Patient's question:
If ovulation does not occur, will the basal body temperature rise when measured? How can you find out if ovulation has occurred? First follow-up question: What should I do if there is no ovulation? Second follow-up question: Is there a relationship between not ovulating and blocked fallopian tubes? Is it that if they are blocked, ovulation will not occur?Doctor's answer:
Hello, common methods for checking ovulation include:1. Basal body temperature measurement: Starting from the first day of menstruation, measure your temperature under the tongue with a thermometer for 5 minutes immediately after waking up and before any physical activity, and record it every day. Continue this until the next menstrual period. Normally, ovulation occurs around day 14 of the menstrual cycle. After ovulation, the body temperature rises by 0.3~0.5°C and remains elevated for about 12 days. If the temperature does not rise, rises slowly, lasts for a short duration, or does not rise by 0.3°C, it indicates no ovulation or insufficient luteal function.
2. Endometrial biopsy: A small surgical procedure is performed either before menstruation or within 12 hours of its onset to take a sample of the endometrium for examination. If there are secretory changes, it indicates ovulation. If there are proliferative changes, it suggests no ovulation. Additionally, it can check for other conditions such as endometrial tuberculosis.
3. Hormonal testing: Blood tests for progesterone are conducted around one week before menstruation, after ovulation. An elevated progesterone level indicates ovulation.