Dr. Lucky Sekhon

So it sends a stronger FSH signal.

And as a result, that selection of that lucky egg that gets to ovulate happens a little quicker.

And so then if that doesn't turn into a pregnancy, you get your period a little quicker.

So women who come to me and they're like, I used to have a 28-day cycle, and now it's kind of like every three weeks or every three and a half weeks.

I'm like, ding, ding, ding.

I already know that the egg count's probably going to be lower.

And I'm thinking that before I even do their ultrasound to confirm, right?

It's not even perimenopause.

It's called diminished ovarian reserve.

Okay.

Because that's the lens I'm looking at everything with, right?

I'm thinking more, okay, what does this mean in terms of their egg count?

And then once the egg count falls even lower, then the ovaries start to become a little resistant to the higher FSH.

It's like, yeah, I know you're yelling at me, pituitary, but I'm going to

I can't take this anymore.

So it starts to sometimes skip a period.

You don't ovulate.

And then those become infrequent, and then they space out to the point where you stop getting periods.

And that's the natural evolution.

So when you think about being in perimenopause, right, your cycles might be really erratic, but you're still ovulating here and there.