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Pregnancy Today's Advisory Panel Answers:
Can you tell me about Basal Body Temperatures? (BBTs)

by Louis Weckstein, MD
Medical Director
Reproductive Science Center

Bay Area Fertility & Gynecology Medical Group, Inc.
Louis Weckstein, MD

Question

I know that if you watch your basal body temperature, it will increase slightly after ovulation and remain higher until your next menstrual cycle. What happens if you conceive? Does the temp still go up and stay up?

Answer

Basal Body Temperatures (BBTs) are simple and sometimes helpful in evaluating when and if a woman ovulates. If there is a clear temperature elevation midcycle that remains elevated for 12 - 14 days, this is a fairly good indicator that the woman ovulated that cycle slightly before the temperature went up. The temperature rises due to an effect of progestrone which is produced with ovulation. The temperature will stay elevated beyond 14 days if a woman is pregnant.

For many women who ovulate, however, BBTs are not very clear, and may be confusing. Urine LH predictor kits may be better at predicting ahead of time when you will ovulate, with a color change occurring in the test kit 12 - 24 hours before ovulation. This will allow you to time sexual intercourse with ovulation, whereas with BBTs when the temperature goes up it may already be too late (post ovulation).

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