Patient's question:
Detailed medical condition and consultation purpose: Menstrual cycle varies between 30-36 days, with follicles observed on ultrasound monitoring, generally ranging from 16-20, but ovulation test strips do not detect it. Sometimes, a second red line appears but it is very faint, never appearing as deep as two identical lines. I have been pregnant before and have one child. It is possible that I have follicles forming but not ovulating. What should I do? Are there any medications that can treat this? Does this indicate luteal phase deficiency? I have taken () without any effect. I look forward to your reply!Doctor's answer:
Hello: Then could you please ask what the other test results are for the endocrine check?Ovulation Calculation: It is not absolute and varies from person to person. Normally, there is an increase in body temperature. Nowadays, many people plan to have children on a specific schedule, so they are very concerned about how to calculate ovulation and how to know which day is the ovulation day using the basal body temperature method. How should this basal body temperature method be done correctly?
For women with a regular menstrual cycle, the day of ovulation is actually relatively fixed, usually around 14 days before the next menstrual period. For example, if this period is on March 5th, the next period might be on April 5th, and the ovulation day could be around March 20th. For women with irregular menstrual cycles, it might be more difficult to determine the ovulation date. The simplest method is generally to measure the basal body temperature to find the ovulation date.
The correct method for measuring basal body temperature is to do it every morning after waking up without any physical activity, starting the measurement in bed, and using a mouth thermometer.
After measuring, record the temperature each day on a temperature chart. Continue until the temperature rises by 0.5 degrees compared to the previous day and remains elevated for three to five days. The day when the temperature rises might be the ovulation day. If you want to conceive during the ovulation period, the best time to have intercourse is one to two days after the temperature rises, as this has the highest conception rate.