginal itching
  • Pelvic pain or discomfort
  • Discharge that is frothy or has a cottage cheese appearance
  • Irregular menstrual bleeding
  • Spotting after sexual intercourse
  • Grey, green, or yellow discharge
  • Strong vaginal odor

Tools to Support Fertility Tracking

Modern technology offers a range of apps and devices designed to assist in monitoring the menstrual cycle and fertility signs. Popular apps and devices that allow users to track reproductive biomarkers, input daily observations, and receive predictions about their fertile windows include:

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Key Takeaways

  • Tracking changes in cervical mucus patterns is one method to empower women to understand reproductive health and fertility better.
  • Tracking cervical mucus changes helps women gain valuable insights into their menstrual cycles, enhancing their ability to make informed reproductive choices. 
  • Fluctuations in the quality and consistency of cervical mucus are expected in a healthy menstrual cycle. Egg-white cervical mucus is an accurate predictor of the fertile window and ovulation. Other variations in cervical mucus can indicate other health conditions, such as pregnancy or infection.
  • Embrace your body's natural signals and take proactive steps towards achieving your reproductive goals. Begin tracking your cervical mucus today and consult with healthcare providers to tailor your fertility tracking methods to your individual needs. 
The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

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  1. Andersch-Björkman, Y., Thomsson, K. A., Larsson, J. M. H., et al. (2007). Large Scale Identification of Proteins, Mucins, and Their O-Glycosylation in the Endocervical Mucus during the Menstrual Cycle *. Molecular & Cellular Proteomics, 6(4), 708–716. https://doi.org/10.1074/mcp.M600439-MCP200
  2. Basal body temperature for natural family planning. Mayo Clinic. https://www.mayoclinic.org/tests-procedures/basal-body-temperature/about/pac-20393026
  3. Cervical Mucus Monitoring. (2024). UNC School of Medicine. https://www.med.unc.edu/timetoconceive/study-participant-resources/cervical-mucus-testing-information
  4. Chrétien, F. C. (1978). Ultrastructure and variations of human cervical mucus during pregnancy and the menopause. Acta Obstetricia et Gynecologica Scandinavica, 57(4), 337–348. https://doi.org/10.3109/00016347809154028
  5. Cleveland Clinic. (2021). Cervical Mucus. Cleveland Clinic. https://my.clevelandclinic.org/health/body/21957-cervical-mucus
  6. DeCesaris, L. (2023, January 25). How to Support a Healthy Menstrual Cycle. Rupa Health. https://www.rupahealth.com/post/how-to-support-a-healthy-menstrual-cycle
  7. Galan, N. (2020, January 10). A color-coded guide to vaginal discharge. Medical News Today. https://www.medicalnewstoday.com/articles/322232
  8. Gordon, S. (2024, November 19). What Is Leukorrhea in Pregnancy? Parents. https://www.parents.com/leukorrhea-all-about-this-vaginal-discharge-during-pregnancy-7508277
  9. Katz, D. F. (1991). Human cervical mucus: research update. American Journal of Obstetrics and Gynecology, 165(6 Pt 2), 1984–1986. https://doi.org/10.1016/s0002-9378(11)90559-6
  10. Klein, J. (2020, December 22). What does early pregnancy discharge look like? Medical News Today. https://www.medicalnewstoday.com/articles/what-does-early-pregnancy-discharge-look-like#pregnancy
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  12. Najmabadi, S., Schliep, K. C., Simonsen, S. E., et al. (2021). Cervical mucus patterns and the fertile window in women without known subfertility: a pooled analysis of three cohorts. Human Reproduction, 36(7), 1784–1795. https://doi.org/10.1093/humrep/deab049
  13. Preston, J. (2022, September 2). 4 Natural Ways to Track Your Fertility: Fertility Awareness Methods. Rupa Health. https://www.rupahealth.com/post/4-natural-ways-to-track-your-fertility-fertility-awareness-methods
  14. Sweetnich, J. (2023, February 22). An Integrative Medicine Approach to Estradiol Imbalance. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-estradiol-imbalance
  15. What's the cervical mucus method of FAMs? (2019). Planned Parenthood. https://www.plannedparenthood.org/learn/birth-control/fertility-awareness/whats-cervical-mucus-method-fams
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