Introduction To Fertility Charting - Chapter 1

March 31, 2006

About half of all couples will get pregnant after 5-6 months of trying and 85% will be pregnant within one year.

But fertile couples who know when they are fertile and who make love frequently during their fertile days have a better chance getting pregnant sooner.

How do you become one of these couples and increase your chances of getting pregnant earlier? You should try finding out exactly if and when you ovulate. By charting your basal body temperature (BBT) you can learn more about your fertility and keeping a BBT chart is a very exciting way to get pregnant. It makes you understand your body and often gives trying to conceive (TTC) more of a purpose. 

What is BBT when you TTC?

Just what is your basal body temperature? Simply put, it's the temperature of your body at rest. For fertility charting, it's always taken in the morning before you move or get out of bed. When the ovary releases an egg, it also releases the warmth-inducing hormone progesterone. That influx of progesterone typically makes body temperatures rise by well over two-tenths of a degree Fahrenheit within one to two days after ovulation. This elevated BBT remains until the next menstrual period.'

So there is a certain lower temperature pattern before ovulation (usually below 98 degrees Fahrenheit), and an elevated temperature pattern after ovulation (usually above 98 degrees Fahrenheit). This ovulation pattern is called a biphasic curve.

Biphasic means two phases. The first phase, the phase before ovulation, is known as the proliferative or follicular phase, the phase when the egg matures and develops. The second phase, the phase after ovulation or the postovulatory phase, consists of relatively elevated temperatures when compared with the first phase. That second phase is also known as the secretory or luteal or corpus luteum phase.

Your goal in charting is to find the typical biphasic pattern in the daily plotting of temperatures.

"Ah, I get it," you say. "'Bi' means two -- two phases. Lower temps before the big 'O' and higher temps after." Exactly! The actual temperatures are not important; they are different from woman to woman. What is important is to check for the pattern of elevated temps that stay up for at least three or more days. 

Why Chart?

Fertility or basal body temperature charting is done for several reasons:

To see when and if you ovulate

To calculate the cycle length

To assess if you made love at the right time

To diagnose a pregnancy early on

To evaluate your cycle for fertility problems

To see if your fertility medication was successful

To correlate other fertility signs such as cervical mucus or cervical position with actual ovulation on a BBT chart (see Other Signs below)

To calculate the follicular and the corpus luteum phases (a key to possible infertility issues)

More about this last point: You remember I mentioned that a biphasic curve has two phases: before and after ovulation. Charting not only helps you plot the biphasic curve, but you can measure the length of the two phases as well. If the second phase is too short (less than 12 days), this can cause problems with implantation of fertilized eggs. Fertility charting can help reveal such an issue. 

Getting Started

Use a basal body thermometer (you should be able to get one at your local drugstore) that shows precise changes of one-tenth of a degree in your temperature. Some doctors suggest using a glass or mercury thermometer because they feel it's more accurate. But in most cases a special digital thermometer is fine for taking the BBT. The digital ones have advantages: They are harder to break; some may remember the temperature for you if you don't want to chart it immediately; they beep when it's ready for use; and you don't have to shake down the thermometer after taking your temperature.

The temperature can be taken either in your mouth or the rectum (or even in the vagina). But you must take it always the same way throughout the menstrual cycle and preferably with the same thermometer. Don't switch thermometers mid-cycle.

Start keeping track of your temperature on the first day of your period (first day you see bright red blood).
Do not move, do not get out of bed, do not eat, drink, or smoke before you take your temperature.

Now you have an idea what charting is and why to do it, so let's look at how to do it:

Take your temperature at the same time each day (within 30-60 minutes is fine).

If you get up earlier or sleep in later, take your temperature as usual and make note of the time. We do not suggest "adjusting" a temperature just because you may have taken it earlier or later than usual.

Sleeping for a shorter time period or drinking alcohol the night before may affect the accuracy of the temperatures. Write down the temperature after you have taken it. Do it immediately after reading it, otherwise you might forget the temperature later on. You can record your temperature on a paper chart or by using online charting software. Paper charts are usually included within the BBT thermometer package or available at your ob-gyn's office.

I had you until that last part, right? The coverline is a horizontal line drawn after ovulation to help differentiate temperatures before ovulation (low) and temperatures after ovulation (high).

When your waking body temperature rises more than two-tenths of a degree higher than the previous six days, and it stays that way for at least two days, your coverline can be established.

  • Calculate your coverline after you have detected ovulation.
  • To maximize your success, you'll want to create a fully complete chart. That's a chart that contains a full menstrual cycle of daily temps, plus:
  • A notation of when your menstrual period began
  • Days marked when you baby danced. (That's "making love" in TTC speak. See more fun TTC abbreviations.)
  • Recorded days of cervical mucus changes
CONFUSEDJACKIE's picture
780 Posts
By: CONFUSEDJACKIE On: Apr 5, 2006  3:06PM

i have been checking everyday taking the opk but there is always a faint line what does that mean?????????????

1 Posts
By: cbsbb5580 On: Apr 17, 2006  6:21AM

I had surgery march 28th laproloscopy in abdomen In February 10 I had my tubal reversal I had complications with my left falopian and now my left ovary is non fuctional. My right ovary is ok any how after the second surgery I began to bleed around the 3rd or 7th of april My opk test was positive on the 14 and now it is negative what does this mean. the doctors were unable to tell me if i got my period early or why I was bleeding All i know is that I was supposed to get my period on the 11 of this month and the opk tested positive on the 15th what does this mean for me trying to conceive???? Please help Carmen Barreto Sbarreto1@hot.rr.com

93 Posts
By: KAY9067 On: Jul 8, 2006  1:53PM

My period was 06-18-06 to 06-23-06. I had intercourse on 06-28-06 & 07-04-06. on 7/3 i walked in to a resteurant and olmos had to throw up, on 07-05-06 my breast ware realt sore and tender. today is 07-08-06 and the still feel the same. on 07-06-06 i took a blood test and it was negative, can i be pregnant or is my body and mind playing tricks on me

Dr-Amos's picture
1432 Posts
By: Dr-Amos On: Jul 10, 2006  11:30PM

Kay9067: You could be pregnant and what you describe are typical symptoms. However, most symptoms start only around the time of a missed period and a pregnancy test is usually not positive until shortly before or after you miss your period. Good luck. Dr.Amos

Amos Grunebaum, MD New York, NY
2 Posts
By: verotx22 On: Jul 13, 2006  3:41AM

I had my LMP on 06/05/06 and started Clomid 150MG. I had intercourse on 06/17 and 06/18 and was expecting my cycle on 07/02/06 but nothing. I have PCOS hence the purpose of Clomid. Last time I tried Clomid I slightly spotted on my cycle's expected date, my MD said my follicles did not fully mature (i was on Clomid 100MG). I took 3 HPT and all 3 negative. I have had nausea and fatigue, my husand has been really tired as well, lately (it could be all psycollogical). I had a blood test done today 07/12/06 and get the results 07/14/06. Is it possible to be pregnant??

5 Posts
By: tgraves On: Jul 15, 2006  11:29AM

i had my iud removed on 07-06-06 and we have been ttc sents and i dont no when my pd comes cause it comes different times every month, this month it came the same day i got my iud tooken out. it only last 7days and there are like 25 or 24days i am not on it. how do i no when i am ove

1 Posts
By: happyeggs On: Jul 15, 2006  3:02PM

So I'd gotten rid of the high temps that I took at later times (noon instead of 5:40am on June 24-25 and during the long holiday weekend) in FF and FF moved the day it thought I O'd from CD13 to CD23 (sounds more accurate to me). I have PCOS, so after I O, I use Progesterone Cream. I did so based on the chart at the time. Then I looked at it and said it makes sense because 13-14 days after CD23 is when I expect AF to come (36 days total cycle since every other month I get it 31 and every other month I get it 36 and this month it's due on 36). Then I enter today's temperature and it tells me I didn't O until CD25 (FF keeps on moving my O date back based on the data that I enter). The thing is, I started using Progesterone on CD24 thinking that I ovulated already on CD23. Also, we stopped BDing after CD25 (my DH wanted a break since we BD'd everyday from CD21-CD25 and about every other day from after AF disappeared to CD21). So now I am worried that because we stopped BDing for awhile (3 days), what if FF changes it again to tell me that I O'd later than CD25 (meaning we didn't BD around the time I O'd)? Also, what if I took the Progesterone Cream too early because FF said I ovulated on CD23 before? (so maybe I didn't O and the rise in temps are due to the Progesterone Cream taken from CD24 - Progesterone Cream can make the temps rise more than it would have if I didn't use it). I was so certain that I O'd around CD21-23 because right before that I had some CM (eggwhite like on CD19 and watery on CD20) which is also when I felt pains where my ovaries are for a couple days after - I really felt crampy for a couple of days after CD20. What do you think? Here's the chart after I updated today's temp. http://www.fertilityfriend.com/home/148346

3 Posts
By: srush1970 On: Aug 14, 2006  11:37PM

the home ovulation kit gave me a pos result on sat, but i did not see a temp change. any explanation?

jomay's picture
24 Posts
By: jomay On: Feb 28, 2009  1:49AM

hello,im happy that your giving advices on how to get pregnant.i hope you can give me some... i got pregnant last october,2007.with triplets, but sad to say i lost them. it's my first time getting pregnant that time, my ob say's that i have a high risk pregnancy. now we're trying to conceive but until now i cannot get pregnant. i lost my triplets when im about 5 months 2 weeks pregnant that was february 03,2008. i really dont know what to ask. i just really really want to get pregnant. i hope you can help me... pls...

mDuck's picture
614 Posts
By: mDuck On: Nov 17, 2009  5:16AM

I am new to this. As far as cervical mucus is concerned, would semen (say in the morning from the night before) affect the consistency when trying to monitor it? Thanks!

 

- Maddy

#1 due August 25th, 2010 and it's a GIRL!

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