“…1,2 E 2 is the most active estrogenic hormone and increasing levels of E 2 bring about changes in cervical mucus, making it more favorable for survival and transport of Metabolites of E 2 , including estradiol-3-glucuronide, estradiol-17-β-glucuronide, estrone-3-glucuronide (E3G) and estriol-16-α-glucuronide, can also be measured in plasma, cervicovaginal fluid and urine. 8 Studies have demonstrated a correlation between concentrations of E 2 present in plasma and concentrations of E3G present in early-morning urine, 8,9 and it has been established that monitoring E3G levels in urine provides a viable mechanism for identifying the start of the potentially fertile period. 10,11 Assessment of E3G levels in samples of early-morning urine has been shown to be 83 -89% successful in delineating the probable fertile period.…”