This woman is 30 years old and is trying to conceive her first child; these photographs were taken during her third cycle of trying. She has never been pregnant, yet her os is a slightly ‘u’ (or ‘w’) shaped slit, which is a variation of normal.
Basal Body Temperature Chart
She usually has a 37 day cycle, with ovulation occurring on day 25, according to her BBT charting.
She and her partner had sexual intercourse on days 23 and 24, though no seminal fluid is visible in the photo.
The purplish lump under the cervix is a portion of the vaginal wall that has been squeezed between the speculum and the cervix.
The squamocolumnar junction (SCJ) of her cervix is very visible in this photo as the wavy line where the redder area around the os meets the pinker tissue of the cervix. The squamocolumnar junction is is where two tissues made of differently shaped cells meet. The layer of tissue made of column-shaped cells that make cervical mucous and are usually on the inside of os (in the endocervical canal) has grown out onto the face of the cervix, which is made of squamous, or flat-shaped cells. For some women the SCJ is not visible upon speculum exam because where these two tissue types meet may be just inside the endocervical canal (inside the os), but having a visible SCJ is a variation of normal. The SCJ can be seen at variable distances from the os in different reproductive-aged women. The endocervical canal elongates under the influence of estrogen, which is a hormone that is relatively high during reproductive years, making a visible SCJ a common occurrence in women of reproductive age.
Its been approximately 10 months since taking this series of photos, and unfortunately, this woman has not conceived yet. She has had hormone tests and scans of her ovaries to check for PCOS, which both came back in the normal range. We wish her luck!