Menstrual cycle higher level of substance abuse is due to decreased self-control as a result of the higher metabolic demands during the luteal phase. Infrequent or irregular ovulation is called "oligoovulation". The absence of ovulation is called "anovulation". Normal menstrual flow can occur without ovulation preceding it: an anovulatory cycle. In some cycles, follicular development may start but not be completed; nevertheless, estrogens will be formed and stimulate the uterine lining. Anovulatory flow resulting from a very thick endometrium caused by prolonged, continued high estrogen levels is called "estrogen breakthrough bleeding". Anovulatory bleeding triggered by a sudden drop in estrogen levels is
Menstrual extraction internationally. This method, another type of manual vacuum aspiration, is most often called menstrual regulation. As with ME, menstrual regulation, when desired as a method of controlling fertility, is performed very early in the menstrual cycle, earlier than a pregnancy test can be performed. One main difference between these two methods is the equipment used. While the Del Em was created such that one is able to put it together from individual pieces and it consists of three parts: the cannula with a one-way valve, a collection jar and the syringe, which are connected by plastic tubing; menstrual regulation is