How to build a chart of temperatures. Examples of graphic temperature graphs with decoding
It used to be considered that it is possible to determine possible pregnancy, ovulation or gynecological disease only after passing a huge amount of analyzes.
Today, such a myth will help dispel a simple graph of basal temperature, which can independently make any woman. He will not give an exact answer as a doctor, but will indicate him and what is happening with the female organism. This article will provide graphs of basal temperature with examples and decodes, as well as for which the basal temperature is needed and what it means.
- when it is impossible to get pregnant for long months;
- risk of possible infertility;
- hormonal disorders.
In addition, BT measurement helps to increase the chances of successful conception and the ability to plan the floor of the child. The template or sample of the graphic temperature graphics can be downloaded on the network.
Many women, measurement of basal temperature not perceive seriously, believing that this is an ordinary formality that does not benefit. However, this is not the case. Due to BT testimony, the doctor can define the following points:
- establish how the ripening of the egg is passed;
- determine the ovulatory period;
- approximate date of the next menstruation;
- not rarely according to the testimony of BT, you can determine the possible endometrite.
It is necessary to measure BT for 3 cycles, this will allow you to give more accurate information about the date of favorable conception. An experienced gynecologist will help to decipher the readings of the schedule. Also, an example of graphics of basal temperature can be seen online.
Thermometer for measuring BT
For measurement, one type of thermometer is used, it does not change it over the measurement. Thus, it will be possible to see the rate or deviations on the graph of basal temperature.
The mercury thermometer freezes the temperature for 4-5 minutes, and electronic 2 times faster. Do not forget before and after each measurement, wipe the device with an antiseptic and give it to dry before use.
Proper measurement of BT
Accurate and efficient graphics requires compliance with some rules:
- bT measurement should be daily, if possible, during the period of menstruation or at the moment of respiratory disease;
- temperature measurements are carried out in the rectum, mouth or vagina. The main rule is that the measurement location throughout the cycle has not changed. Doctors still strongly recommend measuring exactly the vaginal temperature. If BT is measured rectally or vaginally, the narrow part of the instrument is neatly entered into the required place for 3-4 minutes;
- measure BT need to be measured immediately in the morning after awakening without getting up, it is strict Rule, moreover, at the same time. Measurement of basal temperature in an hour after sleep or day may not give accurate results;
- the measurement is performed only in the lying position. Therefore, you will need to cook your thermometer in the evening and put it next to the bed. If necessary in the toilet, then you will also have to suffer a couple of minutes. Excessive activity will give an unreliable result;
- after measuring BT, readings are removed immediately. If this was done in 2-5 minutes, the result is considered not valid;
- consider that intimate relationships in the evening or in the morning, as well as flights, too active sports and colds may incorrectly affect the correctness of the base temperature;
- bT should also be measured after 4 hours of continuous sleep.
Table of information about BT
The table for the definition of BT should include the following items:
- day of month, year;
- cycle day;
- measurement results;
- additionally: here you need to specify all the parameters that can affect BT. These include: Vaginal allocations, seizing sex on the eve, manifestation allergic reactions, viral disease, reception drugs etc.
A detailed description of these factors will help the doctor most accurately determine the time of conception. If desired, the graph of basal temperature can be downloaded on any medical website associated with gynecology.
Changes BT relative to the cycle
Note that BT changes depending on the cycle, or rather his time.
So, at the first phase of the cycle, when only the ripening of the egg occurs, BT is low, gradually dropping to a minimum, then, again goes to the rise. The difference between the highest and low BT is from 04, up to 0.8 degrees.
If measurements at the time of menstruation, the temperature will be exactly 37 degrees, and after the end of ovulation it rises to 37, -1-37.1 under the influence of progesterone.
If the schedule showed that BT in the first phase is much higher than in the second, then there is a clear lack of estrogen. Perhaps need to receive hormonal drugs. In the case when the second phase is characterized by a low temperature with respect to the first, then it is about low progesterone.
When both cycles are persistent, it says about ovulation that occurred. If the second phase does not have an increase in BT, then, most likely no ovulation was, i.e. The egg did not come out.
BT graph is quite convenient and modern method Definitions of ovulation, which is an integral part of the planning of successful pregnancy. The results of the basal temperature will come in handy and before going to the gynecologist.
Decoding and examples of BT graphs
When the schedule is built true, and the woman followed all the recommendations in its compilation, then it allows not only to determine the presence of ovulation, but also possible pathologies of the sexual sphere.
On the chart you can see the overlapping line, which is performed on top of six temperature values, in the first phase. This is the normal graph of basal temperature, without pathologies and deviations. We do not take into account only those days where the result could be distorted under the influence of drug receptions, viral diseases, sexual contact on the eve of, etc.
Effects of ovulation
To determine ovulation, you need to use standard rules:
we pay attention to the average line and 3 results of BT, the difference in two cases from three should be at least 0.1 degrees. If the table is exactly the results, then after 1-2 days it will be possible to observe a clear line of ovulation.
Duration of the second phase
As they found out, the BT graph is divided into two phases, we see in the photo above, where the vertical line is located. Cycle rate in the second phase from 12 to 17 days, but most often 15.
As practice shows, insufficiency is quite often observed in 2 phase. If you noted that this phase is shorter than 8-10 days, then this is a serious reason to consult a doctor.
If we talk about the norm of BT, then its difference between the first and second phases is about 0.4-0.5 degrees, but not more.
Two-phase cycle and its norm (normal two-phase schedule)
On this schedule, it is necessary to mark the increase in BT no more than 0.4 degrees.
If you turn to the example of the graph above, you can see that 2 days before the BT ovulation decreases.
Hormonal failure: progesterone estrogen
With this failure, it will be possible to notice a significantly weak rise of BT, and the difference in the first and second phase will be no more than 0.2 degrees. When such a phenomenon is observed more than three cycles in a row, we can talk about serious hormonal failures. As for pregnancy itself, it can come, but at the same time there is a big risk of miscarriage.
Also do not forget about the anovulatory cycles. Similar in the life of a woman can occur to three times a year. However, if the number of such cycles exceeds 3-4, then this is a serious reason to consult a doctor.
Below on the chart can clearly see the absence of ovulation:
Hormonal failure: estrogens
If at the end of building a schedule, a woman is watching big differences in BT, and the line itself is in a chaotic state, then we can talk about the lack of estrogen.
The insufficiency of this hormone can also be seen to increase the temperature in the second phase to 37.2, sometimes to 37.3.
Note that the temperature rise is very slow and can last up to 5 days. In this case, it is impossible to say that this basal temperature will be perceived by the doctor as a norm.
Below on the schedule you can see how the lack of estrogen is manifested:
Anguulatory graph suppose 1-2 times per year Even with completely healthy women. In other cases, we are talking about hormonal violation. One should immediately visit the doctor to begin timely treatment.
With endometritis
Using the analysis of basal temperature, you can identify the presence of such a disease as endometritis. Normally at the beginning of a new cycle temperature should decrease. If during the menstrual secretions there is an increase in BT and remains at this level, then this is a clear symptom for the presence of the disease.
At the same time there is an emergence of other illness symptoms. These include the following:
- Painful sensations during sexual intercourse.
- Detergence of health.
- Violation of the cycle.
- Purulent discharge.
- Uterine bleeding.
It is not recommended to determine deviations on BT graphics independently. This should be engaged attending doctor. Treatment is appointed based on the results of analyzes and other studies.
Measurement of basal temperature was truly folk remedy Pregnancy planning.
Why measure basal temperature
Basal or rectal temperature (BT) - This is the body temperature alone after at least 3-6 hours of sleep, the temperature is measured in the mouth, rectum or vagina. The temperature measured at this moment is practically not affected by the external environmental factors. Experience shows that many women perceive the doctor's demands to measure basal temperature as a formality and basal temperature does not solve anything, but this is far from that.
The method of measuring the basal body temperature was developed in 1953 by the English professor Marshal and belongs to research techniques that are based on the biological effect of sex hormones, namely on the hyperthermic (temperature rise) of progesterone to the center of thermoregulation. Measurement of basal body temperature is one of the main tests of the functional diagnosis of ovarian work. According to the results of the BT measurement, the graph is built, the analysis of graphs of basal temperature is given below.
Measuring basal temperature and drawing up the graphic is recommended in gynecology in the following cases:
If you are unsuccessful trying to get pregnant during the year
Have you suspect or your partner infertility
If your gynecologist suspects you hormone disorders
In addition to the above cases, when the graphic of the basal body temperature is recommended by a gynecologist, you can measure basal body temperature if:
You want to increase your chances of pregnancy
You experiment with child floor planning methodology
You want to watch your body and understand the processes passing in it (this can help you communicate with specialists)
Experience shows that many women perceive the doctor's demands to measure basal temperature as a formality and it does not solve anything.
In fact, measuring the basal body temperature, you and the doctor will be able to learn:
Whether the egg ripens and when this happens (accordingly, to highlight "dangerous" days in order to prevent or vice versa, the ability to become pregnant);
Did after ripening eggs, ovulation occurred
Determine the quality of your work endocrine system
Suspect a gynecological problem, for example, endometritis
When to expect another menstruation
Whether pregnancy occurred in case of delay or unusual menstruation;
Assessing how correct the ovaries allocate hormones on the phases of the menstrual cycle;
The gradal temperature graph, compiled by all the measurement rules, can show not only the presence of ovulation in the cycle or its absence, but also indicate the diseases of the sexual and endocrine system. You must measure basal temperature for at least 3 cycles, so that the information accumulated during this time makes it possible to make exact forecasts about the estimated ovulation date and the most favorable time of conception, as well as the conclusions about hormonal disorders. Alternatively, only a gynecologist can be given an accurate estimate of your graphic temperature graph. The preparation of the graphic temperature can help a gynecologist to determine the deviations in the cycle and assume the lack of ovulation, but at the same time the diagnosis gynecologist is only and solely by the type of gravy temperature graphics without additional analyzes and surveys most often indicates medical unprofessionalism.
It is necessary to measure the basal temperature, and not the body temperature on the hem. Overall temperature rise as a result of the disease, overheating, physical Loads, making food, stress, naturally, is reflected in the indicators of basal temperature and makes them unreliable.
Thermometer for measuring basal temperature.
You will need an ordinary medical thermometer: mercury or electronic. Mercury thermometer basal temperature is measured for five minutes, the electronic thermometer needs to be removed after the measurement end signal. After he regained, the temperature will still rise for some time, since the thermometer fixes the moment when the temperature above rises very slowly (and do not listen to the nonsense about the fact that the thermometer is in contact with the anus muscles). The thermometer must be prepared in advance, from the evening, putting it next to the bed. Do not put mercury degrees under the pillow!
Rules for measuring basal temperature.
Measure basal temperature is needed if possible every day, including in days of menstruation.
You can measure in the mouth, in the vagina or in the rectum. The main thing is that throughout the cycle, the measurement site has not changed. The temperature measurement of the armpit does not give accurate results. With an oral method of measuring basal temperature, you put the thermometer under the tongue and with the mouth closed are measured for 5 minutes.
With a vaginal or rectal measurement method, we enter a narrow part of the thermometer into the rear trial or vagina, the duration of measurement is 3 minutes. Measuring temperature in the rectum is the most common.
Measure basal temperature in the morning, immediately after waking up and before getting out of bed.
Measure basal temperature is needed at the same time (the difference is permissible for half an hour - an hour (maximum one and a half hours)). If you decide to sleep at the weekend, make a mark about it in the chart. Keep in mind that every extra hour of sleep raises your basal temperature about 0.1 degrees.
Continuous sleep before measuring the basal temperature in the morning, should last at least three hours. Therefore, if you measure the temperature at 8 am, but got up at 7 am to go, for example, to the toilet, it is better to measure BT toilet, otherwise it will be no more informative in the usual for you for 8 hours.
You can use to measure both digital and mercury thermometer. It is important not to change the thermometer for one cycle.
If you use a mercury thermometer, then shake it before falling asleep. The efforts that you apply to the shaking of the thermometer immediately before measuring the basal temperature can affect the temperature.
The basal temperature is measured in the position lying motionless. Do not do unnecessary movements, do not turn, activity should be minimal. In no case do not get up in order to take a thermometer! Therefore, it is better to cook it from the evening and put it near the bed to be able to reach the thermometer with your hand. Some experts advise the measurement, not even opening the eye, since the daylight can enhance the release of some hormones.
The testimony from the thermometer is removed immediately after it is extracted.
Basal temperature after measurement is best recorded right away. Otherwise, forget or confuse. The basal temperature is about the same every day, differs by tenth degrees. Hoping for your memory, you can get confused. If the thermometer readings were between two digits, lock the lower indicator.
In the chart, it is necessary to indicate the reasons that could lead to an increase in basal temperature (ORZ, inflammatory diseases And so on.).
Business trips, moving and flights, sexual intercourse on the eve of the evening or in the morning they can significantly affect basal temperature.
For diseases accompanied by increased temperature Body, your basal temperature will be non-informative and you can stop measurements for the time of the disease.
Different drugs can affect basal temperature, such as sleeping pills, sedatives and hormonal.
Measuring the basal temperature and the simultaneous use of oral (hormonal) contraceptives does not make any sense. The basal temperature depends on the concentration of hormones in tablets.
After receiving a large amount of alcohol, the basal temperature will be non-informative.
When working at night, the basal temperature is measured by the day after at least 3-4 hours of sleep.
The basal temperature recording table (BT) of the body must contain lines:
Day of the month
Cycle Day
BT
Notes: Abundant or moderate allocations, deviations that can affect BT: general disease, including with increasing temperature, diarrhea, intercourse in the evening (and even more so in the morning), taking alcohol on the eve, measuring BT to an unusual time, later the extinguishing to sleep (for example, lay down at 3 o'clock, and measured in 6), receiving sleeping pills preparations, stress, etc.
In the Count "Notes", all factors are included, which in one or another could affect the change in basal temperature.
This form of recording is very helpful and the woman and her doctor understand possible reasons infertility, cycle disorders, etc.
Justification of the method of basal body temperature
The basal body temperature in the continuation of the cycle varies under the influence of hormones.
During the ripening of the egg on the background of a high level of estrogen (the first phase of the menstrual cycle, hypothermal, "low") basal temperature, it drops on the eve of ovulation, and then rises again, reaching the maximum. At this time, ovulation passes. After ovulation, the high temperature phase (the second phase of the menstrual cycle, hyperthermic, "high") begins, which is due to the low level of estrogen and high levels progesterone. Pregnancy under the influence of progesterone also completely flows in a high temperature phase. The difference between "low" (hypothermic) and "high" (hyperthermic) phases is 0.4-0.8 ° C. Only with accurate measurement of the basal body temperature, you can fix the level of "low" temperatures in the first half of the menstrual cycle, the transition from "low" to "high" on the day of ovulation, and the temperature level in the second phase of the cycle.
Usually during menstruation, the temperature is kept at 37 ° C. During the ripening period of the follicle (the first phase of the cycle), the temperature does not exceed 37 ° C. In front of the ovulation itself, it decreases (the result of the actions of the estrogen), and after it the basal temperature rises to 37.1 ° C and above (the effect of progesterone). Until the next menstruation, the basal temperature is in high and slightly decreases to the first day of menstruation. If the primary temperature indicators in the first phase relative to the second, high, then this may indicate a small amount of estrogen in the body and requires correction medicinal preparationscontaining female sex hormones. On the contrary, if in the second phase, relatively first, there is a low basal temperature, this is an indicator of a low level of progesterone and here preparations for the correction of a hormonal background are also prescribed. It is necessary to do this only after passing the appropriate analyzes for hormones and the appointment of a doctor.
The resistant two-phase cycle indicates ovulation, which was carried out and the presence of a functionally active yellow body (the correct rhythm of the ovarian work).
The absence of temperature rise in the second phase of the cycle (monotonous curve) or significant temperature swings, both in the first and in the second half of the cycle with the absence of a stable lift indicative of inoculation (no exit of an egg from the ovaries).
The lateness of the lifting and short-term (the hypothermic phase for 2-7, up to 10 days) is observed in the shortening of the lutein phase, the insufficient rise (0.2-0.3 ° C) - with insufficient operation of the yellow body.
The thermogenic effect of progesterone leads to an increase in body temperature at least 0.33 ° C (the effect lasts until the end of the lutein, that is, the second, phase of the menstrual cycle). The level of progesterone reaches a peak in 8-9 days after ovulation, which approximately corresponds to the implantation time of the fertilized egg to the uterus wall.
By drawing up a graph of basal temperature, you can not only determine when you have ovulation, but also to find out what processes occur in your body.
Decoding graphics of basal temperature. Examples
If the graph of basal temperature is built correctly, given the measurement rules, it can reveal not only the presence or absence of ovulation, but also some diseases.
Running line
The line is carried out on top of 6 temperature values \u200b\u200bin the first phase of the cycle preceding ovulation.
At the same time, the first 5 days of the cycle are not taken into account, as well as days in which various negative factors could affect the temperature (see temperature measurement rules). This line does not allow you to make any conclusions from the schedule and serves only for clarity.
Ovulation line
In order to judge the onset of ovulation, the rules established by the World Health Organization (WHO) are used:
Three temperature values \u200b\u200bin a row must be over the level of the line, carried out on top of the 6 previous temperature values.
The difference between the middle line and three temperature values \u200b\u200bshould be at least 0.1 degrees in two days of three and at least 0.2 degrees to one of these days.
If your temperature curve responded with these requirements, then on your graph of basal temperatures 1-2 days after ovulation will appear the ovulation line.
Sometimes it is not possible to determine ovulation by the WHO method due to the fact that there are high temperatures in the first phase of the cycle. In this case, you can apply to the graph of the basal temperature "Rule" of the finger. "This rule is excluded temperature values \u200b\u200bthat differ from the previous or subsequent temperature on more than 0.2 degrees. Such temperature values \u200b\u200bshould not be taken into account when calculating ovulation, if in general The graph of basal temperature corresponds to the norm.
Most. optimal time For conception is the day of ovulation and 2 days before it.
Length of menstrual cycle
The total length of the cycle normally should not be shorter than 21 days and should not exceed 35 days. If your cycles are shorter or longer, then maybe you have ovarian dysfunction, which is often the cause of infertility and requires treatment from the gynecologist.
Length of the second phase
The graph of basal temperature is divided into the first and second phase. The separation passes where the ovulation line is affixed (vertical). Accordingly, the first cycle phase is a segment of the graph to ovulation, and the second phase of the cycle after ovulation.
The length of the second phase of the cycle is normally from 12 to 16 days, most often 14 days. In contrast, the length of the first phase can vary greatly and these variations are an individual norm. At the same time, a healthy woman in different cycles should have significant differences in the length of the first phase and the second phase. The total length of the cycle normally changes only due to the length of the first phase.
One of the problems detected on schedules and confirmed by subsequent hormonal studies is the insufficiency of the second phase. If you measure basal temperature for several cycles, observing all the measurement rules and your second phase is shorter than 10 days, it is a reason for consulting a gynecologist. Also, if you regularly take place during ovulation, the pregnancy does not occur and the length of the second phase is on the lower boundary (10 or 11 days), this may indicate the failure of the second phase.
Temperature difference
Normally, the difference between the average temperatures of the first and second phase should be more than 0.4 degrees. If it is lower, it may indicate hormonal problems. Pass the blood test to progesterone and estrogen and consult a gynecologist.
The increase in the basal temperature occurs when the level of progesterone in the blood serum exceeds 2.5-4.0 ng / ml (7.6-12.7 nmol / l). However, the monophasic basal temperature was detected in a number of patients with a normal level of progesterone in the second phase of the cycle. In addition, the monophasic basal temperature is noted approximately at 20% of ovulatory cycles. Simple statement of two-phase basal temperature does not prove the normal function of the yellow body. The basal temperature also cannot be used to determine the occurrence of ovulation, since, with the luteinization of the non-unusual follicle, a two-phase basal temperature is observed. Nevertheless, the duration of the lutein phase in accordance with the data of the basal temperature and the low rate of lifting of the basal temperature after ovulation is made by many authors as criteria for diagnosing the luteinization syndrome of the non-unifying follicle.
In classical guidelines for gynecology, the five main types of temperature curves are described.
In such graphs, there is an increase in temperature in the second phase of the cycle at least 0.4 s; Noticeably "pre-deputy" and "premenstrual" temperature drop. The temperature of increasing the temperature after ovulation is 12-14 days. Such a curve is typical for a normal two-phase menstrual cycle.
Using the example of the graph, a pre-shift is visible for 12 days of the cycle (the temperature drops substantially two days before ovulation), as well as premenstrual fall, starting from 26 days of the cycle.
There is a weakly expressed temperature rise in the second phase. The temperature difference in the first and second phase is no more than 0.2-0.3 C. Such a curve may indicate estrogen-progesterone failure. Sample graphs see below.
If such graphs are repeated from the cycle in the cycle, it can talk about hormonal failures that are the cause of infertility.
The basal temperature begins to rise only shortly before menstruation, while there is no "premenstrual" temperature drop. The second phase of the cycle can last at the same time less than 10 days. Such a curve is characteristic of a two-phase menstrual cycle with deficiency of the second phase. Sample graphs see below.
Pregnancy in such a cycle is possible, but it is under threat from the very beginning. At this moment, the woman can not know about the coming pregnancy, even gynecologists would find it difficult to make a diagnosis on such early time. With this schedule, it may not be about infertility, but about unbearable. Be sure to refer to the gynecologist, if such a schedule is repeated for you for 3 cycles.
The cycle without ovulation does not produce a yellow body, which produces a hormone of progesterone and affects the increase in basal body temperature. In this case, the graph of the basal temperature is not visible to rise of temperature and ovulation is not determined. If there is no line of ovulation on the chart, in this case we are talking about an inhibular cycle.
Each woman may have several annevulatory cycles per year - this is normal and does not require medical intervention, but if such a situation is repeated from the cycle in the cycle, then refer to the gynecologist. Without ovulation - pregnancy is impossible!
The monotonous curve occurs when there is no pronounced lift throughout the cycle. Such a chart is noted under anointulatory (no ovulation) cycle. Sample graphs see below.
On average, a woman happens one annovulatory cycle per year and no reasons for anxiety in this case. But the anovulatory graphs that are repeated from the cycle in the cycle is a very serious reason to turn to the gynecologist. Without ovulation, a woman cannot get pregnant and this is a female infertility.
Estrogenous failure
Chaotic temperature curve. On the chart, there are large temperature swings, it does not fit into any of the above-described types. This type of curve can be observed both with pronounced estrogen failure, and depend on random factors. Examples of graphs below.
A competent gynecologist will surely check the tests for hormones and will conduct an ultrasound study before prescribing drugs.
High basal temperature in the first phase
The graph of basal temperature is divided into the first and second phase. The separation passes where the ovulation line is affixed (vertical line). Accordingly, the first cycle phase is a segment of the graph to ovulation, and the second phase of the cycle after ovulation.
Insufficiency of estrogen
In the first phase of the cycle in the female body dominates Estrogen hormone. Under the influence of this hormone, basal temperatures before ovulation is held on average ranging from 36.2 to 36.5 degrees. If the temperature in the first phase rises and holds above this mark, then the insufficiency of estrogen can be assumed. In this case, the average temperature of the first phase rises to 36.5 - 36.8 degrees and is held at this level. To increase the level of estrogen, gynecologists-endocrinologists will prescribe hormonal drugs.
The insufficiency of estrogen also leads to elevated temperature in the second phase of the cycle (above the mark of 37.1 degrees), while the temperature rise is slowed down and takes more than 3 days.
On the example of the graph, the temperature in the first phase is above 37.0 degrees, in the second phase rises to 37.5, the rise of the temperature by 0.2 degrees to the 17th and 18th day of the cycle is insignificant. Fertilization in a cycle with such a schedule is very problematic.
Inflammation of the appendens
Another reason for increasing the temperature in the first phase may be inflammation of the appendages. In this case, the temperature rises only for several days in the first phase to 37 degrees, and then reserves again. In such charts, the calculation of ovulation is hampered, since such ascent "masks" ovulatory rise.
On the example of the graph, the temperature in the first phase of the cycle is kept at the level of 37.0 degrees, the increase occurs sharply and also falls sharply. The temperature rise on the 6th day of the cycle can be mistaken for the ovulatory rise, in fact, it is most likely indicative of inflammation. Therefore, it is so important to measure the temperature throughout the cycle to exclude such a scenario: the temperature rose due to inflammation, then it fell again and then rose due to the onset of ovulation.
Endometritis
Normally, the temperature in the first phase should decrease during menstrual bleeding. If you have a temperature at the end of the cycle, it falls until the start of menstruation and again rises to 37.0 degrees with the beginning of menstruation (less often 2-3 days cycle), this may indicate the presence of endometritis.
Characteristic temperature of temperature before month and lifting with the beginning of the next cycle. If the temperature of the temperature before the start of menstruation in the first cycle is not, i.e. the temperature is kept at this level, then pregnancy can be assumed, despite the starting bleeding. Make a pregnancy test and contact a gynecologist, which will spend an ultrasound for performing an accurate diagnosis.
If the basal temperature in the first phase rises sharply for one day, then it does not say anything. Inflammation of the appendages can not start and ending in one day. Also, the lack of estrogen can only be assumed by assessing the entire schedule, and not a separate temperature in the first phase. In case of diseases accompanied by a high or elevated body temperature, measuring basal temperature, and even more so judge its character and analyze the schedule does not make sense.
Low temperature in the second phase of the menstrual cycle
In the second phase of the cycle, the basal temperature should be significantly (about 0.4 degrees) differ from the first phase and to be at the level of 37.0 degrees or higher, if you measure the temperature rectally. If the temperature difference is less than 0.4 degrees and the average temperature of the second phase does not reach up to 36.8 degrees, it may indicate problems.
Failure of yellow body
In the second phase of the cycle in the female organism, a hormone progesterone or a hormone of a yellow body begins to produce. This hormone is responsible for increasing the temperature in the second phase of the cycle and prevents the occurrence of menstruation. If this hormone is not enough, the temperature rises slowly and the coming pregnancy may be at risk.
The temperature in the insufficiency of the yellow body rises shortly before menstruation, and there is no "premenstrual" drop. This may indicate hormonal insufficiency. The diagnosis is made on the basis of blood test for progesterone in the second phase of the cycle. If its values \u200b\u200bare lowered, then a gynecologist is usually assigned progesterone substitute: urozhastan or duphaston. These drugs are accepted strictly after the onset of ovulation. When pregnant, the reception continues until 10-12 weeks. The sharp cancellation of progesterone in the second phase in the coming pregnancy can lead to the threat of abortion.
Special attention should be paid to graphics with a short second phase. If the second phase is shorter than 10 days, then you can also judge the insufficiency of the second phase.
Situations where basal temperature remains elevated over 14 days, it happens when pregnancy occurs, the formation of the cyst of the yellow body of the ovary, as well as the acute inflammatory process of the small pelvis organs.
Estrogen-progesterone failure
If in combination with a low temperature in the second phase on your schedule there is a low-rise temperature rise (0.2-0.3 s) after ovulation, then such a curve may indicate not only for the lack of progesterone, but also for a lack of hormone estrogen.
Hyperprolactinemia
Because of raising the level of the hormone of the pituitary gland - prolactin responsible for maintaining pregnancy and lactation, the graph of basal temperature in this case can be like a graph of a pregnant woman. Menstruation as well as during pregnancy may be absent. EXAMPLE OF GRAP PRICE OF BASAL TEMPERATURE IN HYPERPROLAKINIMII
Grazing Temperature Schedule when stimulating ovulation
When stimulating ovulation, in particular clomiphene (clostilbyt) using a duphaston in the second phase of the MC, a graph of basal temperature, as a rule, becomes "normal" - two-phase, with a pronounced phase transition, with enough high temperatures In the second phase, with characteristic "steps" (the temperature rises 2 times) and a small weave. If the temperature schedule in stimulation, on the contrary, is broken and deviated from normal, this may indicate an improper selection of doses of drugs or an unsuitable stimulation scenario (other medicines can be needed). Increasing the temperature in the first phase when stimulated by clomiphene, it also happens with individual sensitivity to the drug.
Private cases of graphic temperatures
Low or high temperature in both phases, provided that the temperature difference is at least 0.4 degrees, is not pathology. This is an individual feature of the body. The measurement method may also affect the temperature significance. Usually, with an oral measurement, the basal temperature is 0.2 degrees lower than with a rectal or vaginal dimension.
When to contact the gynecologist?
If you strictly follow the temperature measurement rules and observe on your graphics of basal temperature at least in 2 cycles in a row described problems, consult a doctor for additional surveys. Beware of diagnoses of the gynecologist only on the basis of graphs. What to pay attention to:
anguulatory graphs
regular delays cycle with non-advancing pregnancy
late ovulation and not an offensive of pregnancy for several cycles
controversial graphics with fuzzy pronounced ovulation
schedules with high temperature throughout the cycle
low temperature graphs throughout the cycle
graphics with short (less than 10 days) second phase
graphs with a high temperature in the second phase of the cycle for over 18 days, without the occurrence of menstruation and negative test For pregnancy
inexplicable bleeding or strong selection in the middle of the cycle
abundant menstruation lasting for more than 5 days
charts with temperature difference in the first and second phase less than 0.4 degrees
cycles, shorter 21 days or longer than 35 days
charts with a well-pronounced ovulation, regular sexual intercourse during ovulation and not coming pregnancy for several cycles
Signs of probable infertility according to the graphics of basal temperature:
The average value of the second phase of the cycle (after temperature lifting) exceeds the average value of the first phase in less than 0.4 ° C.
In the second phase of the cycle there are temperatures (the temperature drops below 37 ° C).
The rise in the middle of the cycle lasts more than 3 to 4 days.
The second phase is short (less than 8 days).
Determination of pregnancy in basal temperature
The method of determining pregnancy in the basal temperature works under the condition of the presence of ovulation in the cycle, since in some health disorders, the basal temperature may be raised for a long time, and the period may be absent. A vivid example of such a violation is hyperprolactinemia, due to increased production of hormone hypophism - prolactin. Prolactin is responsible for maintaining pregnancy and lactation and is normalized only during pregnancy and lactation (see examples of graphs at normal and various violations).
Oscillations of basal temperature in different phases menstrual cycle is due to different levels Hormones responsible for 1 and 2 phase.
During menstruation, basal temperature is always increased (about 37.0 and higher). In the first phase of the cycle (follicular) to ovulation, the basal temperature is low, up to 37.0 degrees.
Before ovulation, the basal temperature decreases, and immediately after ovulation increases by 0.4 - 0.5 degrees and holds high to the next menstruation.
In women with different menstrual length, the duration of the follicular phase is different, and the length of the lutein (second) cycle phase is approximately the same and does not exceed 12-14 days. Thus, if the basal temperature after the jump (which indicates ovulation) remains elevated more than 14 days, this clearly indicates the coming pregnancy.
This method of determining pregnancy works with the presence of ovulation in the cycle, since in some health violations, the basal temperature may be arranged for a long time, and the period may be absent. A vivid example of such a violation is hyperprolactinemia, due to increased production of hormone hypophism - prolactin. Prolactin is responsible for preservation of pregnancy and lactation and normally increased only during pregnancy and lactation.
If the woman is pregnant, then menstruation will not come and the temperature will remain elevated during the whole pregnancy. The decrease in basal temperature against the background of pregnancy may indicate the shortage of hormones that preserve the pregnancy and the threat of its interrupt.
With the pregnancy in most cases, at 7-10 days after ovulation, implantation occurs - the introduction of a fertilized egg to the endometrium (inner membranes of the uterus). In rare cases, there is an early (up to 7 days) or late (after 10 days) implantation. Unfortunately, it is impossible to reliably determine the presence of implantation or its absence on the basis of a graph, nor with the help of an ultrasound at the reception at the gynecologist. Nevertheless, there are several signs that may indicate the implantation. All these signs can be detected on July 7-10 after ovulation:
It is possible that these days there are small allocations that pass within 1-2 days. This may be the so-called implantation bleeding. At the time of the introduction of an egg to the inner membrane of the uterus, the endometrium is damaged, which leads to minor selections. But if you have regular discharge in the middle of the cycle, and pregnancy does not occur, then you should contact the center of gynecology.
A sharp decrease in temperature to the level of the midline for one day in the second phase, the so-called implantation. This is one of the signs of the most commonly observed in schedules with confirmed pregnancy. This ware can occur for two reasons. First, the production of the hormone of progesterone, which is responsible for raising the temperature, begins to decline from the middle of the second phase, when the pregnancy has arrived again, it renews again, which leads to temperature fluctuations. Secondly, at the age of pregnancy, the estrogen hormone will be released, which in turn lowers the temperature. The combination of these two hormonal shifts leads to the appearance of implantation in the chart.
Your schedule has become three-phase, it means that you see the rise of the temperature on the graph, similar to ovulation, during the second phase of the cycle. Such a lift is due to the reinforced method of progesterone hormone after implantation.
On the example of the schedule - implantation on the 21th day of the cycle and the presence of a third phase, starting from 26 days of the cycle.
Such early signs Pregnancy, like nausea, chest tension, frequent urination, intestinal disorder or just a sense of pregnancy also do not give an accurate answer. You may not be pregnant in the presence of all these signs or pregnant without a single symptom.
All these signs may be a confirmation of the coming pregnancy, but it is not necessary to rely on them, since there are many examples in which the signs were present, and the pregnancy did not come. Or, on the contrary, there were no signs in the past pregnancy. The most reliable conclusions can be done if a clear temperature rise is observed on your schedule, you had sexual contact 1-2 days before or during ovulation and your temperature remains high 14 days after ovulation. In this case, time came to make a pregnancy test, which finally confirms your expectations.
Measuring basal temperature is one of the main methods for tracking fertility recognized by the World Health Organization (WHO). This can be read about this in WHO document "Medical acceptance criteria for using contraceptive methods" Page 117.
When you use the basal temperature method for protection against unwanted pregnancy, it is necessary to take into account that there may be dangerous to be not only the days of ovulation on the graphics of basal temperature. Therefore, in the period from the beginning of menstruation until the evening of the 3rd day after lifting the basal temperature, which occurs after ovulation, it is better to use additional measures to prevent unwanted pregnancy.
Our permanent readers, Natalya Gorshkova, made a form for you to quickly fill and automatically construct the graphic temperature graph, which can be printed and show a doctor. You can download it on the link: Graphics form.
Discussion of graphs is carried out on the forum
Attention! The formulation of any diagnoses only on the basis of graphics of basal temperature is impossible. The diagnoses are issued on the basis of additional surveys conducted by a gynecologist.
Where to build a graph of basal temperature online or download the program?
- under each day you can make marks (selection, menstruation, sex acts, test results for ovulation and pregnancy, receiving tablets),
- under the schedule you can keep the diary of the whole cycle, you can also upload photos
I most like the program on the site Bebiplan.
Program:
Calculates the probability of pregnancy in percent
Related graphics,
The days of probable ovulation and the length of the cycle are automatically calculated (except for the first cycle),
On the site you will also find a gallery with positive tests and tests-lied, photos of pregnant tummy and snapshots of the ultrasound, you can see BT graphics of other users, start girlfriends and contact the forum with any questions regarding planning and pregnancy.
Here on this site -Http: //www.eovulation.ru/ovulation-calendar-online/ - you can calculate your ovulation (approximate date) by entering the average length of your menstrual cycle and the date of the last menstruation.
You can build such a schedule on the site BabyPlan.ru or at www.my-bt.ru. In the video, you can see the instructions for holting, that is, how to use the program. And you can learn to understand the value of the graph by reference on the same site or.
Here you can build a graph of basal temperature:
And here you can learn a lot about the schedules:
http://mamochka-club.com/bt/ Here is a good site
troop the graph of the basal temperature is better from the first day of the menstrual cycle, i.e. from the first day of menstruation. The rectal temperature is measured daily in the morning and recorded in the graph of the basal temperature (the point at the temperature level is set). It is necessary on the graph of basal temperature (BT) to fix the current date. The construction of the graphic temperature should be continued before the start of the next menstruation. After the start of the next menstruation, start building a new BT schedule.
There is a good site on which you can build your graph of basal temperature, and then watch a schedule of change. Also on this site you can read about how this schedule is correctly composed. Site my-bt.ru.
The graph of basal temperature online without registration can be built on PinkCalendar.com. You can read about the decoding here. But to build a chart and get a decoding on it I found only a paid program. On the sites above, everything is clear and easily written about decoding and can easily cope with themselves without buying paid programs.
He lain web pages allowing to build a graphic temperature schedule:
http://pinkcalendar.com/index.php?Action\u003dBasal_temperature.
http://ovulation.org.ua/forum/topic5941.html
Immediately, I would like to note that it is necessary to measure it for 3-6 months to measure the gravity temperature (daily). The accuracy of the data obtained may affect the following factors:
- physical activity (basal temperature is measured after 3-6 hours of sleep);
- the thermometer;
- stressful situations;
- sharp fluctuations in weight;
- infectious diseases, injuries, burns, poisoning.
How are menstrual cycle and basal temperature (BT)?
The menstrual cycle consists of several phases, each of which has its own characteristics. The main changes occur on the hormonal level, due to which the ripening of follicles occurs, the output of the egg from the ovary and the rejection of the endometrium of the uterus during the menstruation period.All these changes are appropriately reflected on the value of basal temperature. If women are responsible for the process of building graphs, they will be able to determine the day of ovulation and even the day of conception with maximum accuracy. In the first half of the menstrual cycle, the basal temperature does not exceed 37.00 s: at the beginning of the menstruation, it rests between 36.3-36.50c, and so continues until last day menstrual secretions (3-6 days).
After menstruation in the ovary, a woman begins to actively go the ripening process of follicles, among which one (dominant), inside it, and ripens an egg. In this period, the basal temperature increases slightly - reaches 36.7-36, 90 C. Before ovulation, it decreases to 36.30 s, and in the days most located to conception - again increases again (located within 37.1 -37.30 FROM). And only 1-2 days before menstruation, the basal temperature decreases to 36, 7-6.80 C. If the conception occurred, this will not happen before the estimated date of commencement of menstrual bleeding (BT value will be within 37.3-37.40 ).
Change basal temperature It is associated with hormonal oscillations and blood flow of the genital organs of a woman, so it is important to measure it in the right place - in the rectum. Under the action of certain female sex hormones, the degree of blood flow of the genital organs and nearby fabrics is changed, which allows you to fix the thermometer.
What can affect the accuracy of the data received?
The accuracy of the data obtained in the construction of the graphs of basal temperature depends on the following factors:- availability inflammatory processes, especially in the bodies of a small pelvis;
- stress;
- the duration of rest (at least 3-6 hours);
- physical activity (immediately before measuring BT);
- consumption of sharp dishes, alcohol;
- control of the thermometer.
What you need to know when measuring basal temperature (BT) and drawing up graphics?
- Throughout the period of building graphics of basal temperatures, use the same thermometer. Do not forget to shake it after you write down the data.
- BT is measured only after 3-6 hours of sleep, strictly without leaving bed. It is very important! If you got up on the eve of awakening and you plan to sleep a little more, measure BT immediately to get the most accurate data.
- With inflammatory processes of small pelvis organs, colds, the influenza value of basal temperature can be overestimated.
- Glass thermometer Keep in the rectum to 5-7 minutes. It gives more accurate information than electronic. But be careful with the thermometers from the glass - they are easy to smash.
- Try to measure BT in the same hour - it will increase the accuracy of the data obtained.
- Without an understanding of changes in BT, do not mind evaluate the graph of the basal temperature independently. Better consult an experienced gynecologist or a reproductist for detailed advice.
What can be found in the graphics of basal temperature?
Building a graph of basal temperature allows you to:- find out the days of their maximum fertility (conception ability);
- determine whether the woman has ovulation comes;
- find out what days are "safe" for intimate proximity (in order to prevent unwanted pregnancy);
- suspect the availability of the inflammatory process in the uterus, ovaries or vagina;
- provide a gynecologist information about the leakage of the menstrual cycle.
To decrypt graphs with examples, use the partition