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In women, ovulation causes a sustained increase of at least 0.2 °C (0.4 °F) in BBT. Monitoring BBTs is one way of estimating the day of ovulation. The tendency of a woman to have lower temperatures before ovulation, and higher temperatures afterwards, is known as a biphasic temperature pattern.
A temperature record alone provides no guide to fertility or infertility before ovulation occurs. Determination of pre-ovulatory infertility may be done by observing the absence of fertile cervical mucus; however, this results in a higher failure rate than that seen in the period of post-ovulatory infertility. [ 27 ]
However, fertility awareness is usually used as a broad term that includes tracking basal body temperature and cervical mucus as well as cycle length. The World Health Organization considers the rhythm method to be a specific type of calendar-based method, and calendar-based methods to be only one form of fertility awareness. [2]
An individual's body temperature typically changes by about 0.5 °C (0.9 °F) between its highest and lowest points each day. [15] Body temperature is sensitive to many hormones, so women have a temperature rhythm that varies with the menstrual cycle, called a circamensal rhythm. [11] [unreliable medical source?
Basal body temperature changes during the menstrual cycle. Higher levels of progesterone released during the menstrual cycle causes an abrupt increase in basal body temperature by 0.5 °C to 1 °C at the time of ovulation. [7] This enables identification of the fertile window through the use of commercial thermometers.
Ovulation is an important part of the menstrual cycle in female vertebrates where the egg cells are released from the ovaries as part of the ovarian cycle. In female humans ovulation typically occurs near the midpoint in the menstrual cycle and after the follicular phase. Ovulation is stimulated by an increase in luteinizing hormone (LH).
In a reference group representing all women, the 95% prediction interval of the LMP-to-ovulation is 8.2 to 20.5 days. [30] The average time to birth has been estimated to be 268 days (38 weeks and two days) from ovulation, with a standard deviation of 10 days or coefficient of variation of 3.7%. [32]
TwoDay method, Billings ovulation method, Creighton Model: 24 (1 in 4) 0.40–4 (1 in 25–250) Behavioral: Observation and charting of basal body temperature, cervical mucus or cervical position: Daily Calendar-based methods [29] The rhythm method, Knaus-Ogino method, Standard Days method: no data: 5 (1 in 20) Behavioral: Calendar-based: Daily
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