Does a Cold Affect Basal Body Temperature During Ovulation?

Does a cold cause an increase in basal body temperature?

Hello Dr.
Lee,
I would like to ask a question: After my menstrual period started on July 29, I followed the doctor's instructions and took ovulation medication for six days.
On August 17, my ovulation temperature was 36.30°C, and the ultrasound showed a follicle size of 1.2 cm on the left and 2.1 cm on the right.
I then received an ovulation trigger shot and followed the doctor's advice to have intercourse daily.
The next day, my temperature rose to 36.55°C, and then to 36.80°C the day after, fluctuating between 36.65°C and 37°C.
On August 27, I experienced a sore throat and mild fever (temperature: 37°C).
I continued taking cold medication (I informed my doctor that I was preparing for pregnancy), but on the night of August 29, around 11 PM, I suspected my period had started.
However, my basal body temperature remained high (36.7°C).
I became hesitant to take cold medication after that.
My period has since ended today, September 2, and the flow was slightly lighter than usual, but not extremely light (I still needed to use overnight pads at night, and during the day, I only needed to change my pad once instead of twice as I usually do).
My temperature is still above 36.7°C.
Could this be related to my cold (as I no longer have a fever)? Since I thought my period had started, I casually told the ENT doctor during my follow-up visit that I was not pregnant and didn’t need to worry about any medications.
However, even though my period came, my temperature hasn’t dropped, which makes me hesitant to take cold medication.
I’ve been enduring a cough and runny nose.
Can I take cold medication? If my elevated temperature is due to a cold, should I focus on recovering from the cold before preparing for the next cycle of pregnancy? I’m really unsure about what to do now.
(P.S.
I took a home pregnancy test on August 30, and it showed only one line.)

Xiao Zhu, 30~39 year old female. Ask Date: 2007/09/02

Dr. Li Guanghan reply Obstetrics and Gynecology

1.
It is certainly possible to have a fever with a cold.

2.
Your period started on August 29, and on August 30, the pregnancy test showed only one line.
You can take another pregnancy test now to confirm if it is negative.
If you are still uncertain, you can go to the hospital for a pregnancy test.

3.
Don't lose heart; keep trying.
May God bless you.
Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2007/09/02

More Info

The relationship between cold weather and joint pain, particularly in conditions like patellar malalignment or osteoarthritis, is a topic of interest for many individuals experiencing discomfort during colder months. Your inquiry about whether low temperatures can exacerbate pain associated with patellar malalignment is quite relevant, especially considering your history of knee issues and the recent onset of discomfort during colder weather.

Firstly, it is well-documented that cold weather can influence joint pain. The primary reasons for this phenomenon include changes in barometric pressure, which can lead to joint swelling and increased sensitivity to pain. Additionally, colder temperatures can cause muscles and ligaments to tighten, which may further contribute to discomfort. Individuals with pre-existing conditions, such as patellar malalignment, may be particularly sensitive to these changes. The discomfort you experience in colder weather could be attributed to these physiological responses, as well as potential changes in activity levels during winter months.

Regarding your specific situation, it is important to consider the nature of your knee pain. You mentioned that you have a history of knee pain that has improved over time, but you are now experiencing discomfort that seems to correlate with lower temperatures. This could indicate that the underlying mechanics of your knee, particularly the alignment and stability of the patella, are being affected by the cold. It is also possible that the cold weather is leading to increased stiffness in the joint, which can exacerbate pain.

In terms of management, it is crucial to maintain an active lifestyle while being mindful of your knee's condition. Engaging in low-impact exercises, such as cycling, swimming, or walking on flat surfaces, can help maintain joint mobility without placing excessive strain on the knee. However, activities that involve deep squatting or high-impact movements may need to be approached with caution, especially if they provoke pain.

Heat therapy can also be beneficial in alleviating discomfort associated with cold weather. Applying heat to the knee can help relax the muscles and improve blood circulation, which may reduce pain and stiffness. Conversely, cold therapy can be useful for acute pain or swelling, but it may not be as effective for chronic discomfort related to patellar malalignment.

As for your question about seeking a second opinion, it is always advisable to consult with another healthcare provider if you feel uncertain about your diagnosis or treatment plan. A different perspective may provide additional insights or alternative treatment options that could be beneficial for your condition.

In summary, cold weather can indeed exacerbate pain associated with patellar malalignment due to physiological changes in the body. Maintaining an active lifestyle, utilizing heat therapy, and considering a second opinion are all prudent steps in managing your knee discomfort. If your symptoms persist or worsen, further evaluation by a specialist may be warranted to explore additional treatment options, including physical therapy or potential interventions to improve knee alignment and function.

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