The basal temperature has increased before menstruation. What is basal temperature and how does it change throughout the cycle? Pathological deviations of basal temperature

Delivery - difficult process, involving many systems of the body. After the birth of a child, a woman in labor feels weak, tired, and sometimes painful sensations. Thus, 50% of women have pain in their pelvic bones after childbirth, which causes them discomfort and prevents them from living fully and caring for their child.

Causes of pain

Causes of occurrence discomfort several in the pelvic bones. They are associated with changes that allow the body to adapt to pregnancy and ensure the passage of the child through the birth canal.

Drawing or sharp pain with shooting in the pelvic area is a reason to consult a doctor for examination and treatment.

Possible diseases

Many pregnant women experience a disease such as symphysitis. Pubic bones They are connected to each other by a fibrocartilaginous disc - the symphysis. Under the influence of hormones and fetal pressure, the symphysis stretches by 5–6 mm or more. As this discrepancy increases and inflammation joins, symphysitis is diagnosed.

Symphysites are characterized by painful sensations when walking, changing body position, or physical activity. The gait changes (becomes similar to that of a duck), discomfort appears when urinating and defecating.

The disease is diagnosed by palpation. When pressing on the symphysis in pubic area arises sharp pain. Also used for diagnostics ultrasonography, which, however, allows for small errors. The most accurate degree of symphysitis allows you to determine X-ray examination. If the discrepancy is more than 1 cm, doctors may decide to refer you for a caesarean section.

Rupture of the symphysis during childbirth is a rare phenomenon that requires surgical intervention and long-term bed rest for several months.

Postpartum recovery includes a number of measures to connect the separated parts of the symphysis pubis and limit their movement:

1. Bed rest and reduction physical activity. During the first time after childbirth, women need to reduce their workload and, if possible, entrust the care of the child to their relatives.
2. Bandage. Special bandages have been developed that wrap around the thighs, limiting the mobility of the hip joints and pubic bones.
3. Visiting an osteopath. As your condition improves, your doctor will prescribe a set of physical therapy exercises.
4. Restoring vitamin and mineral balance to strengthen bones and connective tissue.
5. Anti-inflammatory therapy and physiotherapy in a day hospital.

The course of treatment is drawn up individually after examination and consultation with a therapist, gynecologist, osteopath and surgeon. In some cases, surgery with the introduction of steel supporting structures is prescribed.

How to relieve pain

Severe pain in the coccyx and pubic area is relieved with painkillers, conditionally permitted for breastfeeding: Ibuprofen, Paracetamol. At artificial feeding You can take any effective painkillers for which the mother in labor has no individual contraindications: Pentalgin, Ketanov, No-shpa, etc.

It happens that stress and unstable hormonal levels depress the central nervous system and change the perception of pain. In this case, it is recommended to take sedatives that are relatively safe during breastfeeding: Glycine, Valerian, Motherwort tablets.

Preventive measures

Prevention of symphysitis during pregnancy helps to avoid postpartum complications.

1. Recommended to do special gymnastics, stretching and strengthening muscles pelvic floor.
2. With an uncomplicated pregnancy, you need to walk a lot, walk on fresh air. Walking helps to strengthen musculoskeletal system, A ultra-violet rays enhance the production of vitamin D, necessary for the absorption of calcium.
3. It is necessary to take a vitamin-mineral complex, which includes calcium and phosphorus, which help strengthen bones and connective tissue.
4. Proper nutrition combined with moderate exercise helps maintain normal balance. useful substances, providing wellness and the functioning of body systems that will be involved in childbirth.

Many pregnant and postpartum women experience pain in their pelvic bones. This is due to changed hormonal levels, increased workload and is a variant of the norm. Paying attention to yourself, observing your sensations, regular examinations and following your doctor’s recommendations will help you avoid injuries and quickly recover after the birth of your child.

Pregnancy is special condition women, which is accompanied by changes hormonal levels. All changes are aimed at adapting the body to bearing a child and childbirth. However, due to certain characteristics of a woman’s body or due to the fact that the concentration of hormones increases several times, various painful sensations may appear.

These are the pelvic and lumbar pain, occurring in 25-50% of pregnant women and women in postpartum period. They are most often affected by recent months gestation. This is due to the fact that the fetus becomes quite heavy, and the concentration of some hormones in the blood is at a maximum.

An important point is that the concentration of some hormones increases, while others decrease in different periods gestation. In this regard, the severity of their effect on the fetus and the pregnant woman’s body changes.

Hormone name	Mechanism of action	Trimesters			Postpartum period
		I	II	III
Progesterone	Stimulates the mammary glands of a pregnant woman to increase the number of glandular cells, ensures the attachment of the embryo to the wall of the uterus and its development by suppressing the mother’s immunity, reducing its contractility. Promotes fluid retention in the body.	18.50 – 44.80 nmol/l	46.80 – 83.90 nmol/l	91.50 – 273.30 nmol/l	16.50 – 19.00 nmol/l
Estrogens	Improve functional state uterus, and also increase blood flow in its tissues. The breasts are prepared for feeding by enlarging the alveolar ducts. Stimulates the growth of the uterus. Reduce arterial pressure pregnant and increase blood clotting. Promotes increased fat deposition and relaxation ligamentous apparatus in the pelvic area.	0.205 – 3.50 ng/ml	4.10 – 12.10 ng/ml	13.10 – 39.50 ng/ml	40.00 – 45.50 ng/ml
Chorionic gonadotropin (hCG)	Controls the course of pregnancy early stages and executes protective function. Stimulates the release of hormones by the adrenal glands, which protect the fetus from attack by its immune system. After all, 50% of the body perceives it as foreign body. Improves the functional activity of the placenta due to increased blood flow in her tissues.	45 – 90000 IU/ml	10000 – 35000 IU/ml	10000–60000 IU/ml	-
Relaxin	Reduces the tensile strength of ligaments in the pelvic area, pubis and sacroiliac region. Stimulates the opening of the cervix, reduces blood pressure and dilates blood vessels.	-	-	-	-
Prolactin	Increases the growth of the mammary gland due to glandular cells, which in the future will synthesize colostrum and milk for the child.	9 – 190 ng/ml	45 – 265 ng/ml	50 – 350 ng/ml	70 – 450 ng/ml
Somatomammotropin	The action is aimed at the growth of the mammary gland and its preparation for milk production. The hormone has very high activity.	0.05 – 1.7 mg/l	0.3 – 6.6 mg/l	2.6 – 11.5 mg/l	-

Let's figure out why the pelvic bones, lower back and sacrum hurt during pregnancy and after childbirth? Is this kind of pain normal after childbirth?

Physiological action

It is believed that the hormone relaxin weakens the ligaments and helps soften the cartilage of the pubic and iliosacral joints. Its concentration increases at the end of the third trimester, thereby preparing birth canal. The cartilaginous disc of the symphysis pubis, interosseous, dorsal, and ventral sacroiliac ligaments of a similar joint fall under the influence of relaxin. During pregnancy and in the first days after childbirth, the pelvic bones hurt most intensely; it may be difficult for a woman to lie on her side and back. Pain syndrome localized in the sacrum, lumbar region, hip joint. After childbirth, the condition returns to normal within a few weeks, and the pain subsides.

Excessive action

With an increased concentration of the hormone relaxin and its metabolites in the blood or with high sensitivity to it, it can cause excessive relaxation of the pelvic ligaments and cartilage. With pathological relaxation of the cartilage of the symphysis pubis, the pelvic bones diverge and symphysitis occurs, and if the sacroiliac is affected, sacroiliopathy occurs.

These diseases are accompanied by the sacrum, coccyx and hip joint area. Pain of moderate or moderate intensity increases with palpation in the pubic area and when getting out of bed. Patients complain that the pelvis and its bones hurt when going to the toilet. After rest, the pain usually goes away and worsens with any physical activity.

Injuries during childbirth

Increased relaxin activity large fruit, complications labor activity can lead to rupture of the symphysis pubis or damage to the coccyx. When the symphysis pubis ruptures, the pelvic bones diverge in this area up to 5-7 cm and immediately after childbirth cause painful sensations of moderate or high intensity. The pain worsens with any movement, and in bed after childbirth the postpartum woman is in a forced position - the “frog pose”.

If the coccyx is injured, the postpartum woman will feel pain only when she stands on her feet or sits for a very long time, during the act of defecation. The pain is intense, nagging in nature, intensifies when standing up from a sitting position, bending forward, or straining the pelvic floor muscles. The injury may be accompanied by curvature of posture and spine - antalgic posture.

1. Objective data.

In addition to collecting complaints about pain in the relevant area, studying the anamnesis, the doctor conducts an examination and palpation to find out the distance between the pelvic bones and evaluate the function of the joints. Also, if there is a rupture of the symphysis pubis or symphysitis, the patient will not be able to raise her legs in an extended position upward while lying on a hard couch. There may be difficulties when moving up stairs, a change in gait, which is diagnostic criteria to make this diagnosis.

1. Radiography.

The main research method, which is a litmus test in the diagnosis of postpartum injuries and lesions of the pelvic ligamentous apparatus, remains radiography. It is thanks to her that diagnoses such as “symphysitis”, “rupture of joints”, “fracture and dislocation of the coccyx”, “sacroiliitis” can be made.

According to X-ray data, 3 stages, or degrees of severity, of symphysitis are distinguished:

• Stage I – distance between pelvic bones from 0.5 cm to 1 cm;
• Stage II – from 1 cm to 1.9 cm;
• Stage III – more than 2 cm.

If the distance increases by more than 2-3 cm, you should think about rupture of the symphysis pubis.

Treatment of diseases associated with damage to the ligamentous apparatus of the pelvis after childbirth is aimed at creating favorable conditions for healing and strengthening of surrounding ligaments. For this purpose, postpartum women are prescribed orthopedic pillows in the shape of the letter C, seat cushions in the shape of a ring (donut), massage, water aerobics and swimming.

A good assistant in treatment is a bandage, which provides quick and effective strengthening ligaments, restoration of function musculoskeletal system, with its simultaneous unloading. The bandage is worn throughout the entire illness. There are also special corsets that ensure the immobility of the tailbone and help heal it. Medicines are also prescribed that are aimed at reducing inflammation and relieving pain - paracetamol, ibuprofen, B vitamins.

Timely contacting a doctor with complaints, a detailed medical history and pain characteristics (where and how it hurts) allows for early stages treat the disease as much as possible effective treatment, is protection against the development of complications.

Sources:

1. Obstetrics / V.I. Duda - Minsk - 2013 - 576 pages.
2. Obstetrics and gynecology T.1 / V.M. Zaporozhan – 2005 – 472 pages.
3. Obstetrics. National benefit / E.K. Ailamazyan, V.I. Kulakova, V.E. Radzinsky, G.M. Savelyeva – 2009 – 1200 pages.

Some women experience problems conceiving for a long time, and one of the ways to choose the best time to approach the long-awaited pregnancy is learn to measure basal temperature before menstruation, during ovulation and correctly chart the changes basal temperature by days menstrual cycle. So, what should your basal temperature be? during pregnancy you and how to correctly measure basal temperature before and during pregnancy.

Indicators of basal temperature in the first trimester of pregnancy in many cases may be of interest to the gynecologist. During this period, the temperature usually does not fall below 37 degrees. A woman should measure it while in a state of absolute calm.

Normal menstrual cycle accompanied by a basal temperature below 37 degrees during the first phase. Somewhere in the middle of the cycle, ovulation occurs, the indicator rises sharply, by no less than 0.4 degrees. This basal temperature will remain throughout the entire second phase. A day or two before the start of menstruation, or on the first day of the cycle, the temperature should drop again. What should be the basal temperature during delay and early pregnancy from a woman? When on the first day of the cycle and further the basal temperature remains stably high and there are no periods, then we must assume that the woman has become pregnant.

How to measure basal temperature correctly? Measuring basal temperature should take place according to a schedule: in the morning, after waking up, at the same hour. At this moment, even small activities, including communication, are prohibited. Prepare the thermometer in the evening before going to bed. Reset former figures and place it on the nightstand near the bed. Using mercury thermometer The measurement process lasts about 5 minutes. If you are using an electronic device, place it under your tongue, purse your lips (slightly) and wait for 40 seconds to a minute. Below we will tell you in more detail how basal temperature changes during pregnancy and how best to measure temperature for correct charting.

Before measuring basal temperature You need to sleep at least 3 hours. If you got up at 6 am and then went to bed again before 8, take measurements at 6, before you even get out of bed. Otherwise, you will only sleep for 2 hours continuously. The thermometer must be used the same. Write down negative factors(stress, illness, change of environment), then it will be easier to analyze the data. As soon as you take your temperature, write it down immediately so you don’t forget it later.

To find out what is normal basal temperature for you in individual phases of the cycle, take measurements over 3-4 months. For precise definition days of ovulation, a daily calendar of temperature fluctuations should be maintained for 6-12 months. It is prohibited to use contraceptives of any type, wear IUDs, or use contraceptive drugs. They significantly affect the indicators in the process of measuring basal temperature.

Another serious factor is the correct drawing up of a basal temperature chart and accurate records. Before the egg is released from the ovary, the temperature varies between 36.6-36.9 degrees.

Basal temperature is not unambiguous and each woman will have her own individual temperature fluctuation schedule. These fluctuations are caused by the production of sex hormones. As you know, basal temperature during pregnancy will be kept at a high level (above 37 °C). This indicator, along with the absence of menstruation on the corresponding days, is highly likely to indicate a successful pregnancy. Next, we will tell you what the basal temperature should be in certain cases, how to measure basal temperature correctly, and what a woman’s basal temperature may be during early pregnancy.

- click on the photo and expand the tables (basal temperature during pregnancy, during development women's diseases) and graphics with interpretation.

We hope that the prepared material will be useful to you. Now you know how to measure basal temperature and how it changes before menstruation, during ovulation,

One of hidden signs long-awaited pregnancy The change in basal temperature is convincing. The method, which is based on drawing up its schedule and its subsequent analysis, has been known for quite a long time. But even now, despite the diversity modern diagnostics, it is relevant and successfully used. With its help, it is possible to determine favorable successful conception days, relax and not use contraceptives on “safe” days, learn about problems in the body. Some women consider it too troublesome, others scrupulously fulfill all the requirements and find out that they will become a mother even before their period is missed. What do fluctuating basal temperature readings before menstruation signal and how can you get them as correctly as possible?

The essence of the method is how basal temperature changes before menstruation

Basal temperature should be recorded in the morning, immediately after waking up and before starting any active actions. The place where it is measured is not the usual armpit, but one of three possible places of your choice - the vagina, oral cavity, anus. Most experts advise giving preference to the latter, as it is the most convenient and gives reliable results. In order not to distort the correct picture, you should follow the simplest rules:

— carry out measurements at a time exactly set by you, after a full night’s rest, without getting out of the comfort of bed. It is not advisable to take basal temperature readings on the day before menstruation - the procedure should be preceded by a three-hour good sleep, but even in this case the readings may be incorrect;

- use a special thermometer, which is inserted rectally for 5 minutes. It is better to prepare it the day before - shake it and put it on the bedside table. You cannot exchange a mercury device for an electronic one and vice versa; the same one must be used throughout the entire cycle;

- to draw up an individual schedule, it is necessary to carefully record the results obtained immediately after the procedure, otherwise they can be forgotten, marked incorrectly and changed big picture observations;

- Availability associated factors It is advisable to indicate in detail in your daily notes that may affect the correctness of the results. The reliability of the figures may raise doubts if consumed the day before alcoholic drinks, insufficient deep and long sleep, presence intimate relationships, existing activity disorder gastrointestinal tract, stress.

The method is based on temperature changes depending on the current phase of the menstrual cycle. To understand the expected results, you should briefly familiarize yourself with what basal temperature before menstruation should correspond to the norm.

At the first stage of the cycle, the base temperature readings should be in the range of 36.3° - 36.8°. After the release of a safely matured egg, a rapid jump in temperature occurs immediately by half a degree, the resulting value is maintained almost until the beginning of the critical days. The culprit for changes in basal temperature before menstruation is progesterone, which is in a hurry to begin active preparation To possible conception. At this stage, the most reliable answer to the question of what basal temperature should be before menstruation will be 36.8 - 37.5°. The last 3 days before the onset of discharge, in the absence of conception, are marked by a decrease in discharge; the standard temperature is 37°. To briefly summarize the above, we note that a sharp and rapid increase in basal temperature in the middle of the cycle signals successful ovulation, and its decrease just before the arrival of the critical days indicates the failure of conception.

The doctor suggests regularly monitoring changes in basal temperature if:

- various hormonal disorders;

- within 12 months, an attempt to get pregnant ends in failure, and there is a suspicion of infertility;

- need to be determined favorable days, suitable for successful conception;

- needs to be checked hormonal levels on different stages menstrual cycle.

For a convenient visual comparison of what basal temperature should be normal before menstruation and what its values ​​are present in your records, it is most convenient to draw a graphic image.

Easy and quick - we draw up a basal temperature chart before menstruation

This is very easy to do - all you need is a piece of plain squared paper. In the horizontal direction, the days of the menstrual cycle are arranged in order, in the vertical direction - the readings obtained when measuring basal temperature, where the cell corresponds to 1/10 of a degree. At the level of 37°, for clarity, it is better to draw a horizontal dividing line, which will serve as the boundary between the two main phases of the cycle. IN perfect description The graphic will look something like this:

1. Starting from the first day of menstruation until the end of discharge, the temperature gradually decreases to 36.3° - 36.6°. They remain in this range until ovulation, creating ideal conditions for successful egg maturation.

2. A rapid jump in parameters above 37° convincingly indicates successful ovulation. The absence of an increase, or a situation where its gradual increase lasts for 2-3 days, is a signal of existing problems with ovulation. Perhaps the egg has not matured, or has already died.

3. Throughout the phase monthly cycle after successful ovulation, the basal temperature before menstruation exceeds 37°, and only 2-3 days before the arrival of the critical days it begins to drop slightly. With the onset of menstruation it reaches 37°. If the compiled graph clearly shows single drops in temperature below the designated horizontal line, alas, most likely the egg has died.

The finished drawing, if all values ​​do not go beyond the normalized limits, and the body does not have pathological changes, resembles the wingspan of a seagull - one of them represents the first phase and is located below the horizontal line, the second corresponds to the temperature indicators of the second phase and is located slightly higher.

What do deviations in basal temperature before menstruation indicate?

If conception does not happen, the last two to three days before menstrual flow indicators rectal temperature decrease slightly and do not exceed 37 degrees. If they are higher, you can, while still timidly, rejoice at the onset of pregnancy; a delay will also testify in favor of this. However, not only a happy event can change the basal temperature before menstruation. Accession of the meager brown discharge according to the type of menstruation can be a formidable sign of a possible ectopic pregnancy or a warning about the existing threat of miscarriage.

If available acute inflammation in the appendages, a decrease in basal temperature before menstruation will not occur, and during critical days it will even rise to 37.3 - 37.5°. Endometritis has almost the same manifestations, only allowing the temperature to drop quite a bit before the appearance of discharge. An increase in basal temperature before menstruation to 37.4° sometimes serves as a manifestation of insufficient estrogen levels. In this case, a consultation with an endocrinologist will not hurt, but the desired pregnancy will have to wait a little. The doctor will definitely ask what basal temperature was observed before menstruation during last cycles, so her schedule will come in handy.

Any deviation from your normal temperature parameters, down or up, is a reason to visit a doctor. This applies to stable changes that were observed over at least three cycles. It is quite possible that you won’t have to worry, since the basal temperature depends on many different factors - excessive anxiety, incorrect measurements, moving to another area, hypothermia, fatigue, etc. When diagnosing, the doctor not only analyzes what basal temperature was observed before menstruation during the last cycles, but also takes into account important nuance- the difference between the average temperature values ​​in different phases. Experts believe that normally this figure should be 0.4-0.5 degrees. It is the anomaly of this parameter that indicates pathology.

Basal temperature before menstruation - are the indicators reliable?

All acceptable values ​​for what basal temperature should be normal before menstruation are based on morning measurements. Doctors and women themselves focus on them, because the temperature obtained at other times of the day can differ quite significantly from the morning readings. The difference between evening and morning readings can be as much as a degree, and the basal temperature before menstruation the day before can reach its maximum. This cannot be considered a pathology, since it is due to the fact that any activity of processes occurring in the body reaches its peak levels in daytime. By taking measurements at the wrong time and comparing the results with what basal temperature before menstruation should be according to regulatory indicators, you can get completely unpredictable results.

Instantly after waking up and performing even minimum actions, the body is habitually influenced by many external conditions- psycho-emotional and physical exercise, eating and many others. They can distort the basal temperature readings before menstruation the day before and prevent the correct chart from being obtained. They cannot be avoided and taken into account when analyzing the graph, therefore, to ensure the reliability of the result, you should still measure the basal temperature before your period in the morning. You should also not use this method while taking hormonal drugs, the result will be obviously false. Some other factors may also introduce inaccuracies:

- travel and relocation, especially long-distance;

— presence of infections;

- short or too long sleep (more than 12 hours);

- sexual intercourse;

- taking certain medications (consultation with a doctor is advisable in this regard).

What basal temperature before menstruation is a reason to visit a gynecologist?

It should be noted that the reason for visiting a doctor can be not only the temperature indicator; you should also pay attention to the number and duration of both phases of the cycle. You should not neglect the advice of a specialist if:

- basal temperature is lowered, or vice versa, increased, throughout the entire cycle and does not change before menstruation;

— in the second phase, the basal temperature before menstruation increased by less than 0.4°;

— there is an insufficiently rapid rise in temperature in the middle of the cycle;

- there is an abnormal change in the time component of the cyclic phases - the first should not last longer than 17 days, and the second should last less than twelve.

Measuring and analyzing basal temperature before menstruation gives excellent results with reasonable planning of the desired family composition, complex diagnostics hormonal pathology and all kinds of inflammatory processes, detection and treatment of infertility. The effectiveness of the method is quite high, provided that fairly strict rules for measuring and comparing data of at least three cycles are observed. However, you should not make a diagnosis on your own, much less prescribe treatment, based solely on the obtained readings of basal temperature before menstruation. This should be done by a specialist, and he will prescribe additional examination. Modern methods There are enough diagnostics, and their reliability is beyond doubt, and the research method using basal temperature takes its rightful place among them.

One of the ways to better understand the processes occurring in a woman’s body is to monitor her basal temperature. This method will allow you to find out when ovulation occurs, when your periods begin, and to suspect inflammatory processes, pregnancy disorders and the threat of its termination.

Its main advantage is the minimal financial costs; you only need to buy a thermometer. The disadvantages include high sensitivity To various factors. Reliable result can only be obtained with strict adherence to all measurement rules.

Basal temperature depends on which hormones predominate in a woman’s body. From the beginning of the cycle until ovulation, estrogens are the main ones, they help reduce it. After the release of the egg, the leading role belongs to progesterone, which raises the basal temperature.

Before ovulation, there is a surge in estrogen, which helps to reduce it. However, this effect is not observed in all graphs. Basal also decreases slightly. This usually happens within a few days (3 on average). This is explained by the fact that the amount of progesterone begins to fall.

It is advisable to continue measurements in critical days. Basal should normally gradually decrease. By the end of them, it drops to the level of the first phase.

Women who use this method, usually interested in what the basal temperature should be during menstruation. I would like to point out right away that this is very individual. Only by taking measurements over at least three cycles can this question be answered.

Now the values ​​that are found in most women will be given. Basal temperature during menstruation usually drops from 37 degrees at the beginning to 36.4 at the end. This is explained by an increase in the amount of estrogen and a decrease in progesterone levels.

When constructing a graph according to horizontal axis we postpone the days of the cycle, and vertical axis- temperature. On average, women's menstruation lasts 5 days, during which time there is a decline in the graph. Then, during the first phase, the basal temperature is between 36.4-36.6, then there may be a slight drop and a sharp rise. This indicates that ovulation has occurred. The second phase begins, during which the temperature remains at 37-37.2.

Then there is a drop to 37 degrees, which indicates imminent menstruation. If this does not happen and the second phase lasts more than 18 days, then pregnancy can be suspected. If, after a fall, the basal temperature rises during menstruation, this may be a sign of the uterus).

If it stays on during menstruation and before it, and falls only at the end, then this may indicate a miscarriage. If it does not decrease, and the discharge is scanty, then there may be a pregnancy with a threat of miscarriage.

Normally, the second phase lasts exactly two weeks, its duration can vary within a couple of days. If it is less than 10 days, then this requires hormonal examination and, possibly, treatment.

The length of the first phase has wider limits. Actually, the duration of the cycle depends on its duration. The difference in average temperatures between the phases is very important. It must exceed 0.4.

Only a qualified gynecologist should decipher the charts. Treatment cannot be prescribed based on them. It is very important to carry out hormonal examination and folliculogenesis. During it, ultrasound is performed several times per cycle. At the same time, growth is monitored dominant follicle and the condition of the endometrium. Evidence of ovulation is formation corpus luteum and availability free liquid.

Basal usually in anus immediately after waking up in the morning. On the graphs it is necessary to note all the factors influencing it (sex, alcohol, medications, insomnia, stress that occurred the day before).

Measurements are taken precisely at the selected time, for example at 7 am. Tolerance- half an hour. Can be used either electronic or mercury thermometer. Measurements are carried out until sound signal or 5 minutes respectively.

So, the basal temperature during menstruation should gradually fall. For most women, this occurs from 37 to 36.4 degrees. If she holds on high level, then endometritis can be suspected.