Ovulation Through Basal Body Temperature Tracking - Obstetrics and Gynecology

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Basal body temperature and the actual day of ovulation?


Hello, doctor: I would like to ask, if my temperature on March 4th rises above 36.7 degrees Celsius, when did I ovulate? Was it on March 3rd or March 4th? Additionally, my basal body temperature rises from the lowest temperature to above 36.7 degrees Celsius over two days.
Should I consider the day of the lowest temperature or the day in between the lowest and highest temperature as the day of ovulation?

Qiaokeli, 30~39 year old female. Ask Date: 2020/03/06

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is difficult to pinpoint the exact day of ovulation.
Generally, ovulation occurs when there is a shift from low basal body temperature to a higher temperature.
Wishing you good health!

Reply Date: 2020/03/06

More Info


Understanding ovulation through basal body temperature (BBT) tracking is a valuable method for individuals trying to conceive or simply wanting to understand their menstrual cycle better. The BBT method is based on the principle that a woman's body temperature slightly rises after ovulation due to increased progesterone levels. This rise in temperature typically occurs about 24 to 48 hours after the ovary releases an egg.

In your case, if you observed a rise in your BBT to above 36.7°C on March 4th, it is likely that ovulation occurred either on March 3rd or March 4th. Generally, ovulation is marked by the temperature spike, which indicates that the luteal phase has begun. Therefore, if your BBT was lower than 36.7°C prior to March 4th and then rose above this threshold, it is reasonable to conclude that ovulation occurred the day before the temperature rise, which would be March 3rd.

Regarding your question about the lowest temperature and the subsequent rise: the lowest temperature (the "low" point) typically occurs just before ovulation. The day of ovulation is often considered to be the day before the temperature rises. Therefore, if your lowest temperature was recorded before the rise, it is likely that ovulation occurred on that day or the day before the temperature increase.

It's important to note that BBT tracking can be influenced by various factors, including sleep quality, stress levels, illness, and even the time of day the temperature is taken. For the most accurate results, it is recommended to take your temperature at the same time each morning before getting out of bed and after at least three hours of uninterrupted sleep.

If you are tracking your BBT for fertility purposes, it may also be beneficial to combine this method with other ovulation indicators, such as changes in cervical mucus or ovulation predictor kits (OPKs). These methods can provide additional confirmation of ovulation and help you identify your fertile window more accurately.

If you have concerns about your menstrual cycle, ovulation, or any associated symptoms, it may be wise to consult with a healthcare provider, such as a gynecologist or a reproductive endocrinologist. They can offer personalized advice and may suggest further evaluations if necessary.

In summary, based on your BBT data, it is likely that you ovulated on March 3rd, with the temperature rise on March 4th confirming this. Tracking BBT can be a helpful tool in understanding your cycle, but it is essential to consider other factors that may affect your readings. If you have further questions or concerns, seeking professional medical advice is always a good step.

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