To study seasonality in human ovulation in a direct way, we measured t
he occurrence of ovulation in infertile patients with spontaneous mens
trual cycles (<6 weeks) who visited the fertility clinic at the Univer
sity Hospital Nijmegen in the Netherlands for the first time in 1991 o
r 1992 (n = 407). Ovulation was detected using serial transvaginal ult
rasound and midluteal progesterone measurement and was performed durin
g one screening cycle. The frequency of ovulatory cycles per month var
ied from 73 % to 93 % (not statistically significant). No seasonal pat
tern in ovulation was found in subfecund Dutch women with spontaneous
menstrual cycles. This finding was not confounded by the effects of ag
e of the women, body mass index, or disorders that could influence ovu
lation.