Fluctuations in Basal Body Temperature: Causes and Implications - Obstetrics and Gynecology

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Basal body temperature status


Hello Dr.
Lin, here are my current basal body temperatures:
November 3: 34.18
November 4: 34.68
November 5: 34.52
November 6: 34.56
November 7: 35.34
November 8: 35.43
November 9: 35.58
November 10: 34.62
After three days of elevated temperatures, there was a sudden drop.
What could be the reason for this?

Xin Xin, 20~29 year old female. Ask Date: 2015/11/10

Dr. Lin Wenbin reply Obstetrics and Gynecology


Cooling generally refers to a decrease in hormone levels.
However, your data is insufficient; a complete set of data over an entire month is necessary, and a comprehensive examination during the outpatient visit is required for accurate assessment.

Reply Date: 2015/11/10

More Info


Understanding fluctuations in basal body temperature (BBT) can be quite complex, as various factors can influence these changes. Your recorded temperatures show a notable drop and subsequent rise, which can be attributed to several physiological and environmental factors.

Firstly, it's essential to understand what basal body temperature is. BBT is the lowest body temperature attained during rest, typically measured immediately after waking up. It can fluctuate due to hormonal changes, physical activity, illness, and even environmental factors. In women, BBT is often influenced by the menstrual cycle, with temperatures typically rising after ovulation due to increased progesterone levels.

In your case, the significant drop in temperature from November 3rd to November 4th (from 34.18°C to 34.68°C) and the subsequent fluctuations could be due to several reasons:
1. Hormonal Changes: If you are a woman, fluctuations in BBT can be closely tied to your menstrual cycle. The luteal phase, which occurs after ovulation, is characterized by higher BBT due to progesterone. If you are approaching menstruation, you might see a drop in temperature as progesterone levels decrease.

2. Environmental Factors: Changes in your sleeping environment, such as room temperature or bedding, can affect your BBT. If your room was cooler on certain nights, it could lead to lower readings. Conversely, if you were warmer or more comfortable, your temperature might rise.

3. Health Status: Illness can also impact BBT. If you were fighting off an infection or experiencing any form of stress (physical or emotional), it could lead to fluctuations in your temperature. For instance, a mild infection might cause your body to conserve heat, resulting in lower readings.

4. Measurement Consistency: It's crucial to ensure that you are measuring your temperature consistently. Variations in the time of measurement, the method used (oral, rectal, or underarm), and even the thermometer's calibration can lead to discrepancies in readings.

5. Physical Activity: Engaging in physical activity before taking your BBT can also lead to temporary increases in body temperature. If you exercised or were more active on certain days, it could explain the higher readings.

6. Sleep Quality: Poor sleep or disturbances during the night can affect your BBT. If you had a restless night, your body might not have reached its typical resting temperature.

In summary, fluctuations in basal body temperature are normal and can be influenced by a variety of factors, including hormonal changes, environmental conditions, health status, measurement consistency, physical activity, and sleep quality. If you notice persistent irregularities or have accompanying symptoms such as fatigue, pain, or significant mood changes, it may be worth consulting a healthcare professional for further evaluation. Monitoring your BBT over a more extended period can also provide better insights into your body's patterns and any potential underlying issues.

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