WOMENS-HEALTH Messages for September, 2000: Re: Conception/Ovulation

Re: Conception/Ovulation - BBT questions

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Sat, 30 Sep 2000 08:07:07 -0500 (CDT)

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In reply to: BabyLover: "Conception/Ovulation - BBT questions"

At Fri, 29 Sep 2000, BabyLover wrote: >
>Dear OB/GYN Staff and Readers,
>
>I was wondering if someone could take a look at my chart (2nd chart
>using LifeCycle software, others were recorded by hand) and answer my
>questions.
>(BTW, I own a copy of the TCOYF book but felt that these questions are
>more specific in nature and the book examples are a bit generic.)
>
> http://www.lifecyclesoft.com/cgi-bin/chart.pl/ts4g4
>
>HISTORY:
>I have been off of BCPs for 3.5 years now and have been charting my BBTs
>for the last few cycles. Based on BBT charting, my cycles appear to
>average 45-48 days. I see a GYN for regular check ups and have been
>told that all hormone levels are normal. I have also had a vaginal u/s
>and blood work taken and everything appears normal.
>
>QUESTIONS:
>
>1. Does it appear that I am still preovulatory? I noticed a slight jump
>in temperature from yesterday at 97.4 to 97.7. I am hoping that I can
>still be fertile today and conceive. I am assuming that there is still
>hope this cycle! Please advise.

Most likely still preovulatory. If you are having a 45 day cycle you will not ovulate until day 31. Ovulation nearly always occurs 14 days before the next menses begins. That is why having a bunch of charts where you know when the next period was is helpful. You can then count back 14 days and see what things looked like. Then you can look for a similar pattern the next month and it might be predictive. Neither one of the charts go as far as 31 days.

>
>2. I have also noticed that my CM near ovulation has always been EW but
>instead of being slightly tinged with blood, it is often light brown or
>bright to dark red tinged VERY stretchy CM instead --- when you look at
>it, it literally is colored CM and not clear/EW looking. This CM
>appears for about 4-5 days prior to ovulation. Is this type of CM
>potentially fertile?

Could be.

Is there anything abnormal about this type of CM >that I should be concerned about?

I would need to look at it under the microscope after you had had intercourse and see how it was reacting with your partners sperm to give an answer.

I assume the semen analysis was normal. If you have been off OCP's and using no other contraception for 3.5 years, it would probably be time to do a thorough infertility evaluation. No pregnancy after 2 years of no contraception is considered to be abnormal.

RDB

>
>3. Finally, during this time my breasts feel tender and become a bit
>larger and I have a lower backache and crampiness in my pubic area. I
>am assuming that this is all normal for preovulation/ovulation time. I
>have started noticing this only in my last 3 cycles.
>
>THANK YOU for taking the time to read this and to respond. We are
>happily and actively trying for a baby and enjoy the info posted on this
>site. Thanks for all the great work that you do for the female
>community!

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

Next message: R. Daniel Braun, MD: "Re: Ovulation"
Previous message: R. Daniel Braun, MD: "Re: Migraine and hormones, one more question."
In reply to: BabyLover: "Conception/Ovulation - BBT questions"

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