Basal Body Temperature and Its Role in Fertility - Obstetrics and Gynecology

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Basal body temperature


Hello Dr.
Lu,
The secretion of progesterone should be maintained for at least 11-16 days.
Here are the temperature readings:
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
November 11: 35.09
November 12: 35.41
November 13: 35.41
November 14: 35.41
November 15: 35.11
November 16: 35.24
November 17: 35.19
November 18: 35.44
November 19: 35.39
November 20: 34.98
November 21: 35.17
I would like to ask:
1.
Since there was a drop in temperature on November 10, should we recalculate the progesterone levels?
2.
Is the fluctuation in temperature indicative of implantation?
Thanks!

Xin Xin, 20~29 year old female. Ask Date: 2015/11/21

Dr. Lü Lizheng reply Obstetrics and Gynecology


1.
Basal body temperature is merely a reference and may have some degree of error.
2.
It is recommended to seek medical advice and discuss with a physician, as other methods can be used to determine ovulation.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/11/21

More Info


Understanding Basal Body Temperature (BBT) and Its Role in Fertility
Basal Body Temperature (BBT) is a crucial tool for women trying to conceive, as it provides insights into their menstrual cycle and ovulation patterns. BBT refers to the body's temperature at rest, typically measured first thing in the morning before any activity. This temperature can fluctuate throughout the menstrual cycle due to hormonal changes, particularly those involving estrogen and progesterone.

During the menstrual cycle, BBT typically follows a biphasic pattern. In the follicular phase (the first half of the cycle), BBT is generally lower due to the influence of estrogen. After ovulation, when the corpus luteum forms and secretes progesterone, BBT rises and remains elevated for about 11 to 16 days. This rise in temperature indicates that ovulation has occurred. If pregnancy does not occur, progesterone levels drop, leading to a decrease in BBT and the onset of menstruation.

In your case, the BBT readings you provided show fluctuations that could indicate several things. The drop in temperature on November 10 could suggest a temporary dip, which is not uncommon and may not necessarily indicate a problem with progesterone levels. It is essential to consider that BBT can be influenced by various factors, including stress, illness, sleep quality, and even the time of measurement. Therefore, a single drop in temperature should not be the sole basis for assessing hormonal levels.

Regarding your second question about whether the fluctuations in temperature could indicate implantation, it is important to note that while some women report a slight dip in BBT followed by a rise around the time of implantation, this is not a definitive sign. Implantation typically occurs about 6 to 10 days after ovulation, and any associated temperature changes can vary widely among individuals. The best way to confirm pregnancy is through a home pregnancy test or a blood test conducted by a healthcare provider.

If you are concerned about your BBT patterns and their implications for your fertility, it may be beneficial to consult with a healthcare provider or a fertility specialist. They can provide a more comprehensive evaluation, including hormone level testing, to determine if there are any underlying issues affecting your ability to conceive.

In summary, BBT is a valuable tool for tracking ovulation and understanding your menstrual cycle. While fluctuations in temperature can provide insights, they should be interpreted in the context of the entire cycle and other symptoms. If you have concerns about your hormonal levels or fertility, seeking professional medical advice is always a prudent step.

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