Patient's question:
Detailed medical history and consultation purpose: I had a miscarriage in March 2003 and was diagnosed with mycoplasma infection in June 2005. It was completely cured in October of the same year. After that, I had sexual intercourse during ovulation several times, but I did not get pregnant. Please ask the doctor what tests I need to do at the hospital.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 for 5 minutes immediately after waking up and before any physical activity each morning. Record the temperature every day 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 increase by 0.3°C, it indicates no ovulation or insufficient luteal function.
2. Endometrial biopsy: A minor surgical procedure is performed either before menstruation or within 12 hours of its onset to collect a sample of the endometrium for examination. If secretory changes are observed, it indicates ovulation. If proliferative changes are found, it suggests no ovulation. Additionally, other conditions such as endometrial tuberculosis can be checked.
3. Hormonal testing: Blood tests for progesterone are conducted around one week before menstruation, which is after ovulation. An elevated progesterone level indicates ovulation.