Patient's question:
Detailed medical history and consultation purpose: Had an induced abortion in October 2002, and a medication-induced abortion in July 2004.After the medication-induced abortion in July 2004, menstrual flow decreased, and she remained infertile. She underwent transvaginal ultrasound, contrast imaging, and sex hormone tests, which were mostly normal, except for prolactin levels being about 14 units higher than the normal range. The doctor advised her to measure her basal body temperature, which showed a clear biphasic pattern, but she felt little discharge during her ovulation period.
Her last menstrual period arrived two days later than usual. However, this period was puzzling to her. A week before the period, she experienced abdominal pain and brown discharge from the vagina at times.
Doctor's answer:
Hello: Based on the situation you described, it is suspected that there may be some gynecological inflammation, and it is recommended to actively undergo an ultrasound follow-up.Regarding the calculation of ovulation: 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, how to know which day is the ovulation day using the basal body temperature method, and how to correctly perform this basal body temperature method.
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 month's 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 may be more difficult to determine the ovulation date. The simplest method is generally to measure the basal body temperature to identify the ovulation date. The correct method for measuring basal body temperature is to wake up in the morning without any activity, start taking the temperature in bed, and use an oral thermometer.
After measuring, record the temperature each day on a temperature chart. Once the temperature rises by 0.5 degrees compared to the previous day and remains elevated for three to five days, that day may 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.