A woman reaches her lowest possible temperature when she is fully at rest, and this is known as her basal body temperature or BBT. BBT changes throughout the menstrual cycle to indicate changes in hormones. Since oestrogen is the dominant hormone in the first half of the cycle, more cervical mucus is secreted, decreasing and maintaining a constant BBT.
When ovulation occurs, progesterone production increases the body temperature slightly. It is better to measure the resting temperature of a person immediately after they get up in the morning, before they leave the bed, eat, drink, walk and talk.
BBT tracking is often used to:
After pregnancy, progesterone levels remain high for a while to support the development. Therefore, basal body temperature remains elevated and does not return to normal before the next period.
Common BBT changes during early pregnancy:
This prolonged temperature rise is sometimes referred to as a “triphasic pattern,” though not everyone experiences this clearly.
Normal basal body temperature differs among individuals. In early pregnancy, however, there is a general increase in temperatures at a slightly higher point as compared to pre-ovulation levels. The basal body temperature during the first weeks of pregnancy is normally high because of continued progesterone production.
| Phase | Typical BBT Pattern |
|---|---|
| Pre-ovulation | Lower baseline |
| Post-ovulation | Slight rise |
| Early pregnancy | Sustained elevated temperature |
Daily reading of temperatures may shift as the pregnancy advances, caused by altered metabolic rates, the volume of blood, and circulation patterns.
Basal body temperature can only be adequately measured with consistency and routine. Using the right approach will help determine significant trends in the long run.
Key steps to follow include:
Stability across time is helpful in forming a better understanding of natural temperature variations.
Various other factors also lead to variations in BBT readings, and hence, one should be careful to interpret.
Some of the influencing factors are common, and they include:
Due to these variables, BBT must be considered as a supportive tool and not as a diagnostic tool when it is time to see the problem.
In most cases, minor temperature changes during pregnancy are normal. Nonetheless, some trends can be the subject of medical recommendations.
Situations where evaluation may help:
Pregnancy health should in no way be evaluated on basal body temperature alone.
Fertility awareness is also frequently practised using the basal body temperature method, which has significant benefits and limitations.
Due to these variables, basal body temperature tracking is best used for awareness rather than as a sole method for preventing pregnancy.
Measuring basal body temperature can provide useful information about the hormonal alterations in the early months of pregnancy, especially when regularly monitored. A constant increase in temperature following ovulation can be an indication of conception, but it cannot be trusted as a sure measure. The BBT loses relevance as the pregnancy progresses as a result of the natural physiological changes. As the pregnancy continues, the BBT becomes less relevant due to the physiological changes that occur naturally. It is possible to raise awareness of reproduction and reduce needless concern by understanding the norms and distinguishing between alterations and pregnancy
Chief Infertility Specialist, MBBS(DU), FCPS(Obstetrics and Gynaecology), Fellowship in Assisted reproduction
Dr. Umme Ruman is a BMDC-registered infertility specialist based in Dhaka. She holds advanced qualifications in assisted reproductive techniques, sexual and reproductive medicine. Dr. Ruman serves as a Chief Consultant at Indira IVF Dhaka, helping patients with personalised fertility care based on her vast experience and expertise. Her knowledge and compassion will support couples navigating reproductive health challenges and guide them effectively towards their parenthood dreams.
IVF specialist, MBBS (SSMC), MS (Obstetrics and Gynaecology), Fellowship in Assisted reproduction
Dr. Rezwana Kabir is a BMDC-registered specialist in obstetrics and gynaecology, and now a part of Indira IVF’s team of fertility specialists in Bangladesh. She combines medical proficiency with a patient-centric approach, offering tailored solutions to couples seeking fertility assistance. She is committed to helping individuals confidently navigate the journey to parenthood through ethical, empathetic, and evidence-based care.
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